Every one of the 12 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
2 of these hold the top CMS rating of five. 3 sit at one. Registered nurse cover averages 0.49 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Baywind Village Skilled Nursing & Rehab | League City | 5 | 5 | 4 | 0.98 | 107 | $0 |
| MRC THE CROSSINGS | League City | 5 | 5 | 5 | 0.80 | 48 | $0 |
| Friendship Haven Healthcare and Rehabilitation Cen | Friendswood | 4 | 4 | 2 | 0.37 | 150 | $8,018 |
| THE MERIDIAN | Galveston | 3 | 4 | 4 | 0.84 | 96 | $0 |
| THE SHOAL ⚑ | Texas City | 3 | 2 | 2 | 0.50 | 134 | $0 |
| Harbor Point Skilled Nursing | Texas City | 3 | 4 | 1 | 0.24 | 129 | $0 |
| THE PHOENIX POST-ACUTE | Texas City | 3 | 3 | 2 | 0.19 | 134 | $90,049 |
| The Lakes at Texas City | Texas City | 2 | 3 | 1 | 0.40 | 109 | $8,410 |
| Bayou Pines Care Center | La Marque | 2 | 3 | 1 | 0.31 | 120 | $14,069 |
| Cascades at Galveston | Galveston | 1 | 1 | 1 | 0.60 | 150 | $241,516 |
| SEABREEZE NURSING AND REHABILITATION ⚑ | Texas City | 1 | 1 | 1 | 0.35 | 107 | $254,067 |
| The Heights of League City | League City | 1 | 1 | 1 | 0.29 | 194 | $144,668 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 6 |
| For profit - Corporation | 3 |
| For profit - Individual | 1 |
| Government - Hospital district | 1 |
| Non profit - Corporation | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.