Nursing Homes in Texas

Texas has 1,178 facilities certified by Medicare or Medicaid, as of the CMS penalty file published August 1, 2026. CMS publishes what it fined them, when it stopped paying for new admissions, how many nursing hours they staffed, and what its inspectors wrote up. These are those records counted. A penalty is an enforcement action on a date, not a verdict on the care a resident receives today.

Facilities with a federal penalty

71%832 of 1,178 (71%)

A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and July 29, 2026.

Facilities where CMS stopped paying for new admissions

12%142 of 1,178 (12%)

A payment denial is CMS refusing to pay for newly admitted Medicare and Medicaid residents until the facility corrects the problem it cited.

Median penalty total, among facilities that were fined

$32,185in fines · 812 facilities

The middle facility's total across every civil money penalty CMS recorded for it in this window, not the amount of a single fine.

Median nurse staffing hours per resident day

3.27hours · 1,163 facilities

0.41 hours below the national median of 3.68 hours.

Total nurse hours per resident per day from payroll records CMS collects, quarter Q1 2026. Staffing is an input, not an outcome.

Facilities with an inspection citation in the last 12 months

82%969 of 1,178 (82%)

Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated July 9, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.