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Nursing Homes & Extended Care in West, TX.

Ranked based on inspection data.

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This is what the inspectors wrote down.

Every score on this page is built from federal CMS inspection results and state licensing records — the same findings a regulator sees. Not brochures, not tours, not what a facility says about itself.

34 licensed nursing homes in West, TX
Updated October 21, 2026
1.9Concerns

West Rest Haven

503 Meadow Drive, West, TX 76691

West Rest Haven is really struggling to hit the mark, and frankly, the numbers paint a concerning picture right out of the gate. You absolutely need to understand that the registered nurse hours are less than a quarter of what's recommended, which means fewer eyes on complex care and a higher risk of things being missed or going to the hospital when they don't have to.

1 doing well2 flaggedFull record ›
2.6Concerns

Live Oak Nursing and Rehabilitation Center

2951 Hwy 281, George West, TX 78022

Live Oak Nursing and Rehabilitation Center has a 2-star overall rating, with critical concerns like a substantiated abuse, neglect, or exploitation finding that carries a serious CMS icon. However, the data also shows residents are repositioned on schedule, as evidenced by a pressure ulcer rate under half the national median, and the nursing staff turnover is 32%, meaning familiar faces are more likely to be present for care.

2 doing well1 flaggedFull record ›
2.7Concerns

WEST SIDE CAMPUS OF CARE

1950 S LAS VEGAS TRAIL, WHITE SETTLEMENT, TX 76108

WEST SIDE CAMPUS OF CARE has a 1.0 out of 5 overall rating from Medicare. They do well on quality measures, showing good resident outcomes, and floor staff are effective at preventing pressure ulcers, with rates far below the national median.

1 doing well2 flaggedFull record ›
3.7Concerns

WESTERN HILLS HEALTHCARE RESIDENCE

400 OLD SIDNEY RD, COMANCHE, TX 76442

Western Hills Healthcare Residence has a 2 out of 5 overall rating from Medicare, placing it among the lowest-scoring facilities. On the positive side, the facility uses antipsychotic medications for long-stay residents at a rate well below the national average, and pressure ulcers, or bedsores, are also under half the national rate, suggesting staff are actively repositioning residents.

2 doing well2 flaggedFull record ›
3.7Concerns

Westward Trails Nursing and Rehabilitation

3001 Westward Drive, NACOGDOCHES, TX 75964

Westward Trails Nursing and Rehabilitation shows a strong 4.0-star health inspection rating, yet its staffing score is a low 1.0, presenting a significant tension in care delivery. You can press the call button at 2 AM and expect someone to come, as regulators found the facility's processes and environment to be well-maintained.

1 doing well1 flaggedFull record ›

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8.8Strong

West Oaks Nursing & Rehabilitation

3625 Green Crest Dr, Houston, TX 77082

West Oaks Nursing & Rehab Center brings a 4.0-star CMS rating, strong inspection scores (4.0/5), low staff turnover (25%), and no federal fines on record. Worth asking: Falls with major injury rate is 0.7% — well below the national median.

2 doing wellFull record ›
0.9Concerns

West Janisch Health Care Center

617 W Janisch St, Houston, TX 77018

West Janisch Health Care Center has a critical flag: cms has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. Worth asking: Falls with major injury rate is 0.9% — well below the national median.

2 flaggedFull record ›
4.0Concerns

Westpark Rehabilitation and Living

900 Westpark Way, Euless, TX 76040

Westpark Rehabilitation and Living brings high quality measure scores (4.0/5), and low staff turnover (32%). There are 2 federal fine(s) on record — no date context, so worth asking about directly.

1 doing wellFull record ›
4.6Mixed

WEST OAKS NURSING AND REHABILITATION CENTER

3200 W. SLAUGHTER LANE, AUSTIN, TX 78748

WEST OAKS NURSING AND REHABILITATION CENTER brings high quality measure scores (4.0/5), and low staff turnover (34%). There are 2 federal fine(s) on record — no date context, so worth asking about directly.

