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133 Texas nursing homes carry a federal abuse warning

Of the 1,135 rated nursing homes in Texas, 133 — about 11.7% — 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.

Based on CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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

79%
of flagged homes are for-profit (they are 70% of all Texas homes)
53%
of flagged homes are staffed below the Texas median
11.7%
of all rated Texas homes carry the flag

By ownership

OwnershipFlagged% of flagged% of all TX
For-profit10579%70%
Non-profit75%9%
Government2116%20%

Counties with the most flagged homes

All 133 flagged Texas nursing homes

Sorted by overall CMS rating, lowest first. Each links to its full report card.

FacilityCountyOwnershipStaffing vs medianOverall
Avir At BeaumontBeaumontJeffersonGovernment2%
Avir At New BraunfelsNew BraunfelsComalFor-profit3%
Buena Vida Nursing And Rehab-San AntonioSan AntonioBexarGovernment-10%
Brookhaven Nursing And Rehabilitation CenterCarrolltonDentonFor-profit-4%
Meridian Care Of AliceAliceJim WellsFor-profit-2%
The Palms Nursing & RehabilitationCorpus ChristiNuecesFor-profit-10%
Focused Care Of WaxahachieWaxahachieEllisGovernment-18%
Park View Care CenterFort WorthTarrantFor-profit23%
Valley Grande ManorWeslacoHidalgoFor-profit-10%
Greenview Nursing And RehabilitationWacoMc LennanFor-profit-13%
Downtown Health And Rehabilitation CenterFort WorthTarrantGovernment-1%
Skyline Nursing CenterDallasDallasGovernment-7%
Avir At LongviewLongviewGreggGovernment9%
Afton Oaks Nursing And Rehabilitation CenterHoustonHarrisFor-profit10%
Arbor View Nursing & RehabilitationKerrvilleKerrFor-profit4%
Ashford HallIrvingDallasFor-profit13%
Arlington Heights Health And Rehabilitation CenterFort WorthTarrantFor-profit0%
Avir At AthensAthensHendersonFor-profit-11%
Coral Rehabilitation And Nursing Of AustinAustinTravisGovernment-14%
Dfw Nursing & RehabFort WorthTarrantFor-profit1%
Focused Care At Mount PleasantMount PleasantTitusFor-profit-3%
Avir At LubbockLubbockLubbockFor-profit4%
Graham Oaks Care CenterGrahamYoungFor-profit-8%
Estates Healthcare And Rehabilitation CenterFort WorthTarrantFor-profit-6%
Focused Care At ShermanShermanGraysonFor-profit-3%
Countryview Nursing & RehabilitationTerrellKaufmanGovernment-4%
Heritage Gardens Rehabilitation And HealthcareCarrolltonDallasFor-profit-4%
Dogwood Trails ManorWoodvilleTylerFor-profit3%
Briarcliff Nursing And Rehabilitation CenterMcallenHidalgoNon-profit-1%
Sabine Heights Nursing And Rehabilitation CenterPort ArthurJeffersonFor-profit6%
Seabreeze Nursing And RehabilitationTexas CityGalvestonFor-profit-9%
Windsor Nursing And Rehabilitation Center Of AliceAliceJim WellsGovernment-2%
Kirkland Court Health And Rehabilitation CenterAmarilloPotterFor-profit-12%
Paradigm At SweenySweenyBrazoriaFor-profit-12%
Woodland Springs Nursing CenterWacoMc LennanFor-profit-6%
Whispering Pines LodgeLongviewGreggFor-profit5%
Ralls Nursing HomeRallsCrosbyFor-profit-29%
Advanced Rehabilitation And Healthcare Of AthensAthensHendersonGovernment-2%
Flatonia Healthcare CenterFlatoniaFayetteFor-profit24%
Willow Park Rehabilitation Health Care CenterCliftonBosqueFor-profit1%
