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Nursing homes in Texas

1,163 certified facilities across 215 counties · quarter 2026Q1

CountyFacilitiesMedian total nurse HPRD
Anderson County63.113
Andrews County15.032
Angelina County72.943
Aransas County22.872
Armstrong County13.042
Atascosa County52.523
Austin County22.559
Bailey County13.486
Bandera County22.784
Bastrop County52.534
Baylor County12.921
Bee County23.475
Bell County153.048
Bexar County623.108
Blanco County13.313
Bosque County32.378
Bowie County73.128
Brazoria County133.017
Brazos County72.660
Brooks County13.513
Brown County72.802
Burleson County22.781
Burnet County42.662
Caldwell County52.453
Calhoun County22.720
Callahan County22.604
Cameron County142.954
Camp County13.287
Cass County42.951
Castro County23.574
Chambers County22.825
Cherokee County62.952
Childress County13.009
Coke County23.423
Coleman County23.027
Collin County223.016
Collingsworth County12.985
Colorado County42.891
Comal County63.040
Comanche County32.955
Concho County13.093
Cooke County42.880
Coryell County42.865
Crane County12.709
Crockett County14.548
Crosby County23.059
Dallas County812.952
Dawson County12.738
De Witt County43.329
Deaf Smith County13.009
Delta County12.643
Denton County183.178
Dimmit County13.426
Donley County12.012
Duval County13.246
Eastland County42.767
Ector County62.580
El Paso County223.150
Ellis County102.869
Erath County32.683
Falls County22.905
Fannin County53.056
Fayette County53.120
Foard County12.783
Fort Bend County143.233
Franklin County13.278
Freestone County32.921
Frio County12.900
Gaines County14.298
Galveston County122.938
Garza County12.125
Gillespie County42.772
Goliad County12.839
Gonzales County22.322
Gray County33.274
Grayson County113.016
Gregg County133.106
Grimes County22.461
Guadalupe County82.758
Hale County22.784
Hall County12.387
Hamilton County32.872
Hansford County14.828
Hardin County52.827
Harris County952.995
Harrison County33.013
Haskell County13.167
Hays County62.855
Hemphill County14.149
Henderson County52.534
Hidalgo County223.013
Hill County42.792
Hockley County22.889
Hood County42.785
Hopkins County42.925
Houston County32.419
Howard County33.117
Hunt County52.880
Hutchinson County22.696
Jack County12.478
Jackson County22.623
Jasper County33.419
Jefferson County143.359
Jim Hogg County13.022
Jim Wells County32.842
Johnson County93.144
Jones County23.602
Karnes County32.924
Kaufman County82.931
Kendall County62.622
Kent County13.557
Kerr County42.891
Kleberg County23.014
Knox County23.136
La Salle County13.278
Lamar County52.749
Lamb County23.112
Lampasas County33.073
Lavaca County52.831
Lee County23.064
Leon County14.197
Liberty County43.399
Limestone County52.944
Lipscomb County14.826
Live Oak County13.289
Llano County22.776
Lubbock County152.816
Madison County22.405
Marion County12.877
Matagorda County32.869
Maverick County32.910
Mc Culloch County13.260
Mc Lennan County172.951
Medina County33.042
Menard County13.726
Midland County52.833
Milam County32.536
Mills County22.317
Mitchell County12.887
Montague County22.685
Montgomery County113.155
Moore County23.743
Morris County13.798
Motley County14.242
Nacogdoches County43.002
Navarro County62.825
Newton County13.844
Nolan County22.849
Nueces County142.768
Ochiltree County14.080
Orange County32.813
Palo Pinto County22.620
Panola County32.915
Parker County92.876
Parmer County22.847
Pecos County12.455
Polk County43.151
Potter County93.110
Rains County12.533
Randall County32.845
Reagan County14.387
Real County12.573
Red River County22.780
Reeves County11.990
Refugio County13.183
Robertson County32.510
Rockwall County52.972
Runnels County22.845
Rusk County32.855
Sabine County22.806
San Augustine County33.640
San Jacinto County12.604
San Patricio County23.065
San Saba County11.941
Schleicher County13.765
Scurry County12.972
Shelby County33.333
Sherman County15.698
Smith County172.950
Somervell County22.441
Starr County22.893
Stephens County13.447
Sterling County14.602
Stonewall County12.604
Tarrant County702.974
Taylor County122.982
Terry County22.551
Titus County32.623
Tom Green County72.975
Travis County282.743
Trinity County22.681
Tyler County23.252
Upshur County22.879
Upton County13.853
Uvalde County22.718
Val Verde County32.829
Van Zandt County62.777
Victoria County42.711
Walker County33.298
Waller County13.168
Ward County12.135
Washington County43.336
Webb County62.723
Wharton County42.745
Wheeler County12.821
Wichita County93.239
Wilbarger County12.777
Willacy County12.937
Williamson County152.914
Wilson County42.814
Wise County42.905
Wood County53.049
Yoakum County14.169
Young County33.046
Zapata County13.110
Source and definitions

Staffing is from the CMS Payroll-Based Journal, aggregated from daily submissions for the quarter shown. "Total nurse HPRD" is registered nurse (including the Director of Nursing and RN administrative hours), licensed practical nurse (including LPN administrative hours), and certified nursing assistant hours, divided by resident days. It does not include nurse aides in training or medication aides/technicians, so it reads lower than published figures that do. Ownership, chain and sale history come from the CMS Skilled Nursing Facility All Owners, Enrollments and Change-of-Ownership files. We report what these files contain and do not rate, rank or characterise any facility.