Ellery Care

Nursing homes in Smith County, Texas

All 17 Medicare/Medicaid-certified nursing homes across 4 cities in Smith County, with the government's own quality ratings, nurse staffing versus the state median, and any federal safety flags. We take no money from any facility.

17
nursing homes
2
carry an abuse flag
5
rated 1 star
3.38
median nurse hrs/day (TX: 3.27)

Among 17 rated homes in Smith, 2 have a five-star CMS overall rating and 5 have one star. Local median nurse staffing is 3.38 hours per resident per day, compared with the Texas median of 3.27. 2 carry a federal abuse-warning flag. Open the report cards to compare staffing, inspections, fines, drug use, and preventable-harm measures before deciding.

What the CMS records show in Smith County

  • Smith County ranks 33 of 146 Texas counties we cover for median nurse staffing, in the best-staffed quarter.
  • 8 of 17 homes report fewer nurse hours than the Texas median of 3.27. The range runs from 2.60 hours per resident per day at Avir At Azalea Heights to 6.31 at Watkins-Logan-Garrison Texas State Veteran'S Home.
  • 12 of 17 homes paid federal fines in roughly the last three years, about $2,414,721 in total; the most, $754,567, was at Avir At Lindale.
  • The largest operator here is Avir Health Group, with 4 of the 17 homes.
  • 2 homes give long-stay residents antipsychotic drugs at twice the Texas median (8.3%) or more, highest at Briarcliff Health Center (21.4%).
Cities:Tyler (13)

How to narrow 17 homes down

  • ·The 17 homes below are ordered best-first by CMS overall rating, so start at the top. 4 of them are rated 4 or 5 stars.
  • ·Five-star homes cluster in Tyler (2). Narrowing to a city or two near family shortens the list fast.
  • ·2 homes in Smith County carry a federal abuse-warning flag. Open each report card's safety section before you tour.

Once you have a shortlist, our free nursing-home tour checklist covers the 30 questions to ask and the red flags to watch for on a visit.

All 17 homes in Smith County

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-10-05. Educational information only, not advice. See our methodology.