During the first quarter of 2026, The Wesleyan Skilled Nursing and Rehabilitation was named the second largest nursing home in Williamson County, tied with another facility, the Centers for Medicare and Medicaid Services (CMS) reported. It shared this spot with San Gabriel Rehabilitation and Care Center.
Records show the center offered 142 beds, outpacing the Williamson County average by 22 as of the first quarter of 2026. On average, they served 92.5 residents in this time frame.
The Wesleyan Skilled Nursing and Rehabilitation held an overall CMS rating of 2 out of 5, below the Texas nursing home average of 2.7.
In the same quarter, Trinity Care Center was recognized as the largest nursing home in Williamson County, providing 179 beds.
For the first quarter of 2026, The Wesleyan Skilled Nursing and Rehabilitation incurred $8,281 in fines and received one penalty.
There was one non-profit nursing home across Williamson County, Texas, as of this reporting period.
U.S. Census Bureau estimates indicate a continued rise in the older adult population nationwide as younger demographics decline. Americans age 65 and older increased by 13% from 2020 to 2024, while those under 18 dropped by 1.7%. The senior population has experienced substantial growth over the past century, rising from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study estimated roughly 28 million older adults—close to half this group—may need long-term services and support, with projections showing over a third could require nursing home care in the future.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an educational organization for insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Trinity Care Center | 1 |
| 2 | The Wesleyan Skilled Nursing and Rehabilitation | 2 |
| 2 | San Gabriel Rehabilitation and Care Center | 1 |
| 4 | Falcon Ridge Rehabilitation | 2 |
| 5 | Park Valley INN Health Center | 2 |
| 6 | Sagebrook Nursing and Rehabilitation | 4 |
| 7 | Cedar Pointe Health and Wellness Center | 4 |
| 8 | The Springs Healthcare and Rehabilitation | 5 |
| 8 | Hearthstone Nursing and Rehabilitation | 3 |
| 10 | Park Place Care Center | 1 |
| 11 | New Hope Manor | 4 |
| 12 | Bel Air at Teravista | 4 |
| 13 | SPJST Rest Home 1 | 2 |
| 14 | The Center at Parmer | 5 |
| 15 | Ignite Medical Resort Round Rock, LLC | 2 |
Information in this article was sourced from the Centers for Medicare and Medicaid Services. Source data is available here.
