State Report Cards


Key Findings

  • Texas is America’s worst nursing home state.
  • Texas is the only state that scored failing grades in 6 of 8 statistical measures.
  • When compared to every other state, Texas has the fewest percentage of nursing homes with above average direct care staff rating.
  • Texas ombudsmen verified nearly every registered complaint.
  • Texas nursing home care ranks at the bottom in the dreadful Southwest Region.

News Release


CriteriaRaw DataGradeRank
% Facilities With Deficiencies94.33%D36
% Facilities With Severe Deficiencies16.42%C23
Direct Care Staffing Above Average19.68%F51
Direct Care Staffing Hours2.24F44
Health Inspections Above Average32.26%F44
RN Hours0.51F50
RN Staffing Above Average10.86%F49
Verified Ombudsman Complaints92.19%F44
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