Page 21 of Best Assisted Living in Texas

Why trust this guide? Our editorial team analyzed 905 assisted living communities in TX using TX Health & Human Services Commission (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in TX
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every assisted living provider in Texas.
905 homes
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Info below is compiled from the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Number of years the company has been in operation.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Total count of citations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
Citations tied to health-related standards (as categorized by the state). Subset of overall citation activity.
Citations tied to life safety or environmental standards (as categorized by the state). Often distinct from health-line citations.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Autumn Wind Mineola
AL
RC
Mineola
90
Facility 90
TX AVG 69
Rank #240 / 752
CNo
61
Facility 61
TX AVG 40
Rank #151 / 865
-Mineola Senior Living LLC
8
Facility 8
TX AVG 6
Rank #505 / 736
35-
Austin Gardens Senior Living
AL
RESC
Austin (Gracy Woods)
12
Facility 12
TX AVG 69
Rank #656 / 752
D+Yes
51
Facility 51
TX AVG 40
Rank #276 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
Agsl LLC
25
Facility 25
TX AVG 6
Rank #718 / 736
205Private Suites
St. John’s Residential Care Homes Inc.
AL
HOS
MC
RESC
Fort Worth (Summer Creek Ranch)
6
Facility 6
TX AVG 69
Rank #731 / 752
C-No
14
Facility 14
TX AVG 40
Rank #739 / 865
21
Facility 21
TX AVG 17
Rank #99 / 410
St John's Residential Care Home Inc
21
Facility 21
TX AVG 6
Rank #708 / 736
417Studio / 1 Bed / Semi-Private
Bethesda Gardens Memory Care Fort Worth
AL
MC
RC
Fort Worth (Wedgwood)
124
Facility 124
TX AVG 69
Rank #93 / 752
D+Yes
19
Facility 19
TX AVG 40
Rank #690 / 865
11
Facility 11
TX AVG 17
Rank #234 / 410
Bslc II
18
Facility 18
TX AVG 6
Rank #685 / 736
513-
Continuing Care at Highland Springs
AL
IL
MC
Dallas (Far North Dallas)
88
Facility 88
TX AVG 69
Rank #255 / 752
CYes
60
Facility 60
TX AVG 40
Rank #168 / 865
-Highland Springs, Inc
11
Facility 11
TX AVG 6
Rank #597 / 736
47-
The Westmark Senior Living
AL
MC
San Antonio
95
Facility 95
TX AVG 69
Rank #223 / 752
A-Yes
3
Facility 3
TX AVG 40
Rank #850 / 865
-Gg San Antonio Operator, LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
16-
Desert Sands Assisted Living LLC
AL
ADC
San Antonio
42
Facility 42
TX AVG 69
Rank #504 / 752
B+No
42
Facility 42
TX AVG 40
Rank #403 / 865
-Desert Sands Assisted Living LLC
11
Facility 11
TX AVG 6
Rank #597 / 736
110-
Anointed Senior Living
AL
MC
Austin
50
Facility 50
TX AVG 69
Rank #467 / 752
B+Yes
9
Facility 9
TX AVG 40
Rank #784 / 865
-Anointed Senior Living Austin LLC
5
Facility 5
TX AVG 6
Rank #341 / 736
23-
Landon Ridge – Alamo Ranch
AL
MC
San Antonio
152
Facility 152
TX AVG 69
Rank #33 / 752
A-Yes--Tcg Communities, LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
16-
Carol Ann’s Home Assisted Living
AL
HOS
MC
San Antonio (Northwest Side)
15
Facility 15
TX AVG 69
Rank #639 / 752
B-No
42
Facility 42
TX AVG 40
Rank #403 / 865
-Carol Ann's Home Inc
12
Facility 12
TX AVG 6
Rank #608 / 736
210Private / Semi-Private Rooms

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other TX assisted living community we track that reports that metric, not just the 905 on this page. See how we rank facilities

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Overview of Autumn Wind Mineola

Autumn Wind Mineola offers assisted living and respite care in Mineola, Texas. Assisted living includes help with daily tasks such as bathing, dressing, and medication management. Respite care provides a short term stay and may suit a family whose usual caregiver needs to travel or recover.

The community has 90 beds and is wheelchair accessible, so residents who use wheelchairs can navigate the setting. A salon and barbershop provide grooming services within the community. Rehabilitation services are available for residents who need recovery or functional support.

