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Best Assisted Living in Texas

Reviewed by
Last updated
Jun 2026
We analyzed
927 homes in Texas

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

Other senior care options in Texas:

Video Tour: Top-rated Assisted Living facilities in Texas.

Watch this Video to see Texas's Top-rated Senior Communities

Compare Assisted Living around Texas

The information below is reported by the Texas Health and Human Services Commission.

Parkwood Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bedford
84
Facility 84
TX AVG 80
Rank #465 / 988
Yes
34
Facility 34
TX AVG 41
Rank #865 / 1391
--Lcs-Phc LLC
3
Facility 3
TX AVG 6
Rank #320 / 834
21Studio / Suite / 1 Bed
Brookdale Henderson
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Henderson
80
Facility 80
TX AVG 80
Rank #473 / 988
Yes
11
Facility 11
TX AVG 41
Rank #1215 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Esc IV, L.p.
7
Facility 7
TX AVG 6
Rank #595 / 834
-7Suite
Atria Cinco Ranch
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Katy
78
Facility 78
TX AVG 80
Rank #483 / 988
No
67
Facility 67
TX AVG 41
Rank #175 / 1391
16
Facility 16
TX AVG 22
Rank #294 / 583
-Arhc Soktytx01 Trs LLC
3
Facility 3
TX AVG 6
Rank #320 / 834
-3Studio / Suite / 1 Bed / 2 Bed
River Oaks
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Coppell
86
Facility 86
TX AVG 80
Rank #453 / 988
No
25
Facility 25
TX AVG 41
Rank #1020 / 1391
--Coppell Alf, LLC
6
Facility 6
TX AVG 6
Rank #529 / 834
15Studio / 1 Bed / 2 Bed
Rosewood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Flower Mound
86
Facility 86
TX AVG 80
Rank #453 / 988
No
18
Facility 18
TX AVG 41
Rank #1125 / 1391
--Flower Mound Alf, LLC
2
Facility 2
TX AVG 6
Rank #244 / 834
2-Studio / 1 Bed / 2 Bed
Elison Assisted Living of Lake Wellington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wichita Falls (Kell West Boulevard)
85
Facility 85
TX AVG 80
Rank #461 / 988
No
26
Facility 26
TX AVG 41
Rank #1005 / 1391
35
Facility 35
TX AVG 22
Rank #132 / 583
-Bishop Lake Wellington Lessee LLC
20
Facility 20
TX AVG 6
Rank #815 / 834
146Studio / 1 Bed / 2 Bed
Autumn Leaves
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Dallas
124
Facility 124
TX AVG 80
Rank #178 / 988
No
58
Facility 58
TX AVG 41
Rank #328 / 1391
17
Facility 17
TX AVG 22
Rank #283 / 583
B-Lcs-Al LLC
12
Facility 12
TX AVG 6
Rank #733 / 834
111-
Silverado Hermann Park Memory Care Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Houston (Houston Museum District)
-Yes
76
Facility 76
TX AVG 41
Rank #57 / 1391
6
Facility 6
TX AVG 22
Rank #514 / 583
-Silverado Hermann Park LLC
7
Facility 7
TX AVG 6
Rank #595 / 834
25Private Rooms
Atria Copeland
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Tyler
80
Facility 80
TX AVG 80
Rank #473 / 988
No
30
Facility 30
TX AVG 41
Rank #929 / 1391
29
Facility 29
TX AVG 22
Rank #150 / 583
-Wg Copeland Sh LLC
1
Facility 1
TX AVG 6
Rank #150 / 834
1-Studio / 1 Bed / 2 Bed / Cottage
Brookdale Willows Sherman
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Sherman (Post Oak Crossing)
75
Facility 75
TX AVG 80
Rank #496 / 988
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Emeritus Corporation
4
Facility 4
TX AVG 6
Rank #403 / 834
13Studio / 1 Bed / 2 Bed
Shavano Park Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Shavano Park (Sonterra)
90
Facility 90
TX AVG 80
Rank #419 / 988
No
16
Facility 16
TX AVG 41
Rank #1153 / 1391
11
Facility 11
TX AVG 22
Rank #390 / 583
A+Meridian Shavano Park Al/Alz Oe LP
8
Facility 8
TX AVG 6
Rank #644 / 834
44Studio / 1 Bed / 2 Bed
The Bradford Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Humble (Kengwood Glen)
76
Facility 76
TX AVG 80
Rank #487 / 988
No
50
Facility 50
TX AVG 41
Rank #515 / 1391
--The Bradford Memory Care, LLC
0
Facility 0
TX AVG 6
Rank #1 / 834
--Private / Semi-Private Suite
Treemont Health Care Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Houston (Mid West)
54
Facility 54
TX AVG 80
Rank #657 / 988
No
58
Facility 58
TX AVG 41
Rank #328 / 1391
--Treemont Care, LLC
5
Facility 5
TX AVG 6
Rank #470 / 834
-5-
Caruth Haven Court
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dallas (Park Cities)
95
Facility 95
TX AVG 80
Rank #395 / 988
Yes
75
Facility 75
TX AVG 41
Rank #67 / 1391
11
Facility 11
TX AVG 22
Rank #390 / 583
A+5585 Caruth Haven Opco LLC
5
Facility 5
TX AVG 6
Rank #470 / 834
14Studio / 1 Bed / 2 Bed
Ledgestone Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Austin
92
Facility 92
TX AVG 80
Rank #410 / 988
Yes
38
Facility 38
TX AVG 41
Rank #784 / 1391
--W-C Ledgestone Owner Ix, L.p.
4
Facility 4
TX AVG 6
Rank #403 / 834
-4Studio / 1 Bed / 2 Bed
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Overview of Brookdale Beckett Meadows

