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Other Senior care options in Texas:

Best Assisted Living in Texas

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 1,325 homes in Texas

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

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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.

Click column headers to sort
Parkwood Assisted Living
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).

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.

Bedford
84
Facility 84
TX AVG 80
Rank #463 / 987
Yes
34
Facility 34
TX AVG 41
Rank #865 / 1392
--Lcs-Phc LLC
3
Facility 3
TX AVG 6
Rank #198 / 709
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 #472 / 987
Yes
11
Facility 11
TX AVG 41
Rank #1215 / 1392
48
Facility 48
TX AVG 22
Rank #47 / 581
A+Esc IV, L.p.
7
Facility 7
TX AVG 6
Rank #473 / 709
-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.

Katy
78
Facility 78
TX AVG 80
Rank #484 / 987
No
67
Facility 67
TX AVG 41
Rank #175 / 1392
16
Facility 16
TX AVG 22
Rank #289 / 581
-Arhc Soktytx01 Trs LLC
3
Facility 3
TX AVG 6
Rank #198 / 709
-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.

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).

Coppell
86
Facility 86
TX AVG 80
Rank #450 / 987
No
25
Facility 25
TX AVG 41
Rank #1020 / 1392
-A+Coppell Alf, LLC
6
Facility 6
TX AVG 6
Rank #410 / 709
15Studio / 1 Bed / 2 Bed
Rosewood
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.

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).

Flower Mound
86
Facility 86
TX AVG 80
Rank #450 / 987
No
18
Facility 18
TX AVG 41
Rank #1125 / 1392
--Flower Mound Alf, LLC
2
Facility 2
TX AVG 6
Rank #119 / 709
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 #458 / 987
No
26
Facility 26
TX AVG 41
Rank #1005 / 1392
35
Facility 35
TX AVG 22
Rank #128 / 581
B-Bishop Lake Wellington Lessee LLC
20
Facility 20
TX AVG 6
Rank #692 / 709
146Studio / 1 Bed / 2 Bed
Autumn Leaves
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).

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.

Dallas
124
Facility 124
TX AVG 80
Rank #179 / 987
No
58
Facility 58
TX AVG 41
Rank #328 / 1392
17
Facility 17
TX AVG 22
Rank #277 / 581
C+Lcs-Al LLC
12
Facility 12
TX AVG 6
Rank #610 / 709
111-
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.

Tyler
80
Facility 80
TX AVG 80
Rank #472 / 987
No
30
Facility 30
TX AVG 41
Rank #929 / 1392
29
Facility 29
TX AVG 22
Rank #145 / 581
A+Wg Copeland Sh LLC
1
Facility 1
TX AVG 6
Rank #24 / 709
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 #497 / 987
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1392
48
Facility 48
TX AVG 22
Rank #47 / 581
A+Emeritus Corporation
4
Facility 4
TX AVG 6
Rank #284 / 709
13Studio / 1 Bed / 2 Bed
Shavano Park Senior Living
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.

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.

Shavano Park (Sonterra)
90
Facility 90
TX AVG 80
Rank #419 / 987
No
16
Facility 16
TX AVG 41
Rank #1153 / 1392
11
Facility 11
TX AVG 22
Rank #385 / 581
A+Meridian Shavano Park Al/Alz Oe LP
8
Facility 8
TX AVG 6
Rank #522 / 709
44Studio / 1 Bed / 2 Bed
The Auberge at Vintage Lake
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
90
Facility 90
TX AVG 80
Rank #419 / 987
No
63
Facility 63
TX AVG 41
Rank #235 / 1392
11
Facility 11
TX AVG 22
Rank #385 / 581
-Welltower Tenant Group LLC
4
Facility 4
TX AVG 6
Rank #284 / 709
22Studio / Semi-Private
The Bradford Memory Care
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.

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.

Humble (Kengwood Glen)
76
Facility 76
TX AVG 80
Rank #489 / 987
No
50
Facility 50
TX AVG 41
Rank #515 / 1392
--The Bradford Memory Care, LLC---Private / Semi-Private Suite
Treemont Health Care Center
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).

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.

Houston (Mid West)
54
Facility 54
TX AVG 80
Rank #658 / 987
No
58
Facility 58
TX AVG 41
Rank #328 / 1392
--Treemont Care, LLC
5
Facility 5
TX AVG 6
Rank #352 / 709
-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.

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.

Dallas (Park Cities)
95
Facility 95
TX AVG 80
Rank #395 / 987
Yes
75
Facility 75
TX AVG 41
Rank #67 / 1392
11
Facility 11
TX AVG 22
Rank #385 / 581
A+5585 Caruth Haven Opco LLC
5
Facility 5
TX AVG 6
Rank #352 / 709
14Studio / 1 Bed / 2 Bed
Ledgestone Senior Living
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.

