Page 2 of Best Assisted Living in Texas

Overview of Blue Skies of Texas East

Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.

Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.

What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.

Overview of Autumn Leaves

Autumn Leaves in Dallas, Texas is a place where one can enjoy the beauty of nature, the fresh air of brisk days, and the warmth of cozy nights. The community is committed to empowering its residents and providing them with a fulfilling life. They have partnered with Life Care Services to offer affordable retirement options that cater to various levels of care, including independent living, assisted living, senior rehabilitation, and skilled nursing.
At Autumn Leaves, residents can expect a lifestyle-centered experience that encompasses their passions and interests. Whether it’s socializing with friends, engaging in activities, or pursuing hobbies, there’s always something to do. Autumn Leaves is a place where residents can truly embrace each day as it comes.

Overview of C C Young Memorial Home

C C Young Memorial Home is a senior living community in Dallas, Texas, providing independent living, assisted living, memory care, professional nursing, and physical recovery. Independently managed by an organization of the same name, this non-profit community has a Type B license in the Dallas region and is CMS certified. It has also received a Best in Senior Living Award, which provides external validation of its quality. With a 129-bed capacity, the community is currently operating at a 76.5% occupancy rate, which is higher than the state average.

A primary advantage of this community is its impressive personnel profile. Registered nurses deliver 48 minutes of attention to each resident daily, which is 85% higher than the Texas state mean of 26 minutes. Support from vocational nurses reaches one hour and 18 minutes per day, exceeding the state average by 37%, while nursing assistant time is 52% above the typical Texas level at over three hours daily. Furthermore, nursing hours during the weekend remain 58% above the state average, showing that the community provides steady care all week long. The availability of physical therapy is especially remarkable, offering 21 minutes per resident daily, which is more than four times the state average and a major benefit for those focused on post-hospital recovery.

This community also accepts Medicare, increasing the financial options for those eligible. Alongside its official Alzheimer’s certification, specialized memory assistance, short-term relief stays, home health services, and hospice care are provided. A medical clinic, varied dining choices, a gift shop, massage services, spiritual support, and cutting-edge technology are among the amenities available on-site.

Regarding regulatory oversight, the community documented six total findings across two evaluations, which is in line with the Texas state average of six. These findings are four health code deficiencies and two life safety code violations, specifically related to infection management, pest oversight, and food preparation, all of which were resolved within a few weeks. No enforcement actions were reported.

C C Young Memorial Home is a good option for older adults seeking a wide variety of services in one setting, from an active retirement to high-level nursing and end-of-life care. The superior staff-to-resident ratios also make it an especially good choice for individuals with intricate health goals, particularly those undergoing rehabilitation.

Overview of Longhorn Village

Longhorn Village is a skilled nursing facility in Austin, Texas, located in the Steiner Ranch area on Longhorn Parkway. The 60-bed community operates as part of a Continuing Care Retirement Community (CCRC). It is a nonprofit facility owned by Stacy Hibma and has been operating for 21 years. The facility accepts Medicare, Medicaid, and private pay. Services include rehabilitation, respite care, memory care, and 24-hour staffing. CMS rates Longhorn Village at 5 stars overall, a perfect score across Health Inspection, Staffing, and Quality Measures. Nursing staffing averages 5 hours and 35 minutes per resident per day, roughly 48% above the Texas average of 3 hours and 47 minutes, placing the facility 10th out of 289 Texas SNFs. Across four Health Inspections since 2024, the facility recorded seven citations, a rate of 1.75 per inspection, compared with the Texas average of 3.67, with no fines or enforcement actions. Three abuse/neglect citations issued in late 2024 were all corrected. Amenities include a fitness center, library, outdoor spaces, and salon services, as well as the Lifelong Learning program. With 82% of admissions covered by Medicare and an average length of stay of 64 days, the facility’s care model mainly focuses on short-term post-acute rehabilitation. The occupancy rate is 45%, well below the Texas average of 63.5%, which indicates current availability. Longhorn Village fits Medicare-covered patients seeking short-term skilled nursing and rehabilitation in a well-staffed, nonprofit CCRC setting in northwest Austin, with immediate bed availability.

