# Nursing homes in Texas

Carefield indexes 1,177 Medicare/Medicaid-certified nursing homes in Texas with 133,481 certified beds, 13,317 inspections and 43,312 citations in the CMS window (2,617 at actual harm or worse), and $50,596,177 in fines. State-licensed assisted living is not yet included for this state.

## Counties
- [Harris County](https://carefield.site/county/48201) — 97 homes, 11,621 beds
- [Dallas County](https://carefield.site/county/48113) — 82 homes, 10,718 beds
- [Tarrant County](https://carefield.site/county/48439) — 72 homes, 9,076 beds
- [Bexar County](https://carefield.site/county/48029) — 62 homes, 7,676 beds
- [Travis County](https://carefield.site/county/48453) — 28 homes, 3,203 beds
- [El Paso County](https://carefield.site/county/48141) — 22 homes, 2,585 beds
- [Hidalgo County](https://carefield.site/county/48215) — 22 homes, 2,772 beds
- [Collin County](https://carefield.site/county/48085) — 22 homes, 2,640 beds
- [Denton County](https://carefield.site/county/48121) — 18 homes, 1,957 beds
- [McLennan County](https://carefield.site/county/48309) — 18 homes, 2,414 beds
- [Smith County](https://carefield.site/county/48423) — 17 homes, 1,985 beds
- [Bell County](https://carefield.site/county/48027) — 16 homes, 1,810 beds
- [Fort Bend County](https://carefield.site/county/48157) — 15 homes, 1,512 beds
- [Williamson County](https://carefield.site/county/48491) — 15 homes, 1,805 beds
- [Lubbock County](https://carefield.site/county/48303) — 15 homes, 1,750 beds
- [Jefferson County](https://carefield.site/county/48245) — 14 homes, 1,745 beds
- [Cameron County](https://carefield.site/county/48061) — 14 homes, 1,673 beds
- [Nueces County](https://carefield.site/county/48355) — 14 homes, 1,745 beds
- [Brazoria County](https://carefield.site/county/48039) — 13 homes, 1,510 beds
- [Galveston County](https://carefield.site/county/48167) — 12 homes, 1,478 beds
- [Gregg County](https://carefield.site/county/48183) — 12 homes, 1,438 beds
- [Taylor County](https://carefield.site/county/48441) — 12 homes, 1,183 beds
- [Montgomery County](https://carefield.site/county/48339) — 12 homes, 1,673 beds
- [Grayson County](https://carefield.site/county/48181) — 11 homes, 1,354 beds
- [Ellis County](https://carefield.site/county/48139) — 10 homes, 1,279 beds
- [Wichita County](https://carefield.site/county/48485) — 10 homes, 1,103 beds
- [Potter County](https://carefield.site/county/48375) — 9 homes, 1,017 beds
- [Parker County](https://carefield.site/county/48367) — 9 homes, 986 beds
- [Johnson County](https://carefield.site/county/48251) — 9 homes, 1,135 beds
- [Kaufman County](https://carefield.site/county/48257) — 9 homes, 978 beds
- [Angelina County](https://carefield.site/county/48005) — 8 homes, 920 beds
- [Guadalupe County](https://carefield.site/county/48187) — 8 homes, 976 beds
- [Tom Green County](https://carefield.site/county/48451) — 8 homes, 869 beds
- [Brazos County](https://carefield.site/county/48041) — 7 homes, 752 beds
- [Brown County](https://carefield.site/county/48049) — 7 homes, 692 beds
- [Bowie County](https://carefield.site/county/48037) — 7 homes, 670 beds
- [Comal County](https://carefield.site/county/48091) — 6 homes, 816 beds
- [Webb County](https://carefield.site/county/48479) — 6 homes, 762 beds
- [Lavaca County](https://carefield.site/county/48285) — 6 homes, 635 beds
- [Ector County](https://carefield.site/county/48135) — 6 homes, 653 beds
- [Kendall County](https://carefield.site/county/48259) — 6 homes, 532 beds
- [Cherokee County](https://carefield.site/county/48073) — 6 homes, 610 beds
- [Van Zandt County](https://carefield.site/county/48467) — 6 homes, 565 beds
- [Hays County](https://carefield.site/county/48209) — 6 homes, 727 beds
- [Navarro County](https://carefield.site/county/48349) — 6 homes, 642 beds
- [Atascosa County](https://carefield.site/county/48013) — 5 homes, 364 beds