Whisperwood Nursing & Rehabilitation CenterLubbockLubbockGovernment4%
Liberty Health Care CenterLibertyLibertyGovernment15%
West Janisch Health Care CenterHoustonHarrisNon-profit17%
Harmony Care At GiddingsGiddingsLeeFor-profit22%
Avir At AdamsTempleBellFor-profit-4%
Focused Care Of GilmerGilmerUpshurFor-profit-7%
Avir At SeguinSeguinGuadalupeFor-profit-12%
Avir At MineolaMineolaWoodFor-profit6%
Marine Creek Nursing And RehabilitationFort WorthTarrantFor-profit6%
Garland Nursing And RehabilitationGarlandDallasFor-profit3%
Normandy Terrace Nursing & Rehabilitation CenterSan AntonioBexarFor-profit-8%
Bridgeport Medical LodgeBridgeportWiseFor-profit2%
River City Care CenterSan AntonioBexarFor-profit-2%
Benbrook Nursing & Rehabilitation CenterBenbrookTarrantFor-profit-14%
Park Place Care CenterGeorgetownWilliamsonFor-profit-6%
Parkview Manor Nursing And RehabilitationWeimarColoradoFor-profit-3%
Avir At Cowhorn CreekTexarkanaBowieGovernment0%
Paradigm At The OakSchulenburgFayetteFor-profit-3%
Mineola Gardens Wellness & RehabilitationMineolaWoodFor-profit-3%
Park Manor Of Cypress StationHoustonHarrisFor-profit-6%
Park Place Nursing & Rehabilitation CenterTylerSmithFor-profit4%
Paradigm At The PrairiesEl CampoWhartonFor-profit-26%
Merkel Nursing CenterMerkelTaylorFor-profit2%
Shady Acres Health And Rehabilitation CenterNewtonNewtonFor-profit18%
Avir At TexarkanaTexarkanaBowieFor-profit39%
Wells Ltc Nursing & RehabilitationWellsCherokeeFor-profit47%
Matlock Place Health & Rehabilitation CenterArlingtonTarrantFor-profit-9%
Town East Rehabilitation And Healthcare CenterMesquiteDallasFor-profit4%
Peach Tree PlaceWeatherfordParkerFor-profit-19%
Focused Care At Cedar BayouBaytownHarrisFor-profit-8%
Eagle Crest Rapid RecoveryHoustonHarrisFor-profit-3%
Bastrop Lost Pines Nursing And Rehabilitation CentBastropBastropGovernment-5%
Legend Oaks Healthcare And Rehabilitation - NorthAustinTravisFor-profit-3%
Riverside Nursing And Rehabilitation CenterAustinTravisFor-profit3%
Misty Willow Healthcare And Rehabilitation CenterHoustonHarrisFor-profit1%
Avir At Veterans MemorialHoustonHarrisFor-profit-5%
Deerbrook Skilled Nursing And Rehab CenterHumbleHarrisFor-profit2%
Lakewest Rehabilitation And Skilled CareDallasDallasGovernment-2%
Epic Nursing & RehabilitationCorsicanaNavarroFor-profit-12%
San Gabriel Rehabilitation And Care CenterRound RockWilliamsonFor-profit-3%
Hidalgo Nursing And Rehabilitation CenterEdinburgHidalgoGovernment2%
Brenham Healthcare CenterBrenhamWashingtonFor-profit9%
Brightpointe At Lytle LakeAbileneTaylorFor-profit-9%
Avir At KilleenKilleenBellFor-profit-3%
The Bartlett Skilled Nursing And Assisted LivingEl PasoEl PasoFor-profit9%
Le Reve Rehabilitation & Memory CareDallasDallasFor-profit-6%
Sylan Shores Health And WellnessLa PorteHarrisGovernment-8%
Lakeside Health And WellnessKempHendersonFor-profit-19%
Five Points Nursing & Rehabilitation Of College StCollege StationBrazosFor-profit-18%
Avir At Petal HillTylerSmithFor-profit7%★★
Avir At WeatherfordWeatherfordParkerFor-profit2%★★
Windsor Nursing And Rehabilitation Center Of MorgaCorpus ChristiNuecesNon-profit-11%★★
Park Village Healthcare And RehabilitationDesotoDallasFor-profit-7%★★