Overview of Mrc the Crossings

Mrc the Crossings is a nonprofit Life Care community in League City, Texas, providing independent living, assisted living, nursing, memory support, respite care, and rehabilitation, with a 48-bed capacity. Managed by Happy Harbor Methodist Home, Inc., a faith-based organization, the community’s mission is rooted in a spiritual commitment to honor and assist older adults as a reflection of religious devotion, creating a unique atmosphere of dedicated service.

The community is currently operating at an 88.1% occupancy rate, reflecting a high level of neighborhood confidence and local demand. The typical stay for residents is 47 days, with Medicare accounting for 46% of new arrivals, while temporary recovery and private funds are at 53%. This financial variety shows that the community’s population is a balanced combination of both short-term rehabilitation patients and those seeking a permanent home.

The community has achieved a top overall score of 5 out of 5 stars from the Centers for Medicare & Medicaid Services, which is significantly higher than the Texas mean of 3.0 stars. Its health evaluation results earned a perfect 5-star rating compared to the state average of 2.9, and the employee ratio also received a full 5 stars against the state norm of 2.4. These figures demonstrate a history of excellent regulatory compliance and a deep investment in medical personnel. While clinical quality metrics received a 3-star score, which is a little below the state average of 4.0, the community’s overall performance remains exceptionally high.

Personnel levels represent a significant advantage at this community, with a total adjusted nursing time reaching 4 hours and 39 minutes for every resident daily, which is 23% higher than the Texas average. Registered Nurse presence is especially notable at 57 minutes per resident each day, exceeding the state average of 26 minutes by 119%. Coverage on the weekends is at 4 hours and 8 minutes daily, indicating that medical supervision remains steady all week.

Mrc the Crossings is a good option for older adults and their families looking for a spiritually guided nursing environment in the Houston region. Its premier federal ratings, exceptional professional nursing hours, and full spectrum of care options make it a standout choice for both temporary therapeutic needs and long-term residency.

Overview of Methodist Retirement Communities – Creekside Retirement Community

Operated by Methodist Retirement Communities, Creekside Retirement Community is a nursing home on Veterans Memorial Parkway in Huntsville, Texas. The community offers skilled nursing, assisted living, memory support, and short-term rehabilitation. With these care options, residents can receive different levels of support as their needs change. Families can choose from Medicare, Medicaid, and private pay. It serves residents from Huntsville and the surrounding Walker County area.

The 56-bed community has about 84% occupancy, where residents stay an average of about 69 days. The length of stay reflects a mix of residents recovering after a hospital visit and those receiving longer-term care. Residents receive about 5 hours and 29 minutes of total nursing care each day. Care is provided by registered nurses, licensed nurses, and nurse aides. The nursing coverage supports short-term rehabilitation and residents who need regular daily care.

The Texas Health and Human Services Commission conducts state inspections of the community. Reviews have covered building safety and daily operations. Findings have included fire safety requirements involving emergency exits and locking devices. Other citations have focused on pharmacy and nutrition records. Families can ask staff how these areas are managed when they visit.

Creekside holds an Alzheimer’s certification and provides memory support for residents who need it. Staff is available 24 hours a day, and short-term rehabilitation services are also offered. The community participates in the Eden Alternative Registry, which focuses on person-directed elder care. Pets are welcome. The surrounding area has a Walk Score of 87, which is very walkable. Visiting family members can easily get around on foot.

Overview of Brazos Tower at Bayou Manor

Located in Houston’s Braeswood neighborhood, Brazos Tower at Bayou Manor is a skilled nursing home. It’s a part of a Continuing Care Retirement Community campus that spans nursing home, assisted living, independent living, and memory care under one operator, Brazos Presbyterian Homes, Inc. The community holds 33 skilled nursing beds. It tends to run close to full, with an occupancy rate of about 80%. Residents accepted include those covered by Medicare and those paying privately, giving families multiple ways to arrange care.

Staffing is the home’s defining feature. Nursing staffing averages 5 hours and 47 minutes of direct care per resident daily, a figure that reflects meaningful hands-on attention for residents with more complex needs. Residents stay an average of 52 days, pointing to a strong focus on short-term, post-acute rehabilitation alongside longer-term nursing care. On-site rehabilitation services and respite care support residents recovering from a hospital stay or surgery. Residents also have access to 24-hour staffing.

