Sources

Every facility page is built from named public files with an as-of or processing date. This page records what was on hand when the site was last prepared (November 11, 2026, America/Chicago).

HHSC Nursing Facilities directory

Workbook: HHSC nursing facilities workbook. Title in the file: Texas Health and Human Services Commission Directory of Nursing Facilities with an Active License as of 11/09/2026. Active license as of November 9, 2026. Snapshot date November 11, 2026. Rows used: 1,177 (1,169 federally certified, 8 not federally certified, including 5 “NF licensed only”).

HHSC is the identity spine for this directory. Confirm live license and state inspection information on TULIP. This site does not scrape TULIP and does not offer the full Excel workbook as a download.

CMS nursing home files

Topic page: CMS nursing home data topic page. Datasets used: Provider Information (4pq5-n9py), Health Deficiencies (r5ix-sfxw), Ownership (y2hd-n93e), plus the October 2026 Penalties and MDS Quality Measures files. Official CMS release date for this edition: October 28, 2026. CMS has listed a next update of December 2, 2026. Files were obtained from the official datastore endpoint https://data.cms.gov/provider-data/api/1/datastore/query/{id}/0/download?format=csv (topic and legacy resource URLs on data.cms.gov often return HTTP 403; that datastore path is the one that works). National files were filtered to Texas rows (State = TX) and stored under data/raw/cms/.

In this edition the three files loaded successfully. Provider Information: 1,177 Texas rows, processing date October 1, 2026. Health Deficiencies: 32,955 Texas rows. Ownership: 18,926 Texas rows. Penalties: 1,818 Texas rows. MDS Quality Measures: 20,009 Texas rows (measure period 2025Q3-2026Q2). 1,151 HHSC roster homes joined on a padded Medicare CCN. 18 homes listed as federally certified in HHSC have no Medicare number in the roster, so they cannot be joined (all are “NF Medicaid only” in this edition). Two uncertified roster homes have a Medicare number that did not appear in the Texas CMS provider file; their pages say so. Confirm published ratings on Medicare.gov.

Join rule

HHSC Medicare Provider Number equals CMS CCN after padding numeric values to 6 characters.

How to refresh

From the site repository, run python3 scripts/refresh_data.py (the project virtualenv at /workspace/sites/.venv provides the Excel parser if you need to read a new HHSC workbook). The script downloads CMS files from the datastore endpoint above, writes national copies under data/raw/cms/national/ (not committed), and keeps Texas-only extracts in data/raw/cms/. You can also place CSVs there yourself (names containing providerinfo, healthcitations or a dataset id such as 4pq5-n9py, and ownership or y2hd-n93e) and run python3 scripts/prepare_data.py before npm run build.