William R. Courtney Texas State Veterans Home was recognized as the second largest nursing home in Bell County during the first quarter of 2026, according to the Centers for Medicare and Medicaid Services (CMS).
The facility offered 160 beds—47 above the Bell County average for the period—and served an average of 157.2 residents.
The nursing home received an overall CMS rating of 2 out of 5, which is lower than the Texas nursing home average of 2.7.
Harker Heights Nursing & Rehabilitation was Bell County’s largest nursing home this quarter, with 199 available beds. Avir at Temple East ranked third, offering 138 beds.
For the first quarter of 2026, William R. Courtney Texas State Veterans Home had incurred $53,201 in three fines and faced three penalties.
Altogether, there were 13 for-profit nursing homes operating in Bell County, Texas.
U.S. Census Bureau estimates highlight a continued increase in the nation’s older adult demographic as younger populations decrease. Between 2020 and 2024, Americans age 65 and older grew by 13%, while the population under 18 declined by 1.7%. Over the past 100 years, the country’s older adult numbers have greatly expanded, rising from 4.9 million in 1920 to more than 61 million by 2024.
Research published in 2021 indicated that nearly half of adults in this age group—about 28 million—are likely to require long-term care and support services, and more than one-third may ultimately need nursing home care.
“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 insurance education organization. “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 | Harker Heights Nursing & Rehabilitation | 2 |
| 2 | William R Courtney Texas State Veterans Home | 2 |
| 3 | Avir at Temple East | 5 |
| 4 | Cornerstone Gardens, LLP | 3 |
| 5 | Creekside Terrace Rehabilitation | 4 |
| 6 | Wellington Rehabilitation and Healthcare | 1 |
| 7 | Killeen Nursing & Rehabilitation | 1 |
| 7 | Weston Inn Nursing and Rehabilitation | 1 |
| 7 | Western Hills Nursing & Rehabilitation | 1 |
| 10 | Regency Manor Healthcare Center | 1 |
| 11 | Avir at Belton | 2 |
| 12 | Avir at Temple West | 1 |
| 13 | Will-O-Bell | 3 |
| 14 | Rosewood Heights | 2 |
| 15 | Morada Temple | 3 |
| 16 | Baylor Scott & White Continuing Care Hospital Skil | 5 |
Information for this report came from the Centers for Medicare and Medicaid Services. The data is available here.
