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Largest nursing home companies in Texas
There are 1,160 Medicare-certified nursing homes in Texas. The ten largest operators control 210 of them — 18% of the state.
This ranking counts what each company actually controls. CMS files list operators as separate legal entities, so a group running 57 buildings can appear as 16 unrelated companies. The rankings you find elsewhere count the paperwork; this one counts the buildings.
| Rank | Company | Texas nursing homes | Legal entities CMS lists | Type |
|---|---|---|---|---|
| 1 | Regency Integrated Health Services LLC | 57 | 16 | Operator |
| 2 | Honor X Enterprises, LLC | 47 | 5 | Operator |
| 3 | Focused Post Acute Care Partners Management, LLC | 25 | 4 | Operator |
| 4 | Aspire MGT LLC | 18 | 14 | Operator |
| 5 | Advanced HCS LLC | 18 | 1 | Operator |
| 6 | Stonegate Senior Living, LP | 13 | 13 | Operator |
| 7 | Lion Plaza LP | 9 | 9 | Operator |
| 8 | Nexion Health, Inc. | 8 | 3 | Operator |
| 9 | Life Care Centers of America, Inc. | 8 | 8 | Operator |
| 10 | Tyler County Hospital District | 7 | 8 | Operator |
Texas nursing home chains and corporations, explained
People search for Texas nursing home companies in a dozen ways — largest nursing homes, top nursing home chains, nursing home corporations, biggest nursing home groups. They are all asking the same thing: who is actually behind the sign on the building. The answer is in CMS ownership filings, which are public, free, and almost unreadable in raw form.
How this is calculated
Every Medicare-certified nursing home files its owners with CMS. We take those filings, group entities whose facility portfolios overlap into a single corporate family, and count distinct facilities. Entities appearing only as lenders or mortgage holders are excluded — a bank holding paper on a building does not operate it. Full method on the methodology page.
Every nursing home operator in Texas
All Texas nursing homes with their full ownership chain, every legal entity, ownership percentages, association dates and change-of-ownership history. CSV and PDF.
Get the full dataset — $49Common questions
How many nursing homes are there in Texas?
1,160 Medicare-certified nursing homes, per CMS enrollment files.
Who is the largest nursing home operator in Texas?
REGENCY INTEGRATED HEALTH SERVICES LLC, with 57 Texas nursing homes across 16 separate legal entities on file with CMS.
Why do nursing home companies show up under many different names?
Operators commonly file a separate legal entity per facility, plus separate property, management and therapy companies. CMS records each one individually and nothing in the file links them.