2 doing well1 flaggedFull record ›
5.9Mixed

WESTOVER HILLS REHABILITATION AND HEALTHCARE

9922 STATE HWY. 151, SAN ANTONIO, TX 78251

Westover Hills is showing some real promise, particularly with how they're handling resident care outcomes and keeping their staff around. You can bet on pressing that call button and having someone show up fairly quickly, as their staffing levels are above the national average, and folks here tend to stick around longer, which means your loved one will see familiar, skilled faces who know their routines and preferences.

3 doing well2 flaggedFull record ›
1.1Concerns

WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER

13428 BISSONNET, HOUSTON, TX 77083

West Houston Rehabilitation and Healthcare Center is showing some pretty significant warning signs right out of the gate, frankly. However, the data screams concern regarding safety and clinical oversight.

1 doing well1 flaggedFull record ›
6.6Solid

Avir at Temple West

1700 MARLANDWOOD RD, TEMPLE, TX 76502

Avir at Temple West shows a stark split: their quality measures score a perfect 5.0 stars, but their overall staffing rating is a concerning 1.0. This means residents see excellent medical outcomes, with falls causing major injury at zero percent, a rate far better than national averages.

2 doing wellFull record ›
0.0

Laredo West Nursing and Rehabilitation Center

1200 E LANE ST, Laredo, TX 78043

Laredo West Nursing and Rehabilitation Center has an overall rating of 1.0 out of 5, with health inspections also scoring a 1.0. Nursing turnover is below the national average, meaning staff members stay longer on average.

1 flaggedFull record ›
0.5Concerns

Paradigm Northwest

17600 Cali Dr, Houston, TX 77090

Paradigm Northwest shows a dire overall rating of 1.0 out of 5, matching its 1.0 for health inspections, revealing deep systemic issues. There are four federal fines on record – we can’t tell if that’s from last quarter or five years ago, but it’s worth asking when you visit.

1 doing well1 flaggedFull record ›
4.5Mixed

Avir at Western Hills

512 Draper Dr, Temple, TX 76504

Avir at Western Hills carries a 2.0 overall rating, but the core tension lies in its 1.0 staffing score clashing with better resident outcomes on quality measures and preventing serious falls. When you press the call button at 2 AM, someone usually comes, and fewer residents suffer major injuries from falls because staff are present during transfers, translating into better quality outcomes.

1 doing well1 flaggedFull record ›
0.8Concerns

BROOKDALE WESTLAKE HILLS

1034 LIBERTY PARK DR, AUSTIN, TX 78746

Brookdale Westlake Hills carries an overall rating of 2.0 out of 5, with its health inspections scoring just as low, meaning basic care standards are not being met. The people who work here tend to stay, with nursing turnover far below the national average, though RN hours per resident daily are less than the national figure.

1 doing well1 flaggedFull record ›
5.9Mixed

Marshall Manor West

207 W Merritt St, Marshall, TX 75670

Marshall Manor West shows exceptional resident outcomes, but the federal ratings reveal deep tensions in staffing and care. You can press the call button at 2 am and expect someone to come, and the same caregivers are likely to know your loved one's preferences week after week, thanks to low turnover and a low rate of falls with serious injury.

3 doing well1 flaggedFull record ›
0.0

San Antonio West Nursing and Rehabilitation

636 Cupples Rd, San Antonio, TX 78237

San Antonio West Nursing and Rehabilitation carries a 1-star overall rating and a 1-star health inspection score. This facility is staffed at a 1-star rate with just 0.33 RN hours per resident per day, far below the national average of 0.78, meaning registered nurses aren't available to assess and oversee care as needed.

1 doing well1 flaggedFull record ›
3.9Concerns

Midwestern Healthcare Center

601 Midwestern Pkwy, Wichita Falls, TX 76302

Midwestern Healthcare Center presents a clear tension: while their quality measures score a perfect 5.0 stars, their health inspection rating is a low 2.0. Their use of antipsychotic medications is also well below the national average.

2 flaggedFull record ›
5.5Mixed

Parklane West Healthcare Center

2 Towers Park Lane, San Antonio, TX 78209

Parklane West Healthcare Center brings high quality measure scores (4.0/5), and no federal fines on record. Worth asking: Registered nurse hours are 0.28 per resident per day — below the recommended minimum of 0.75 hours.

