Loading…
Nursing Homes in Texas
Finding Care in Texas
Finding the right care for someone you love in Texas can feel overwhelming—you're juggling emotions, logistics, and tough decisions all at once. You're not alone in this journey. Texas is home to hundreds of skilled nursing facilities, assisted living communities, and home health agencies, and while that means you have options, it also means you need reliable information to make the best choice for your loved one.
Texas nursing homes vary widely in quality, staffing levels, and specialty care offerings. Some facilities excel at memory care for those with dementia, while others specialize in short-term rehabilitation after surgery or hospitalization. The good news is that Texas has strong oversight through the Health and Human Services Commission, and you have tools—like SunsetWell scores and CMS ratings—to compare facilities objectively.
Remember: this decision doesn't have to be perfect; it has to be right for your family's unique situation. Trust your instincts during tours, ask questions about staffing ratios and infection control, and know that advocating for your loved one is one of the most compassionate acts you can do.
Sponsored Resources
Medicaid Coverage in Texas
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Texas.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026)
$2,982 (2026)
Asset Limit:
$2,000 for individuals, $3,000 for couples
$2,000 for individuals, $3,000 for couples
Processing Time:
45-60 days, though complex cases may take longer
45-60 days, though complex cases may take longer
How to Apply
Apply through Your Texas Benefits (YourTexasBenefits.com) or at local Health and Human Services office. You'll need financial documents, medical records, and proof of U.S. citizenship.
Important Tips for Texas Families
- •Start the application early—even before your loved one needs placement—to avoid delays.
- •Many Texas nursing homes require 90 days of private pay before accepting Medicaid. Ask each facility about their policy.
- •Work with a Texas elder law attorney to understand spend-down strategies if your loved one's assets exceed the limit.
- •Veterans may qualify for additional Aid & Attendance benefits to help cover costs during the private-pay period.
- •Keep detailed records of all medical expenses, as they can sometimes be deducted to help meet Medicaid income requirements.
Nursing Home Costs in Texas
$240-$380/day average
Monthly Range: $7,200-$11,400
Costs vary significantly by region—urban areas like Houston and Dallas tend to be pricier than rural communities. Short-term rehabilitation may be covered by Medicare for up to 100 days.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
Texas Resources & Advocacy
Oversight & Complaints
Texas Long-Term Care Ombudsman
1-800-252-2412Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Texas Health and Human Services Commission
View inspection reports →Support & Guidance
Texas Area Agencies on Aging
1-800-252-9240Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Planning Your Next Steps
Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Texas.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Texas Health and Human Services Commission, SunsetWell Analysis