Ellery Care data study
128 Texas nursing homes carry a federal abuse warning
Of the 1,135 rated nursing homes in Texas, 128, about 11.3%, display the federal government's abuse-warning icon on CMS Care Compare. Referral sites that earn a fee for placing your parent have no reason to show you this. We do. Below is the full list, plus what the flag means and what to do about it.
Methodology & how to cite
Texas nursing homes carrying the CMS abuse icon, from CMS Health Deficiencies data. Data as of 2026-09-05. Full method and sources are on our methodology page.
Cite this analysis (APA):
Ellery Care Research Team. (2026). Texas Nursing Homes Flagged for Abuse: 128 Homes (2026 CMS Data). Ellery Care. https://ellerycare.com/studies/texas-nursing-homes-flagged-for-abuse/
Journalists and researchers are welcome to cite these figures with a link back. Downloads, the data dictionary, and citation formats for every study are on our data & press resources page. For a custom data pull or a quote, contact [email protected].
Based on CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Ellery Care takes no money from any facility.
What the abuse icon actually means
In 2019 CMS began adding a warning icon to nursing homes on its Care Compare tool. A home receives it when state inspectors have cited it for abuse that led to resident harm in the past year, or for abuse with the potential for harm in each of the last two years. It is a factual reflection of a facility's recent inspection record, not an allegation from Ellery Care, and not proof that a resident is unsafe today. Facilities can and do correct the underlying problems; the flag lags behind current conditions. Treat it as a serious prompt to ask questions, not a verdict.
What the data shows
By ownership
| Ownership | Flagged | % of flagged | % of all TX |
|---|---|---|---|
| For-profit | 98 | 77% | 71% |
| Non-profit | 6 | 5% | 9% |
| Government | 24 | 19% | 20% |
Counties with the most flagged homes
- Harris County13 of 93
- Dallas County11 of 81
- Tarrant County9 of 67
- Bexar County5 of 60
- Hidalgo County5 of 22
- Travis County3 of 27
- Williamson County3 of 15
- Lubbock County3 of 15
All 128 flagged Texas nursing homes
Sorted by overall CMS rating, lowest first. Each links to its full report card.
What to do if a loved one lives in one of these homes
- Read the actual inspection report. On Medicare.gov Care Compare you can see the specific deficiencies behind the flag, not just the icon.
- Ask the administrator what changed. A citation from 18 months ago that has been corrected is very different from a repeat pattern. Ask for the plan of correction.
- Call your Long-Term Care Ombudsman. Every state has one; they advocate for residents for free and can tell you whether concerns are ongoing.
- Compare nearby options. See other homes in your city or county and how they rate on staffing and inspections.
Common questions
What does the abuse icon on a nursing home mean?
It is a warning the federal government (CMS) adds to a nursing home on Care Compare when state inspectors have cited it for abuse that harmed a resident, or that could have harmed a resident, within the last two inspection cycles. It reflects the facility's recent inspection record, not an allegation by Ellery Care.
How many Texas nursing homes are flagged for abuse?
As of 2026-09-05, 128 of the 1,135 rated Texas nursing homes on CMS Care Compare, about 11.3%, carry the abuse-warning icon.
What should I do if my loved one's nursing home is on this list?
Don't panic, but do look closer: read the facility's full inspection report on Medicare.gov, ask the administrator what corrective action was taken, and contact your state's Long-Term Care Ombudsman, who advocates for residents for free. The flag is a prompt to ask questions, not automatically a reason to move someone.
Methodology: we counted every rated Texas nursing home carrying the abuse-warning icon in CMS Care Compare (Nursing Homes), dataset 4pq5-n9py (retrieved 2026-09-05), then cross-referenced ownership and staffing from the same dataset. Full details on our methodology page. This is educational information, not legal advice; the abuse icon reflects CMS inspection findings, and facilities may have since corrected the issues. Related: the 25 worst-staffed Texas nursing homes →