Patriot Heights Health Care CenterSan AntonioBexarFor-profit6%★★
Henderson Health & Rehabilitation CenterHendersonRuskFor-profit0%★★
Arbor Lake Nursing & Rehabilitation, LLCFort WorthTarrantFor-profit-5%★★
Live Oak Nursing And Rehabilitation CenterGeorge WestLive OakFor-profit3%★★
Windsor Healthcare ResidenceGroesbeckLimestoneFor-profit1%★★
The Homestead Of DenisonDenisonGraysonFor-profit1%★★
Paradigm At The PinesSilsbeeHardinGovernment-11%★★
Avir At OvertonOvertonRuskFor-profit15%★★
Focused Care At HuntsvilleHuntsvilleWalkerFor-profit-17%★★
Parkview Nursing And Rehabilitation CenterLockhartCaldwellFor-profit-12%★★
Hillside Heights Rehabilitation SuitesAmarilloRandallFor-profit-6%★★
Port Arthur Nursing And Rehabilitation CenterPort ArthurJeffersonFor-profit-7%★★
Cityview Nursing And Rehabilitation CenterFort WorthTarrantNon-profit2%★★
Brenham Nursing And Rehabilitation CenterBrenhamWashingtonNon-profit-17%★★
Focused Care At WebsterWebsterHarrisFor-profit9%★★
The Mildred & Shirley L. Garrison Geriatric EducatLubbockLubbockGovernment-8%★★
Regency VillageWebsterHarrisFor-profit2%★★
The Parks At Garland Healthcare And RehabGarlandDallasFor-profit-4%★★
Avir At MagnoliaLulingCaldwellFor-profit-13%★★
Alfredo Gonzalez Texas State Veterans HomeMcallenHidalgoGovernment9%★★
Avir At Fort WorthFort WorthTarrantFor-profit-6%★★
Champions Healthcare At WillowbrookHoustonHarrisFor-profit8%★★
Avir At LulingLulingCaldwellFor-profit-14%★★
Avir At SchertzSchertzGuadalupeFor-profit-10%★★
The Villages On MacarthurIrvingDallasNon-profit5%★★
Terra Bella Health And Wellness SuitesHoustonHarrisFor-profit3%★★
Park Valley Inn Health CenterRound RockWilliamsonFor-profit0%★★
Sundance Inn Health CenterNew BraunfelsComalFor-profit10%★★
Harbor Valley Health And RehabilitationSan AntonioBexarFor-profit9%★★
Denton Village By PurehealthDentonDentonFor-profit8%★★★
Colonial Manor Nursing CenterCleburneJohnsonFor-profit15%★★★
Cass Valley Healthcare CenterCentervilleLeonFor-profit28%★★★
Focused Care Of CenterCenterShelbyFor-profit7%★★★
Lone Star Ranch Rehabilitaion And Healthcare CenteKingsvilleKlebergFor-profit-2%★★★
Trinity Care CenterRound RockWilliamsonFor-profit-5%★★★
Village Healthcare And RehabilitationMcallenHidalgoFor-profit7%★★★
Lindan Park Care Center LPRichardsonDallasFor-profit5%★★★
The ShoalTexas CityGalvestonFor-profit13%★★★
James L West Center For Dementia CareFort WorthTarrantNon-profit40%★★★
Prestonwood Rehabilitation & Nursing Center INCPlanoDentonGovernment29%★★★★

What to do if a loved one lives in one of these homes

  1. Read the actual inspection report. On Medicare.gov Care Compare you can see the specific deficiencies behind the flag, not just the icon.
  2. 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.
  3. Call your Long-Term Care Ombudsman. Every state has one; they advocate for residents for free and can tell you whether concerns are ongoing.
  4. 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 2026-08-09, 133 of the 1,135 rated Texas nursing homes on CMS Care Compare — about 11.7% — 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 2026-08-09), 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 →