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.

Austin
92
Facility 92
TX AVG 80
Rank #410 / 987
Yes
38
Facility 38
TX AVG 41
Rank #784 / 1392
-CW-C Ledgestone Owner Ix, L.p.
4
Facility 4
TX AVG 6
Rank #284 / 709
-4Studio / 1 Bed / 2 Bed
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Elan Westpointe

2140 Independence Dr, New Braunfels, TX 78132
Overview of Elan Westpointe

In the charming town of New Braunfels, Texas, sits Elan, a senior living community that offers a warm and inviting atmosphere, providing assisted living and memory care services for seniors seeking a supportive environment to call home. The community offers a range of living options, including well-appointed studio, one-bedroom, and two-bedroom apartments, each equipped with a private bath and kitchenette. At Elan, residents find solace in the presence of dedicated, certified caregivers who are available 24-7, ready to provide personalized assistance with bathing, dressing, grooming, transferring, and incontinence. Furthermore, Elan’s emergency call system and security services offer peace of mind to both residents and their families.

In addition, Elan offers a plethora of amenities and activities to its residents, such as wellness programs promoting physical and mental health, while nutrition counseling ensures that residents receive tailored dietary support. The community also takes pride in its pet-friendly environment, and residents enjoy the convenience of housekeeping and personal laundry services, giving them time and energy to enjoy the other facilities and activities Elan has to offer. Elan’s commitment to holistic well-being extends to its culinary offerings, freshly prepared, in restaurant-style dining, and served three times a day. Lastly, their move-in assistance and scheduled transportation, makes transitioning into this vibrant community effortless.

Contact Elan Westpointe

Overview of Saint Francis Nursing Home

Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.

At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.

Contact Saint Francis Nursing Home

Overview of Franklin Park Alamo Heights

Tucked in the heart of San Antonio, Texas, Franklin Park Alamo Heights caters to seniors seeking a unique blend of culture, history, and timeless elegance. Residents are encouraged to feel at home in their new community as well as encouraged to socialize and make meaningful connections. The community strives to create a relaxing atmosphere where residents can feel free in doing whatever they want while also providing excellent service. With stunning landscapes, an array of amenities and services, and an exceptional staff, Franklin Park Alamo Heights is truly unparalleled.

Indulge in the inviting indoor pool, unwind in the game room and activity center, and experience the convenience of concierge services and a well-equipped business center. The community offers more than just independent living—it also provides assisted living with memory care services for a truly comprehensive retirement experience. Embrace the opportunity to create a fulfilling and rewarding retirement journey in a place that cherishes every moment. Franklin Park Alamo savors the richness of life in their immaculate independent and assisted living homes.

Contact Franklin Park Alamo Heights

Overview of Villa Northwest

Villa Northwest, located in Corpus Christi, is a senior living community that offers affordable assisted living services and amenities to its residents. Their accommodation options include private and semi-private apartments featuring kitchenettes with refrigerators and microwaves, spacious full private baths with walk-in showers and emergency pull cords, and individual heat and air conditioning controls. As part of their assisted living services, the residents are provided medication supervision, 24/7 availability of nursing assistants and attendants, and assistance with daily living activities such as bathing and dressing.

The residents of Villa Northwest enjoy quality care at an affordable price, and are also provided with a rich array of other services and amenities which they can take advantage of anytime. Such includes medication management, regular meals served daily with special menu options for residents with specific dietary needs, as well as housekeeping and laundry services.

Contact Villa Northwest

Brookdale Sugar Land

151 Commerce Green Blvd, Sugar Land, TX 77478
Overview of Brookdale Sugar Land

Located just outside of Houston, Brookdale Sugar Land offers a senior living community in Sugar Land, Texas that combines small-town charm with big-city amenities. The community provides both assisted living and Alzheimer’s and dementia care on one campus, ensuring residents receive the care they need. Brookdale Sugar Land offers a full calendar of engaging events and activities, along with a selection of cozy, pet-friendly apartments with plenty of natural light. Residents receive assistance with daily living activities and household tasks, and can have peace of mind knowing staff is available 24/7 for emergencies.

The assisted living program at Brookdale Sugar Land provides gentle help with bathing, dressing, and household chores, allowing residents to define their days. The memory care program focuses on attentive care with consistent assignments and specialized environments that promote residents’ strengths. Residents can enjoy a variety of activities, from fitness classes and bingo to crafting and game nights, and memory care residents have options like baking, gardening, and music programs. The community’s restaurant-style dining offers nutritionally balanced meals, with dementia-friendly menus and personal assistance available for memory care.