Brookdale Beckett Meadows in Austin, Texas, offers both assisted living and memory care options, allowing residents to redefine their independence with new friendships and hobbies while receiving personalized care. The community provides a range of engaging activities, from tai chi and shopping trips to book clubs and brain fitness classes, ensuring there is something for everyone. Memory care residents enjoy an exciting calendar filled with music, gardening, and games.

The assisted living program offers help with daily activities, household chores, and maintenance, while memory care residents live in secure, apartment-like homes with support from associates trained to care for seniors living with cognitive challenges, including dementia and Alzheimer’s. Residents can enjoy delicious, nutritionally-balanced meals prepared by chefs in the elegant dining room, with opportunities to provide feedback and recommend recipes. The community also uses mealtime to create a sense of belonging for memory care residents, offering dementia-friendly menus with familiar and easy-to-manage selections, small dining rooms with consistent pre-selected seating, and personal dining assistance as needed.

Contact Brookdale Beckett Meadows

Overview of Brookdale Tanglewood Oaks

Located in Fort Worth, Texas, Brookdale Tanglewood Oaks offers a senior living community that provides both assisted living and Alzheimer’s and dementia care, giving residents a sense of community and the opportunity to create a cozy sanctuary in spacious, private apartments. The community provides a personalized care assessment upon arrival to ensure each resident’s needs are met, and residents can enjoy the amenities of home without the work, as the staff is available 24/7.

The assisted living program at Brookdale Tanglewood Oaks offers services and care to help with housekeeping, laundry, and daily living tasks like mobility, bathing, and dressing. The memory care program uses a person-centered approach to care for seniors living with Alzheimer’s and other forms of dementia. Residents in both programs can stay busy with the community’s engaging calendar of activities, classes, and outings, from bingo and Bible study to happy hour socials and excursions to local attractions. The exceptional dining program provides elegant, dementia-friendly meals with personalized assistance as needed.

Contact Brookdale Tanglewood Oaks

Brookdale Lewisville

965 N Garden Ridge Blvd, Lewisville, TX 75077
Overview of Brookdale Lewisville

At Brookdale Lewisville in the historic city of Lewisville, Texas, residents can create a cozy sanctuary in spacious, private apartments while socializing with friends and neighbors in comfortable, stylish common areas. The community offers an engaging calendar of activities, classes, and outings, allowing residents to stay busy as much or as little as they like. Brookdale Lewisville’s trained caregivers assist with daily tasks like bathing, dressing, and medication management, while also helping to coordinate with outside healthcare providers. The community tackles cooking, cleaning, and home maintenance, allowing residents to enjoy restaurant-style dining and convenient amenities, with staff available 24/7 for emergencies.

The community’s constantly changing activities calendar provides opportunities for residents to reignite old passions or discover new ones, with options ranging from painting and flower arranging to happy hour socials, technology classes, and movies. Brookdale Lewisville also organizes group excursions for local shopping, dining, and sightseeing. The dining program creates memorable experiences with tasty meals prepared by a culinary team passionate about great food, incorporating residents’ favorite dishes, family recipes, and requests.

Contact Brookdale Lewisville

Overview of Buckner Calder Woods

Nestled in the heart of Beaumont, Texas, Calder Woods is a dynamic senior living community offering a warm and welcoming atmosphere. Surrounded by lush landscapes and serene views, our community provides residents with a fulfilling and engaging retirement lifestyle. From spacious and comfortable residences to a wide range of amenities and activities, Buckner Calder Woods caters to the diverse interests and preferences of our residents. With a focus on personalized care and support, our compassionate team ensures that each individual receives the attention they need to thrive. Come experience the vibrant community spirit and exceptional quality of life at Buckner Calder Woods.

Contact Buckner Calder Woods

Overview of Dogwood Trails Assisted Living and Memory Care

Ideally set in the serene residential area of West Spring St, Palestine, TX, Dogwood Trails Assisted Living and Memory Care is a distinct community that offers assisted living and memory care. The community is committed to improving residents’ welfare, providing them with top-tier care and assistance tailored to their unique needs. Through its acclaimed Sparks program, residents can rest assured of living their golden years happily without the restraints of dementia and Alzheimer’s.

A full calendar of fun activities and engaging programs are also conducted for residents’ leisure and wellness. The community also serves healthy and delicious meals that satisfy residents’ nutritional requirements and tastes. In-house therapy services, visiting podiatry and hospice care, pharmacy services, and medication management are all provided to adapt to residents’ needs continuously. Spend your golden years without worries with the community’s genuine care and friendly setting.

