ProximCaresThe average ProximCares score across all 1,176 Texas nursing homes is 54.5 out of 100. On the ProximCares scale, scores between 55–69 are considered Below Average. A statewide average in this range means the typical Texas nursing home performs below the level families should reasonably expect — and that standout facilities matter a great deal in the search process.
Scores are built from CMS inspection records, complaint data, staffing levels, quality measures, and pharmacy proximity — all weighted and combined into a single 0–100 figure. No single data point tells the full story; the composite score does.
What this means for families: A "severe citation" refers to a CMS inspection finding classified at scope/severity level G or higher — meaning actual harm or immediate jeopardy to residents was identified. Roughly 1 in 10 Texas facilities carries at least one of these on record. Special Focus Facilities are nursing homes CMS has placed under enhanced oversight due to a pattern of serious deficiencies. Always check a facility's individual citation history before visiting.
What this means for families: Registered Nurse hours per resident day is one of the clearest indicators of hands-on clinical supervision in a nursing home. Higher RN hours correlate with faster detection of medical problems, fewer hospitalizations, and better outcomes. When comparing facilities, look at the individual RN staffing figure on each facility's Staffing tab — the statewide average is a baseline, not a target.
These facilities score highest on the composite 0–100 ProximCares scale, reflecting strong inspection records, staffing, and compliance history.
These facilities carry the lowest composite scores in Texas based on CMS inspection, complaint, staffing, and penalty data.
City-level averages reveal where care quality concentrates and where it lags. These figures reflect every ProximCares-scored facility located within each city, not just a sample. A lower city average doesn't mean all facilities there are poor — it means the distribution skews lower and requires more individual scrutiny.
| City | Facilities | Avg Score | |
|---|---|---|---|
| Houston | 60 | 62.1/100 | |
| Dallas | 33 | 57.3/100 | |
| San antonio | 58 | 53.2/100 | |
| Austin | 25 | 56.9/100 | |
| Fort worth | 31 | 53.8/100 |
ProximCares scores combine CMS overall star rating, health inspection citations, verified complaints, staffing ratings, quality measures, and pharmacy proximity into a single 0–100 scale. All figures on this page are computed from the same dataset that powers every individual facility page. Statistics update automatically with each CMS data refresh.