- [Anderson County](https://carefield.site/county/48001) — 5 homes, 639 beds
- [Hardin County](https://carefield.site/county/48199) — 5 homes, 497 beds
- [Fayette County](https://carefield.site/county/48149) — 5 homes, 508 beds
- [Lamar County](https://carefield.site/county/48277) — 5 homes, 577 beds
- [Henderson County](https://carefield.site/county/48213) — 5 homes, 544 beds
- [Hunt County](https://carefield.site/county/48231) — 5 homes, 585 beds
- [Wood County](https://carefield.site/county/48499) — 5 homes, 525 beds
- [Caldwell County](https://carefield.site/county/48055) — 5 homes, 410 beds
- [Fannin County](https://carefield.site/county/48147) — 5 homes, 547 beds
- [Limestone County](https://carefield.site/county/48293) — 5 homes, 392 beds
- [Bastrop County](https://carefield.site/county/48021) — 5 homes, 564 beds
- [Rockwall County](https://carefield.site/county/48397) — 5 homes, 766 beds
- [Midland County](https://carefield.site/county/48329) — 5 homes, 525 beds
- [Gillespie County](https://carefield.site/county/48171) — 4 homes, 389 beds
- [Coryell County](https://carefield.site/county/48099) — 4 homes, 453 beds
- [Hopkins County](https://carefield.site/county/48223) — 4 homes, 487 beds
- [Kerr County](https://carefield.site/county/48265) — 4 homes, 609 beds
- [Liberty County](https://carefield.site/county/48291) — 4 homes, 438 beds
- [Wharton County](https://carefield.site/county/48481) — 4 homes, 447 beds
- [Nacogdoches County](https://carefield.site/county/48347) — 4 homes, 487 beds
- [Victoria County](https://carefield.site/county/48469) — 4 homes, 454 beds
- [Polk County](https://carefield.site/county/48373) — 4 homes, 451 beds
- [Hood County](https://carefield.site/county/48221) — 4 homes, 501 beds
- [Cooke County](https://carefield.site/county/48097) — 4 homes, 441 beds
- [Rusk County](https://carefield.site/county/48401) — 4 homes, 525 beds
- [Eastland County](https://carefield.site/county/48133) — 4 homes, 266 beds
- [Hill County](https://carefield.site/county/48217) — 4 homes, 382 beds
- [Cass County](https://carefield.site/county/48067) — 4 homes, 428 beds
- [Wilson County](https://carefield.site/county/48493) — 4 homes, 515 beds
- [Wise County](https://carefield.site/county/48497) — 4 homes, 446 beds
- [Colorado County](https://carefield.site/county/48089) — 4 homes, 415 beds
- [Jim Wells County](https://carefield.site/county/48249) — 3 homes, 441 beds
- [Lampasas County](https://carefield.site/county/48281) — 3 homes, 260 beds
- [Titus County](https://carefield.site/county/48449) — 3 homes, 362 beds
- [Shelby County](https://carefield.site/county/48419) — 3 homes, 349 beds
- [Young County](https://carefield.site/county/48503) — 3 homes, 325 beds
- [Matagorda County](https://carefield.site/county/48321) — 3 homes, 325 beds
- [Comanche County](https://carefield.site/county/48093) — 3 homes, 356 beds
- [Harrison County](https://carefield.site/county/48203) — 3 homes, 422 beds
- [Medina County](https://carefield.site/county/48325) — 3 homes, 287 beds
- [Erath County](https://carefield.site/county/48143) — 3 homes, 270 beds
- [Hamilton County](https://carefield.site/county/48193) — 3 homes, 234 beds
- [Panola County](https://carefield.site/county/48365) — 3 homes, 303 beds
- [Karnes County](https://carefield.site/county/48255) — 3 homes, 238 beds
- [Gray County](https://carefield.site/county/48179) — 3 homes, 272 beds
- [DeWitt County](https://carefield.site/county/48123) — 3 homes, 300 beds
- [Llano County](https://carefield.site/county/48299) — 3 homes, 338 beds
- [Robertson County](https://carefield.site/county/48395) — 3 homes, 252 beds
- [Jasper County](https://carefield.site/county/48241) — 3 homes, 335 beds
- [Freestone County](https://carefield.site/county/48161) — 3 homes, 261 beds
- [San Augustine County](https://carefield.site/county/48405) — 3 homes, 285 beds
- [Orange County](https://carefield.site/county/48361) — 3 homes, 364 beds
