86 Nursing Homes That Accept Medicaid in Harris County, Texas
86 of the 97 Medicare-certified nursing homes in Harris County, Texas (89%) are Medicaid-certified, and all are listed below. 3 of the 86 graded homes earn an A and 12 earn a D or F. They average 3.31 nursing hours per resident per day, 0.23 hours below the 3.54 for every home in Harris County, Texas. The Hallmark in Houston grades highest at A (93 out of 100).
How Medicaid-certified homes in Harris County, Texas compare
This group set against every nursing home in Harris County, Texas, from the current CMS release.
Nursing hours per resident per day
3.31
All homes in Harris County, Texas: 3.54
Worse than the local average
Nurse staff turnover
54.4%
All homes in Harris County, Texas: 53.2%
Worse than the local average
Average ElderGrade score
65.1/100
All homes in Harris County, Texas: 67/100
Worse than the local average
Grade spread
B
C
D
3 grade A, 24 grade B, 47 grade C, 12 grade D,
The best-graded Medicaid-certified home in Harris County, Texas is
The Hallmark
in Houston, TX, grade A, 93/100.
Every Medicaid-certified nursing home in Harris County, Texas
Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.
Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.
Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.
Paradigm At Woodwind Lakes runs 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 58.3% against a national 45.8%, so the people providing that thin coverage are also leaving fast. The inspection record shows 44 deficiencies, 12 of them at harm or jeopardy level and 3 abuse-related, with two CMS fines totaling $89,541. This for-profit LLC is in the Special Focus Facility program, meaning federal regulators watch it more closely than most. The most recent inspection was January 9, 2026.
Focused Care At Pasadena runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, six of them serious enough to put residents in harm's way, three tied to abuse, and $131,012 in fines. Staff turnover sits at 76.6% against a national 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The corporation that owns it has drawn a 1-star inspection rating and a 1-star staffing rating, with the most recent survey dated February 2026.
Woodway Nursing & Rehab in Houston runs on thinner staffing than most homes, with weekend coverage dropping further below its own weekday levels. The bigger red flag is turnover: 85.3% of nursing staff leaving annually, nearly double the national rate.
That churn shows up in the inspection record, 60 deficiencies, 18 serious enough to endanger residents, three tied to abuse, and four fines totaling more than $303,000. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. Inspectors were last on site in June 2025. For-profit, limited-liability ownership. Families considering this home should ask hard questions about who's actually on the floor nights and weekends.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Harris County, Texas?
There are 86 Medicaid-certified Medicare-certified nursing homes in Harris County, Texas, 89% of the 97 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Harris County, Texas they average 3.31 total nursing hours per resident per day, against 3.54 for all nursing homes in Harris County, Texas, a difference of -0.23 hours. Staff turnover averages 54.4% against 53.2%.
Which Medicaid-certified nursing home grades best in Harris County, Texas?
The Hallmark in Houston, TX, grade A, 93 out of 100.
Does being Medicaid-certified mean a nursing home is safe?
No. Of the 86 graded Medicaid-certified homes in Harris County, Texas, 3 grade A and 12 grade D or F.
Do Medicaid-certified nursing homes in Harris County, Texas accept Medicaid?