Contact Brookdale Sugar Land

Overview of Brookdale Collin Oaks

Brookdale Collin Oaks in Plano, Texas, offers both assisted living and memory care services, providing residents with the opportunity to live purposefully and re-ignite their passions. The community fosters a family-like environment, where residents can enjoy independence while receiving the daily personal assistance they need. Brookdale Collin Oaks also has a continuum of care to help ease transitions should residents require further care.

Assisted living residents receive support with daily activities and household tasks, while memory care residents live in secure, apartment-like homes with associates trained to care for those living with cognitive challenges like dementia. The community provides a robust activities calendar, including friendly competitions, live music, fitness classes, and specialized programs for memory care residents, such as chair exercises, painting, and music therapy. Dining is also a highlight, with nutritious, dementia-friendly meals served in an elegant setting, and opportunities for residents to provide feedback and share family recipes.

Contact Brookdale Collin Oaks

Overview of Brookdale Sherwood

Located in Odessa, Texas, Brookdale Sherwood offers an assisted living community that provides personalized service plans, an endless list of exciting activities and events, and the peace of mind of 24/7 emergency support. After decades of tending to the needs of others and managing household chores, residents can now enjoy a retirement rich in freedom and quality care.

Brookdale Sherwood’s assisted living program allows residents to sit back, relax, and receive the extra help they need with daily tasks like dressing, bathing, and managing medications. The community’s calendar is filled with a wide range of activities and events, from karaoke and bingo to crafts and fitness classes, giving residents ample opportunities to pursue new hobbies and develop genuine friendships. Dining is also a highlight, with personalized experiences that incorporate resident feedback, menu suggestions, and even family recipes.

Contact Brookdale Sherwood

Overview of Brookdale New Braunfels

Located in New Braunfels, Brookdale New Braunfels offers seniors a vibrant, friend-filled life by connecting them with others who share similar interests and experiences. The community offers private, pet-friendly apartments, a packed calendar of activities, and personal care that balances independence with the help residents need. Residents can take local excursions to nearby museums and art theaters, and enjoy restaurant-style dining with nutritious, chef-inspired meals.

The staff is available 24/7 to be alerted to emergencies, providing peace of mind. Residents engage in life-enriching activities centered around their unique hobbies and talents, with opportunities to socialize through after-dinner gatherings, evening tea socials, and card games. Each day is filled with exciting programs, from gathering in the courtyard and completing arts and crafts projects to improving physical fitness with the B-Fit exercise program. The community’s restaurant-style dining in the elegant dining room offers plenty of menu options, with residents’ feedback, favorite recipes, and requests incorporated. Residents can even join weekly menu chats to discuss upcoming meal choices.

Contact Brookdale New Braunfels

Overview of Sundale Senior Living of the Woodlands

Sundale Senior Living of Woodlands is a high-standard assisted living community in Woodlands, TX, that offers personal care and memory care. With its nurturing environment, older adults can find the right place to spend their retirement comfortably and safely. 24-hour care, transportation for medical appointments, and concierge services are also offered for residents’ convenience. The community also works closely with older adults and their families to create individualized care plans for their special needs.

Board games, walking clubs, and movie marathons are just some of the activities that residents can participate in to prevent loneliness. A beauty salon and transportation services are also available for residents’ welfare. Set in the peaceful residential area of The Woodlands, residents have a stress-free retirement. This assisted living community is an ideal choice for retirement in Texas, especially with its spacious homes and friendly setting.

Contact Sundale Senior Living of The Woodlands

Overview of Heritage Place of Boerne

Nestled in the vibrant community of Borne, TX, the Heritage Place of Boerne is an inviting senior living community offering assisted living and respite care services. This community is accessible to nearby places and local attractions like the Cibolo Nature Center and Farm, Kuhlmann King House, and River Road Park. Beautifully appointed and cozy accommodations including one-bedroom, two-room suites, and studio are available. In terms of respite care, short-term stays with various activities coordinated by a professional team are also available for its residents.

Experience its top-notch amenities and services wherein residents can enjoy a beauty salon, a barbecue pit, a library, and scheduled transportation. Moreover, outpatient rehabilitation is available for those who have undergone surgery or still going through a treatment. Indulge in restaurant-style dining with signature dishes prepared by a talented culinary team. Relieve some stress while exploring its beautiful spaces like the patios and gazebos. Engage in diverse social activities like arts and crafts, exercise classes, community piano, and other events. With Heritage Place of Boerne, seniors can enjoy a wonderful retirement.

Contact Heritage Place of Boerne

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 52 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.