- [Val Verde County](https://carefield.site/county/48465) — 3 homes, 256 beds
- [Walker County](https://carefield.site/county/48471) — 3 homes, 246 beds
- [Howard County](https://carefield.site/county/48227) — 3 homes, 395 beds
- [Randall County](https://carefield.site/county/48381) — 3 homes, 346 beds
- [Bosque County](https://carefield.site/county/48035) — 3 homes, 332 beds
- [Maverick County](https://carefield.site/county/48323) — 3 homes, 332 beds
- [Burnet County](https://carefield.site/county/48053) — 3 homes, 310 beds
- [Houston County](https://carefield.site/county/48225) — 3 homes, 286 beds
- [Washington County](https://carefield.site/county/48477) — 3 homes, 289 beds
- [Trinity County](https://carefield.site/county/48455) — 3 homes, 227 beds
- [Milam County](https://carefield.site/county/48331) — 3 homes, 293 beds
- [Nolan County](https://carefield.site/county/48353) — 2 homes, 175 beds
- [Uvalde County](https://carefield.site/county/48463) — 2 homes, 315 beds
- [Hale County](https://carefield.site/county/48189) — 2 homes, 214 beds
- [Palo Pinto County](https://carefield.site/county/48363) — 2 homes, 215 beds
- [Bee County](https://carefield.site/county/48025) — 2 homes, 221 beds
- [Montague County](https://carefield.site/county/48337) — 2 homes, 269 beds
- [Hockley County](https://carefield.site/county/48219) — 2 homes, 207 beds
- [Red River County](https://carefield.site/county/48387) — 2 homes, 252 beds
- [Aransas County](https://carefield.site/county/48007) — 2 homes, 212 beds
- [Hutchinson County](https://carefield.site/county/48233) — 2 homes, 230 beds
- [Calhoun County](https://carefield.site/county/48057) — 2 homes, 278 beds
- [Moore County](https://carefield.site/county/48341) — 2 homes, 166 beds
- [Somervell County](https://carefield.site/county/48425) — 2 homes, 220 beds
- [Coleman County](https://carefield.site/county/48083) — 2 homes, 160 beds
- [Terry County](https://carefield.site/county/48445) — 2 homes, 162 beds
- [Callahan County](https://carefield.site/county/48059) — 2 homes, 122 beds
- [Jones County](https://carefield.site/county/48253) — 2 homes, 172 beds
- [Knox County](https://carefield.site/county/48275) — 2 homes, 127 beds
- [Parmer County](https://carefield.site/county/48369) — 2 homes, 158 beds
- [Lee County](https://carefield.site/county/48287) — 2 homes, 186 beds
- [Lamb County](https://carefield.site/county/48279) — 2 homes, 155 beds
- [Tyler County](https://carefield.site/county/48457) — 2 homes, 179 beds
- [Gonzales County](https://carefield.site/county/48177) — 2 homes, 212 beds
- [Jackson County](https://carefield.site/county/48239) — 2 homes, 211 beds
- [Falls County](https://carefield.site/county/48145) — 2 homes, 171 beds
- [Crosby County](https://carefield.site/county/48107) — 2 homes, 99 beds
- [San Patricio County](https://carefield.site/county/48409) — 2 homes, 187 beds
- [Runnels County](https://carefield.site/county/48399) — 2 homes, 232 beds
- [Mills County](https://carefield.site/county/48333) — 2 homes, 146 beds
- [Grimes County](https://carefield.site/county/48185) — 2 homes, 297 beds
- [Kleberg County](https://carefield.site/county/48273) — 2 homes, 266 beds
- [Coke County](https://carefield.site/county/48081) — 2 homes, 125 beds
- [Upshur County](https://carefield.site/county/48459) — 2 homes, 205 beds
- [Chambers County](https://carefield.site/county/48071) — 2 homes, 244 beds
- [Madison County](https://carefield.site/county/48313) — 2 homes, 196 beds
- [Burleson County](https://carefield.site/county/48051) — 2 homes, 202 beds
- [Bandera County](https://carefield.site/county/48019) — 2 homes, 180 beds
- [Sabine County](https://carefield.site/county/48403) — 2 homes, 179 beds
- [Starr County](https://carefield.site/county/48427) — 2 homes, 230 beds
- [Austin County](https://carefield.site/county/48015) — 2 homes, 175 beds
- [Castro County](https://carefield.site/county/48069) — 2 homes, 168 beds
