Open Care Data

Federal update · August 2026

Nursing Home Rating Changes in Texas: August 2026 Update

In the August 2026 federal update, 107 nursing homes in Texas changed their overall Medicare rating (59 lower, 48 higher), 6 were added to the federal Special Focus watch list, and 12 were newly flagged with the federal abuse indicator. These are factual changes in the U.S. federal (CMS) data, comparing the August 2026 release with July 2026.

59
Rating downgraded
48
Rating improved
6
Added to watch list
12
Newly abuse-flagged

Newly added to the federal watch list 6 facilities

SFF candidate
SFF candidate
SFF candidate
Avir At Overton
Overton, TX
SFF candidate
Avir At Arden Wood
Houston, TX
SFF candidate
Avir At Cowhorn Creek
Texarkana, TX
SFF candidate

The Special Focus Facility program flags nursing homes with a persistent pattern of serious quality problems.

Newly flagged with the federal abuse indicator 12

Abuse indicator added
Abuse indicator added
Paradigm At The Creek
Wharton, TX
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Abuse indicator added
Palomino Place
Mesquite, TX
Abuse indicator added

Overall rating downgraded 59

Caraday Of Houston
Houston, TX
5 → 1 ★
The Atrium Of Bellmead
Bellmead, TX
4 → 1 ★
5 → 3 ★
4 → 2 ★
Avir At Jacksboro
Jacksboro, TX
5 → 4 ★
Avir At Keeneland
Weatherford, TX
4 → 3 ★
2 → 1 ★
Avir At Camp Wood
Camp Wood, TX
2 → 1 ★
Avir At Emerald Hills
North Richland Hills, TX
3 → 2 ★
Avir At Grand Saline
Grand Saline, TX
3 → 2 ★
Avir At Heritage Oaks
Lubbock, TX
2 → 1 ★
Avir At Meadow Creek
San Angelo, TX
2 → 1 ★
Avir At Pecos
Pecos, TX
3 → 2 ★
2 → 1 ★
4 → 3 ★
Bel Air At Teravista
Round Rock, TX
4 → 3 ★
4 → 3 ★
3 → 2 ★
2 → 1 ★
5 → 4 ★
5 → 4 ★
2 → 1 ★
4 → 3 ★
3 → 2 ★
2 → 1 ★
Highland Nursing Center
San Antonio, TX
2 → 1 ★
4 → 3 ★
2 → 1 ★
2 → 1 ★
2 → 1 ★
Legacy At Jacksonville
Jacksonville, TX
4 → 3 ★
3 → 2 ★
3 → 2 ★
5 → 4 ★
4 → 3 ★
5 → 4 ★
4 → 3 ★
Oak Village Healthcare
Lake Jackson, TX
5 → 4 ★
5 → 4 ★
4 → 3 ★
4 → 3 ★
The Madison On Marsh
Carrollton, TX
5 → 4 ★
5 → 4 ★
3 → 2 ★
3 → 2 ★

Overall rating improved 48

Avir At Pittsburg
Pittsburg, TX
2 → 4 ★
2 → 4 ★
2 → 4 ★
The Shoal
Texas City, TX
3 → 5 ★
Avir At Carthage
Carthage, TX
2 → 3 ★
Avir At Cisco
Cisco, TX
4 → 5 ★
Avir At Richland Hills
Richland Hills, TX
2 → 3 ★
Brentwood Place One
Dallas, TX
4 → 5 ★
Brentwood Place Two
Dallas, TX
2 → 3 ★
3 → 4 ★
1 → 2 ★
2 → 3 ★
4 → 5 ★
Eden Home
New Braunfels, TX
2 → 3 ★
3 → 4 ★
2 → 3 ★
Hemphill Care Center
Hemphill, TX
1 → 2 ★
2 → 3 ★
Honey Grove Nursing Center
Honey Grove, TX
1 → 2 ★
3 → 4 ★
1 → 2 ★
3 → 4 ★
3 → 4 ★
Paradigm At Stevens
Yoakum, TX
1 → 2 ★
3 → 4 ★
4 → 5 ★
4 → 5 ★
Regency House
San Angelo, TX
2 → 3 ★
Rose Haven Retreat
Atlanta, TX
3 → 4 ★
2 → 3 ★
1 → 2 ★
Swan Health At Wichita Falls
Wichita Falls, TX
3 → 4 ★
2 → 3 ★
2 → 3 ★
The Manor At Seagoville
Seagoville, TX
2 → 3 ★
4 → 5 ★
3 → 4 ★

Changes compare the August 2026 U.S. federal (CMS) nursing home release with the July 2026 release. The facts are CMS's; the presentation is Open Care Data's. Ratings and flags can change again in future updates. Open Care Data is not affiliated with CMS, Medicare, or any government agency. How we use this data.

See national rating changes → · All nursing homes in Texas