For residents who need memory support, Brazos Tower holds an Alzheimer’s certification, which means it has additional training and programming for cognitive care needs. State inspection history for the community focuses on building and life-safety matters, such as fire drill documentation, emergency generator and alarm system upkeep, and door and extinguisher placement. These were not concerns tied to clinical or resident care.

Amenities on-site include an indoor pool, a wellness and fitness center, a salon, and a massage and aerobics studio for residents who want to stay active. Social life centers on a 180-seat event and performance space and a bistro-style dining venue for casual, restaurant-quality meals. There’s also a meeting lounge and reserved parking available. It’s in a moderately walkable stretch of the Braeswood corridor; some errands can be handled on foot, with a mix of nearby amenities.

Overview of Marbridge Village

Marbridge Village is a 92-bed non-profit nursing home operated by Marbridge Foundation in Manchaca, Texas. Dedicated to adults with intellectual and developmental disabilities, the facility is located in Travis County and accepts Medicaid, Medicare, and private pay. It provides individualized nursing care alongside vocational training, education, and socialization programming. Medicaid residents make up roughly 86 percent of the current census, and the typical Medicaid length of stay exceeds 17 years, reflecting the facility’s long-term mission.
CMS rates Marbridge Village 5 stars, 66 percent above the Texas average, with above-average scores across health inspection, staffing, and quality measures. Nursing hours reach 4 hours and 38 minutes per resident daily, ranking 41st of 289 Texas skilled nursing facilities and 23 percent above the state average of 3 hours and 47 minutes. Occupancy sits at 90.5 percent, ranked 15th of 297 Texas facilities and well above the 63.5 percent state average. State inspection records document a 2021 inspection that produced 2 Health Code deficiencies: inadequate water system maintenance and improper storage and handling of hazardous materials. A 2018 inspection cited one Life Safety Code deficiency related to sprinkler system maintenance, corrected the next day. No enforcement actions were recorded for those violations. CMS penalty data shows 7 civil money penalties assessed between October 2023 and February 2024, totaling $46,000, below the Texas average of $80,000 for penalized facilities. No payment denials were issued. The most recent CMS health inspection in May 2025 found no critical or serious citations; 14 moderate citations were recorded across three inspections since 2023, against a Texas average of 25.9 total citations, with infection control and life quality having the largest share.
Marbridge Village is built for adults with intellectual and developmental disabilities seeking a structured, long-term residence in Travis County. Families evaluating the community will find strong staffing here.

Overview of The Village at Gleannloch Farms

Operated by Ccrc Opco – Gleannloch Farms, LLC under the ownership of Sheldon Coble, The Village at Gleannloch Farms is a nursing home in Spring, Texas, with 35 beds. The community is near the Northpoint business area. It accepts Medicare and private pay, giving families flexible options for coverage.

Residents stay an average of 33 days due to the home’s focus on post-acute rehabilitation and respite care. Rehabilitation services are available, and 24-hour staffing supports residents with hands-on care. Total nurse staffing averages 4 hours and 24 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses all contribute to daily care. The facility also works with home care services to support transitions back into the community.

The home has an occupancy rate of 47%, so there’s room available. The surrounding area has a Walk Score of 41. Some nearby services can be reached on foot, although most trips require transportation.

Chef-prepared meals are served on site as part of the dining program. This helps provide residents with consistent meal service.

State inspections have focused on areas such as resident assessments, infection control, food safety, and building safety. Families considering the facility should ask how it manages these operational areas and what the improvement plans are with leadership.

Overview of Brookdale Westover Hills

Brookdale Westover Hills in Fort Worth, Texas offers senior living opportunities for residents to engage in activities centered around their unique hobbies and talents while making new friends. The community provides a continuum of care, allowing residents to potentially stay in the same home should their care needs change. Residents can enjoy three chef-inspired meals a day in the comfort of their own pet-friendly apartments, with the peace of mind that comes from knowing the care team is available 24/7 for emergencies.

The assisted living program at Brookdale Westover Hills is designed for seniors who need extra support with daily living activities, household chores, and maintenance. The memory care program offers a secure, home-like environment where residents can thrive, with a trained team using a person-centered approach to create feelings of belonging while preserving residents’ identities and sense of self. Both assisted living and memory care residents have access to tailored activity calendars, allowing them to connect with friends and neighbors while engaging in a variety of exciting programs and activities. The community’s restaurant-style dining provides healthy, delicious meals prepared by a culinary team passionate about great food.