Contact Dogwood Trails Assisted Living and Memory Care

Overview of The Landing at Augusta Woods

Residents at The Landing at Augusta Woods receive top-notch care. The Landing has been awarded the Best Independent Living for 2022 – 2023 by U.S. News– a testament to their quality service and exceptional care for residents of assisted living. Their living options are tailored to an individual’s needs, with services provided with dignity, respect, and compassion. The Landing understands that its residents are unique individuals with unique needs, so they have thoughtfully included personalized care programs that essentially provide something for everyone. It’s a place to feel encouraged and engaged to live the best life they possibly can during their golden years. The Landing at Augusta Woods has been trusted by many families in Texas to provide the best specialty care for their loved ones.

The vibrant community offers enriching activities and programs to encourage and promote meaningful relationships in the community. The senior living community also ensures that residents with different religious or personal needs are met. Their resort-style hospitality service has rightfully deserved them an Award Winning SPARK Program– providing a unique engagement experience with residents and staff of the community. Their exceptional accommodations also allow for family members of the residents to join the community.

Contact The Landing at Augusta Woods

Overview of Fountainwood at Lake Houston

Overlooking the beautiful setting of Atascocita, TX, Fountainwood at Lake Houston is a premiere senior living community that provides upscale independent living, assisted living, memory care, and respite care services. Residents indulge in elegance and comfort with stunning accommodations built with their comfort and safety in mind. Ensuring residents are well cared for and comfortable, the community features a highly-trained team of professionals that boast excellent skills and knowledge in senior care.

Most of the residents’ chores and daily responsibilities are handled to give them more time to spend on the community’s vibrant activities and events. Delicious and nutritious meals are served restaurant-style in the elegant dining room for an enjoyable dining experience. With its convenient services and vibrant programming, residents here are bound to enjoy a fulfilling living experience.

Contact Fountainwood at Lake Houston

Overview of Bedford Estates Senior Living

Bask in the warmth of Central Drive, Bedford, TX, Bedford Estates Senior Living is an outstanding senior living community offering assisted living, memory care, companion living, and respite care. Have a relaxing time in the cozy and well-lit residences of Bedford Estates Senior Living in a wide array of one-bedroom and two-bed-room floor plans. The community boasts a competent and highly qualified team delivering the highest standard of care and support for seniors to flourish and reach their full potential.

Bedford Estates Senior Living promotes a bright and welcoming environment, paving the way for seniors to gain meaningful experiences in their golden years. Committed to improvidng seniors’ well-being, the community serves well-balanced meals catering to dietary needs and preferences. With its ethereal setting and airy spaces, Bedford Estates Senior Living strives to provide a safe place for seniors to experience a worry-free retirement.

Contact Bedford Estates Senior Living

Overview of Arbor House of Marble Falls

Designed for those who desire the finer things in life, Arbor House Of Marble Falls is a premier senior living community in Marble Falls, Texas, offering independent living, assisted living, and memory care. The community welcomes its residents to spacious and inviting accommodations that they can personalize with their favorite furnishings and treasured belongings to match their needs and tastes. The community offers a secure environment even for residents dealing with memory loss with their hardworking and compassionate team available on-site 24 hours a day.

At Arbor House Of Marble Falls, residents experience all the best in life with the company of good friends, the indulgence of wonderful amenities, and the security of caring, personalized services. Residents stay energized throughout the day with three delicious, nutritious meals each day, with snacks and beverages provided daily. Gather with friends to play games, spend a day in the sun enjoying lush gardens, or pursue your hobbies at the engagement area. Whatever your passions are or how you want to spend your day is entirely up to you at Arbor House Of Marble Falls.

Contact Arbor House of Marble Falls

The Reserve at Pasadena

4004 Vista Rd, Pasadena, TX 77504
Overview of The Reserve at Pasadena

The Reserve at Pasadena, located in peaceful Pasadena, Texas is an exceptional senior living community that offers a serene and secure environment for assisted living and memory care. Here, residents can enjoy their golden years with dignity and independence in the comfort of their well-appointed apartments, ranging from studios to shared suites. With a 24-hour response system, residents enjoy peace of mind, knowing that assistance is available whenever they need it.

Committed to enhancing the quality of life for all its residents, the community offers personalized care plans, a variety of engaging activities, and a dedicated team of professionals trained to provide the utmost care and assistance to residents. Residents also enjoy the luxury of housekeeping & laundry, medication management, therapy services, and scheduled transportation. With chef-prepared meals, snacks, and refreshments served daily, residents are guaranteed a delightful dining experience that fosters both nourishment and social connection.

Contact The Reserve at Pasadena

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in Texas

What's the difference between assisted living and memory care in Texas?

Assisted living in Texas supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover assisted living?

Texas Medicaid does not directly pay room-and-board for assisted living, but most states (including Texas) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 927 assisted living facilities in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Texas?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Texas, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Texas?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.