- [Armstrong County](https://carefield.site/county/48011) — 1 homes, 66 beds
- [Concho County](https://carefield.site/county/48095) — 1 homes, 66 beds
- [Frio County](https://carefield.site/county/48163) — 1 homes, 150 beds
- [Jack County](https://carefield.site/county/48237) — 1 homes, 104 beds
- [Clay County](https://carefield.site/county/48077) — 1 homes, 60 beds
- [Wilbarger County](https://carefield.site/county/48487) — 1 homes, 120 beds
- [Dawson County](https://carefield.site/county/48115) — 1 homes, 80 beds
- [Schleicher County](https://carefield.site/county/48413) — 1 homes, 34 beds
- [Upton County](https://carefield.site/county/48461) — 1 homes, 30 beds
- [Crockett County](https://carefield.site/county/48105) — 1 homes, 45 beds
- [Sherman County](https://carefield.site/county/48421) — 1 homes, 26 beds
- [Reagan County](https://carefield.site/county/48383) — 1 homes, 36 beds
- [Lipscomb County](https://carefield.site/county/48295) — 1 homes, 40 beds
- [Hansford County](https://carefield.site/county/48195) — 1 homes, 60 beds
- [Hemphill County](https://carefield.site/county/48211) — 1 homes, 48 beds
- [Dallam County](https://carefield.site/county/48111) — 1 homes, 67 beds
- [Foard County](https://carefield.site/county/48155) — 1 homes, 67 beds
- [Haskell County](https://carefield.site/county/48207) — 1 homes, 68 beds
- [Camp County](https://carefield.site/county/48063) — 1 homes, 102 beds
- [Baylor County](https://carefield.site/county/48023) — 1 homes, 90 beds
- [Childress County](https://carefield.site/county/48075) — 1 homes, 120 beds
- [Leon County](https://carefield.site/county/48289) — 1 homes, 74 beds
- [Live Oak County](https://carefield.site/county/48297) — 1 homes, 96 beds
- [Duval County](https://carefield.site/county/48131) — 1 homes, 90 beds
- [Marion County](https://carefield.site/county/48315) — 1 homes, 116 beds
- [Stephens County](https://carefield.site/county/48429) — 1 homes, 92 beds
- [Goliad County](https://carefield.site/county/48175) — 1 homes, 90 beds
- [Dimmit County](https://carefield.site/county/48127) — 1 homes, 100 beds
- [Willacy County](https://carefield.site/county/48489) — 1 homes, 120 beds
- [San Jacinto County](https://carefield.site/county/48407) — 1 homes, 100 beds
- [Ward County](https://carefield.site/county/48475) — 1 homes, 92 beds
- [Wheeler County](https://carefield.site/county/48483) — 1 homes, 90 beds
- [Brooks County](https://carefield.site/county/48047) — 1 homes, 96 beds
- [Scurry County](https://carefield.site/county/48415) — 1 homes, 80 beds
- [Waller County](https://carefield.site/county/48473) — 1 homes, 130 beds
- [Garza County](https://carefield.site/county/48169) — 1 homes, 65 beds
- [Pecos County](https://carefield.site/county/48371) — 1 homes, 120 beds
- [Morris County](https://carefield.site/county/48343) — 1 homes, 106 beds
- [Jim Hogg County](https://carefield.site/county/48247) — 1 homes, 60 beds
- [Delta County](https://carefield.site/county/48119) — 1 homes, 100 beds
- [Deaf Smith County](https://carefield.site/county/48117) — 1 homes, 120 beds
- [Sterling County](https://carefield.site/county/48431) — 1 homes, 44 beds
- [Reeves County](https://carefield.site/county/48389) — 1 homes, 89 beds
- [Crane County](https://carefield.site/county/48103) — 1 homes, 110 beds
- [Real County](https://carefield.site/county/48385) — 1 homes, 86 beds
- [Collingsworth County](https://carefield.site/county/48087) — 1 homes, 76 beds
- [Ochiltree County](https://carefield.site/county/48357) — 1 homes, 60 beds
- [Hall County](https://carefield.site/county/48191) — 1 homes, 72 beds
- [Menard County](https://carefield.site/county/48327) — 1 homes, 40 beds
- [McCulloch County](https://carefield.site/county/48307) — 1 homes, 106 beds
- [Newton County](https://carefield.site/county/48351) — 1 homes, 84 beds
- [Stonewall County](https://carefield.site/county/48433) — 1 homes, 53 beds