Transportation to doctors is available for medical appointments. A doctor is on staff, making physician services available through the community. These arrangements keep both appointment transportation and physician access connected to the residence.

The area has a Walk Score of 61 out of 100, placing it in the somewhat walkable band. Some errands can be done on foot, and a resident who no longer drives may be able to handle certain nearby errands independently. Autumn Wind Mineola is operated by Mineola Senior Living.

Contact Autumn Wind Mineola

Overview of Austin Gardens Senior Living

Austin Gardens Senior Living is an outstanding community in Hunters Lane, Austin, TX, is an esteemed community that offers assisted living. With its commitment to improving residents’ welfare, the community provides top-notch care and assistance around the clock tailored to their needs and preferences. A high ration of team to resident is assured to ensure the utmost attention for a comfortable and worry-free retirement.

A jam-packed calendar of fun activities and stimulating programs are conducted for residents’ leisure and wellness. Enjoy healthy and delicious meals catering to dietary needs and preferences for a satisfactory dining experience. The community also provides care for mild cognitive impairment and medication management to meet residents’ healthcare needs. Live a blissful retirement with the community’s genuine and dedicated care amidst its friendly setting.

Contact Austin Gardens Senior Living

Overview of St. John’s Residential Care Homes

Nestled in a quiet area in Fort Worth, TX, St. John’s Residential Care Homes Inc. is a safe and welcoming community designed for assisted living. They feature a team of excellent caregivers with a genuine commitment to helping residents with their needs and daily living activities. Through 24/7 supervision, comprehensive assistance with personal care, and medication management, residents live a well-supported life while maintaining their autonomy and independence.

Those living with memory challenges receive all the care and support they need through the community’s specialized dementia care and 24/7 registered nurses. The community also handles meal preparation with accommodation for special diets to ensure residents receive proper nutrition. Here, residents enjoy the utmost comfort while savoring the freedom to do the things they love without worries.

Contact St. John’s Residential Care Homes Inc.

Overview of Bethesda Gardens Memory Care Fort Worth

Bethesda Gardens is ranked as one of the trusted memory care and assisted living facilities in Fort Worth that is best in its class, brought by the premier level of care entrusted to residents. The stimulating environment of the community boasts an innovative and modern approach to senior care; they have ensured that they provide a spectrum of care as they understand the unique needs of each individual that aims to enrich a fulfilling lifestyle for its residents. Bethesda’s management and staff are well-trained professionals who ensure that residents are heard and provide a lifestyle that suits their needs.
Bethesda’s lifestyle is focused on growth and enrichment; they provide essential amenities and services such as their Diabetes for Center for Excellence, hair service salon, and scheduled transportation. Benefits include assistance with daily activities, medication management, and  24/7 licensed nurses on-site.

Contact Bethesda Gardens Memory Care Fort Worth

Overview of Continuing Care at Highland Springs

Continuing Care at Highland Springs offers assisted living, independent living and memory care in Dallas, Texas. The community is in the Far North Dallas neighborhood, has 88 beds and is operated by Highland Springs.

Assisted living provides help with daily tasks such as bathing, dressing and medication while a resident maintains a private living space. Independent living offers private living with community services and no daily care, while memory care provides a secured setting with supervision for someone at risk of wandering.

Having all three care levels in one community may suit a resident whose needs grow over time, since moving to a different level of care can happen without leaving the community. Fitness facilities, aquatic spaces and scenic walking trails provide places for exercise and outdoor walks, while engaging activities offer ways to participate in community life.

Health Services, a Medical Center and rehabilitation services are available within the community, giving residents access to health related and therapy services. Pets are allowed. A Walk Score of 60 out of 100 places the area in the somewhat walkable band, meaning some errands can be done on foot, so a resident who no longer drives may still be able to complete some nearby errands independently. Medicaid and Medicare are accepted payment options; Medicaid may help an eligible resident whose savings do not cover a long stay, while Medicare covers short term skilled care after a hospital stay rather than long term residence.

Contact Continuing Care at Highland Springs

Overview of The Westmark Senior Living

The Westmark Senior Living offers assisted living and memory care in San Antonio, TX, with respite care also available. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

Having both assisted living and memory care on one campus allows a resident to move between care levels without leaving the community if needs grow over time. Respite care provides short stays, which can suit a family caregiver who needs temporary support while traveling or recovering.