2 doing well1 flaggedFull record ›
1.0Concerns

Paradigm at Westbury

5201 S Willow Dr, Houston, TX 77035

Paradigm at Westbury brings high quality measure scores (4.0/5). There are 4 federal fine(s) on record — no date context, so worth asking about directly.

1 doing well1 flaggedFull record ›
0.0

Avir at Weston

2505 S 37th St, Temple, TX 76504

Avir at Weston has 4 federal fine(s) on record and a Palmelle trust score of 0/100. We don't have date context on those fines, so ask when they visit.

2 flaggedFull record ›
6.4Solid

Ft. Worth Southwest Nursing Center

5300 Alta Mesa Blvd, Fort Worth, TX 76133

Ft. Worth Southwest Nursing Center brings high quality measure scores (5.0/5), and low staff turnover (27%).

2 doing wellFull record ›
6.6Solid

BRADY WEST REHAB & NURSING

2201 MENARD HWY, BRADY, TX 76825

BRADY WEST REHAB & NURSING brings a 5.0-star CMS rating, strong inspection scores (4.0/5), and high quality measure scores (5.0/5). There are 1 federal fine(s) on record — no date context, so worth asking about directly.

2 doing well2 flaggedFull record ›
3.5Concerns

Park Manor of Westchase

11910 Richmond Ave, Houston, TX 77082

Park Manor of Westchase brings high quality measure scores (5.0/5), and low staff turnover (40%). There are 3 federal fine(s) on record — no date context, so worth asking about directly.

3 doing well1 flaggedFull record ›
7.1Solid

THE ARBOUR AT WESTMINSTER MANOR

4200 JACKSON AVE, AUSTIN, TX 78731

THE ARBOUR AT WESTMINSTER MANOR brings a 5.0-star CMS rating, strong inspection scores (4.0/5), above-average staffing (4.0/5), and high quality measure scores (5.0/5). There are 1 federal fine(s) on record — no date context, so worth asking about directly.

1 doing well1 flaggedFull record ›
8.2Strong

Focused Care at Westwood

8702 Course Drive, Houston, TX 77099

FOCUSED CARE AT WESTWOOD brings high quality measure scores (5.0/5), low staff turnover (39%), and no federal fines on record. Worth asking: Registered nurse hours are 0.22 per resident per day — below the recommended minimum of 0.75 hours.

2 doing well1 flaggedFull record ›
5.8Mixed

BUCKNER WESTMINSTER PLACE

2201 HORSESHOE LN, LONGVIEW, TX 75605

BUCKNER WESTMINSTER PLACE brings a 4.0-star CMS rating, above-average staffing (5.0/5), high quality measure scores (4.0/5), 0.74 RN hours per resident daily, and low staff turnover (31%). There are 2 federal fine(s) on record — no date context, so worth asking about directly.

3 doing well2 flaggedFull record ›
0.0

Lakewest Rehabilitation and Skilled Care

2450 Bickers St, Dallas, TX 75212

Lakewest Rehabilitation and Skilled Care is a place with a truly baffling contradiction baked right into its data; while their quality measures show residents actually do quite well, hitting a solid 4-star rating there, the other numbers tell a much different, frankly, alarming story. You can press the call button and get help quickly, and they seem to be handling transfers well, evidenced by their falls with major injury rate being significantly below the national average, which is genuinely tough to achieve, but that's where the good news tapers off.

2 doing well2 flaggedFull record ›
3.9Concerns

Solera at West Houston

2101 Greenhouse Road, Houston, TX 77084

Solera at West Houston is showing us a real mixed bag, which, let's be honest, is what most places end up being, but this one’s got a few things that stand out, for better or worse. On the upside, the residents here are experiencing fewer bedsores than most places nationally, a solid indicator that the floor staff are on their game, repositioning folks and spotting trouble before it becomes a crisis.

1 doing wellFull record ›

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Common questions

How many licensed nursing homes are in West, TX?
34 licensed nursing homes in West, TX, drawn from federal CMS records and state licensing data.
How does Palmelle rank these nursing homes?
Each facility is ranked using a Clarity Score from 0 to 10, blending federal CMS inspection results and state licensing records. The same numbers regulators use.
What is the Palmelle Clarity Score?
A 0 to 10 transparency score built from federal CMS data and state licensing records. It reflects what inspectors found. Not opinions and not advertising.
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