- [Bailey County](https://carefield.site/county/48017) — 1 homes, 74 beds
- [Rains County](https://carefield.site/county/48379) — 1 homes, 68 beds
- [Andrews County](https://carefield.site/county/48003) — 1 homes, 112 beds
- [Zapata County](https://carefield.site/county/48505) — 1 homes, 59 beds
- [Mitchell County](https://carefield.site/county/48335) — 1 homes, 54 beds
- [Yoakum County](https://carefield.site/county/48501) — 1 homes, 60 beds
- [La Salle County](https://carefield.site/county/48283) — 1 homes, 60 beds
- [Motley County](https://carefield.site/county/48345) — 1 homes, 50 beds
- [San Saba County](https://carefield.site/county/48411) — 1 homes, 72 beds
- [Donley County](https://carefield.site/county/48129) — 1 homes, 61 beds
- [Franklin County](https://carefield.site/county/48159) — 1 homes, 95 beds
- [Blanco County](https://carefield.site/county/48031) — 1 homes, 60 beds
- [Refugio County](https://carefield.site/county/48391) — 1 homes, 90 beds
- [Kent County](https://carefield.site/county/48263) — 1 homes, 60 beds
- [Gaines County](https://carefield.site/county/48165) — 1 homes, 40 beds

## Largest chains
- [Creative Solutions in Healthcare](https://carefield.site/chain/cms-chain-169) — 150 homes
- [Avir Health Group](https://carefield.site/chain/cms-chain-719) — 118 homes
- [The Ensign Group](https://carefield.site/chain/cms-chain-507) — 86 homes
- [Wellsential Health](https://carefield.site/chain/cms-chain-670) — 67 homes
- [Cantex Continuing Care](https://carefield.site/chain/cms-chain-100) — 37 homes
- [Hmg Healthcare](https://carefield.site/chain/cms-chain-272) — 29 homes
- [Advanced Healthcare Solutions](https://carefield.site/chain/cms-chain-13) — 28 homes
- [Opco Skilled Management](https://carefield.site/chain/cms-chain-773) — 27 homes
- [Nexion Health](https://carefield.site/chain/cms-chain-370) — 26 homes
- [Touchstone Communities](https://carefield.site/chain/cms-chain-521) — 25 homes

## Most common citations
- [F-0880 Provide and implement an infection prevention and control program.](https://carefield.site/deficiency/cms-f0880) (Infection prevention) — 1082 homes
- [F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.](https://carefield.site/deficiency/cms-f0812) (Food, nutrition & hydration) — 1027 homes
- [F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.](https://carefield.site/deficiency/cms-f0656) (Clinical care) — 912 homes
- [F-0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.](https://carefield.site/deficiency/cms-f0761) (Medication management) — 881 homes
- [F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.](https://carefield.site/deficiency/cms-f0689) (Clinical care) — 847 homes
- [F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.](https://carefield.site/deficiency/cms-f0755) (Medication management) — 828 homes
- [F-0695 Provide safe and appropriate respiratory care for a resident when needed.](https://carefield.site/deficiency/cms-f0695) (Clinical care) — 677 homes
- [K-0353 Inspect, test, and maintain automatic sprinkler systems.](https://carefield.site/deficiency/cms-k0353) (Environment & life safety) — 671 homes
- [F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.](https://carefield.site/deficiency/cms-f0842) (Clinical care) — 578 homes
- [K-0372 Ensure smoke barriers are constructed to a 1 hour fire resistance rating.](https://carefield.site/deficiency/cms-k0372) (Environment & life safety) — 569 homes
- [F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.](https://carefield.site/deficiency/cms-f0677) (Clinical care) — 546 homes
- [F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.](https://carefield.site/deficiency/cms-f0609) (Resident rights & abuse/neglect) — 517 homes

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Source page: https://carefield.site/state/TX · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.