The community has 95 beds. Its starting price is $2,995, although the facts do not assign that figure to assisted living or memory care. Pets are allowed, so residents may keep their pets in the community.

A salon and spa gives residents access to personal grooming services on site, while the courtyard, garden, and walking paths provide outdoor spaces to use within the community. The Engaged Living Program, wellness programs, and dining experiences provide scheduled program and meal offerings for residents. The community is operated by Gg San Antonio Operator, and Ross Christensen is its director.

Starting Price $2,995/Month

Contact The Westmark Senior Living

Overview of Desert Sands Assisted Living

Desert Sands Assisted Living provides assisted living and adult day care in San Antonio, Texas. Assisted living supports residents who need help with daily living activities, and the community serves residents with a mental health diagnosis. It may be a good fit for an adult with a mental health diagnosis who needs assistance with daily tasks.

The community opened in 1989 and has 42 beds. Transportation is provided for doctor’s appointments and for a weekly trip to HEB or Walmart, giving residents rides for those specific needs. Residents receive three home-cooked meals each day, prepared by a Certified Kitchen Manager from menus created by a Registered Dietician.

A swimming pool provides an on-site place for residents to swim. Activities include karaoke, pool tournaments, cooking classes, Bingo, card games, arts and crafts, movies, and access to a computer lab. The area has a Walk Score of 42, placing it in a car-dependent category, so a resident who no longer drives would need a car or a ride for most errands. A doctor is on staff.

Contact Desert Sands Assisted Living LLC

Overview of Anointed Senior Living

Anointed Senior Living provides assisted living and memory care in Austin, TX. Assisted living provides help with daily tasks such as bathing, dressing and medication while supporting a resident’s independence; memory care provides supervision in a secured setting for people living with Alzheimer’s disease or dementia. Offering both care levels may suit a resident whose needs could grow over time without requiring a move to another community.

The community has 50 beds, making it smaller in scale and potentially suitable for someone who prefers a setting where staff and residents can get to know each other. Anointed Senior Living Austin operates the community.

Residents can use the beauty salon, spend time in the outdoor garden and walking paths, and take part in community gatherings and activities. Restaurant-style dining with an executive chef provides meals in a dining setting, and pets are allowed for residents who want to keep a pet with them.

Contact Anointed Senior Living

Overview of Landon Ridge – Alamo Ranch

Landon Ridge, Alamo Ranch offers assisted living and memory care in San Antonio, TX. Assisted living provides help with daily tasks, while memory care provides a secured setting with supervision for someone at risk of wandering. With both care levels available in one community, Landon Ridge, Alamo Ranch may be a good fit for a resident whose care needs may grow over time because moving between assisted living and memory care does not require leaving the community.

The community has 152 beds. Starting prices are $3,595 for assisted living and $3,495 for memory care, giving families care-specific figures for initial cost planning. Respite care is available for short stays, which can help when a family caregiver needs temporary coverage. Tcg Communities operates the community.

Chef-prepared meals are served in shared dining spaces, giving residents prepared meals in a communal setting. A greenhouse and walking paths provide places for gardening and outdoor walks. The beauty salon, theatre, library, game room and fitness center offer on-site options for personal care, entertainment, reading, games and exercise. Pets are allowed, so a resident may continue living with a pet.

A culinary program gives residents a food-focused activity, and rehabilitation services are available for residents who need therapy as part of their care.

$3,595/Month

Contact Landon Ridge – Alamo Ranch

Overview of Carol Ann’s Home Assisted Living

Nestled in the peaceful area of San Antonio, TX, Carol Ann’s Home Assisted Living is a serene community tailored for those needing assisted living and memory care. Their professional team of caregivers is available 24/7 to support residents with their daily living activities and memory care needs. Residents’ accommodations are well-designed to foster comfort and convenience and bring everyone closer together.

The community fills residents’ days with an array of fun and stimulating activities to help them enjoy an active yet fulfilling life. They also make sure to update residents’ families on their well-being, promoting transparency and open communication. Here, residents are provided with personalized care plans that promote their comfort and autonomy.

Contact Carol Ann’s Home Assisted Living

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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Texas at a glance

Avg Monthly Cost: $5,572The average monthly cost across facilities in Texas. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 40/ 100The average Walk Score across facilities in Texas. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 69The average licensed bed capacity across facilities in Texas. Individual facilities can vary widely from this average.
National Average: 90
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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 905 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.