Page 25 of Best Assisted Living in Texas

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 Discovery Village at Southlake

Discovery Village at Southlake is a skilled nursing community in Southlake, Texas, offering independent living, assisted living, memory care, and skilled nursing. Operated by DSL Tenant II, LLC in Tarrant County, the community accepts Medicare, Medicaid, and private funds, ensuring diverse financial options for residents. Serving 29 residents with a 41-bed capacity, the community is currently operating at a 71% occupancy rate, which is higher than the state average. It also maintains an overall CMS score of 3 out of 5 stars, matching the typical Texas state average.

The health inspection score is 3 out of 5 stars, placing it slightly higher than the state average of 2.9. Furthermore, the staffing score of 3 out of 5 stars indicates strong performance, as the community ranks 65th out of 240 Texas skilled nursing locations for total adjusted nursing hours. With 3 hours and 59 minutes of care provided per resident daily, it surpasses the state mean by roughly 5%, reflecting stable care access. Weekend care is noted at 3 hours and 24 minutes daily, which is suggested for families to review in comparison to weekday levels. The quality measures score of 3 out of 5 stars is one point below the state average of 4.0, which points to potential areas for enhancing clinical data tracking.

The resident population is composed of approximately 37% Medicare recipients, 37% Medicaid recipients, and 26% private pay residents. With an average stay lasting 28 days, the population largely consists of those receiving short-term rehab or transitional medical support.

The SHINE® memory care program also offers a specialized and structured framework for those living with dementia or Alzheimer’s. Its larger campus also promotes an energetic lifestyle for those in independent and assisted living through a wide array of social, health, and leisure activities for older adults.

Discovery Village at Southlake is a practical option for older adults who need various stages of support under one roof, ranging from active retirement to skilled nursing recovery in the Southlake area, particularly those looking for a local community that accepts both Medicare and Medicaid.

Overview of Lyndale Abilene Memory Care

Specializing in memory care, Lyndale Abilene Memory Care is a trusted senior living community located in the peaceful Central Park Boulevard, Abilene, TX. Live with dignity surrounded by carefully designed and sophisticated residences of Lyndale Abilene Memory Care including studio and one-bedroom floor plans. A team of reliable and highly qualified professionals delivers round-the-clock care and support, ensuring seniors let go of their worries knowing their needs and aspirations are well-cared for.

Discover new interests and rekindle passions with enjoyable activities and engaging programs conducted for seniors’ leisure and wellness. Feel good and eat well with delightful and healthy meals that satisfy dietary needs and preferences. With its warm and inviting environment, seniors experience a wonderful retirement with Lyndale Abilene Memory Care.

Overview of The Villages of Windcrest

The Villages of Windcrest operates an 86-bed nursing home at 702 W Windcrest St in Fredericksburg’s Gillespie County, administered by Mr. Kraig A Turpen under Acron Windcrest Village LLC.

The two-story facility has provided nursing home, assisted living, and memory care (including 24 dedicated Alzheimer’s units) for seven years, serving a mixed payer population: 35% Medicare residents (typically short-term rehab), 22% Medicaid, and 43% private pay. Current occupancy is 59.6%, lower than the Texas average of 63.5%, with average resident stays extending to 202 days.

The facility holds a 1-star overall CMS rating, 66.8% below Texas average. This reflects a 1-star Health Inspection rating (65.4% below state average) and a 1-star Staffing rating (58.3% below state average).

Seven state inspections since 2022 resulted in 45 health citations; placing the facility at the 257th precentile among 292 Texas nursing homes, among the worst-performing in the state.

Citations average 6.43 per inspection, the second-worst rate statewide. Five deficiencies reached critical severity, 150% worse than the state average. The primary problems cluster in documentation and quality of life (8 deficiencies), resident rights (6), abuse and neglect safeguards (6), pharmacy services (5), and infection control (3).

The facility has incurred $94,000 in federal penalties across three assessments since 2024, culminating in a $49,000 civil money penalty in January 2025 and a $2,250 administrative penalty in October 2024 for failures in abuse and neglect protection.

Resident outcome measures reveal safety gaps. Falls with major injury occurred in 7.1% of long-stay residents; more than double the state average of 3.2%. Walking ability declined in 23.4% of residents, 44% worse than the state norm.

Staffing ratios exceed state average (1.82:1 vs. 1.48:1), though 47% of staff are contractors. Payroll represents 31.4% of revenue, significantly below the sustainable 51–63% range typical of well-run facilities.

The facility’s regulatory and clinical trajectory presents unresolved safety concerns and elevated risk across standard quality metrics.

Orchard Park at Southfork is a facility designed to cater to the diverse needs of its residents, embracing a philosophy centered on compassionate care and vibrant living. From cozy private accommodations to meticulously curated communal spaces, every space of Orchard Park at Southfork is crafted to promote comfort and engagement.

Orchard Park at Southfork, prioritizes dignity, respect, and tailored care, emphasizing a person-centered approach that respects each individual’s unique preferences and needs. Residents enjoy an enriching lifestyle supported by a team dedicated to creating meaningful connections and promoting overall wellness.

Overview of Bethesda Gardens Frisco

Bethesda Gardens Frisco operates as a 100-bed community on Legacy Drive in Frisco, Texas. Sixteen years in operation, the single-story facility provides studios and one and two-bedroom floor plans. The Walk Score sits at 37, which means you’re driving most places, though the location is suburban Frisco.

What stands out here is the explicit infrastructure for cognitive care. Specialized cognitive programs and secure apartment living are central to the design, not afterthoughts.

The facility runs a community activity calendar and builds in social participation opportunities, which matters if isolation becomes a problem for memory care residents. Pets are allowed. The outdoor courtyard gives people a place to be outside.

State inspections have centered on fire-safety systems, emergency preparedness, and environmental safety rather than direct care delivery. The 100-bed scale puts it in the mid-range: big enough to have programs and infrastructure, small enough to maintain a residential feel. This community is built for older adults experiencing cognitive decline who need a secure setting with structured daily activity and the ability to keep a pet. The design prioritizes containment and routine over maximizing independence.

Overview of The Oscar at Georgetown

Operated by Abbey-Georgetown ALF, LLC and managed by Atlas Senior Living, The Oscar at Georgetown is a senior living community in Georgetown, Texas. The community offers assisted living, independent living, and memory care, with Ronald Haddock serving as administrator. The mid-rise building has 58 beds, including a dedicated 16-unit memory care wing that has been operating for about a year.

Residents can choose from studio, one-bedroom, and two-bedroom floor plans. Each unit has a private bathroom, a kitchenette, and air conditioning. Transportation services are available for residents who no longer drive. Fitness and recreation programs are part of daily life. Residents can also bring their pets.

Residents receive 24-hour support with medication management and assistance with daily activities such as bathing and dressing. Meals accommodate a variety of dietary needs, and housekeeping, laundry, and grooming assistance are included. The dedicated memory care wing is staffed under the community’s Alzheimer’s certification. Programs are tailored to residents with cognitive care needs.

State inspections through the Texas Health and Human Services Commission have consistently found the community free of violations, citations, and complaints. The area has a Walk Score of 36 out of 100. Some errands can be completed on foot, but most trips require a car.

Families considering The Oscar at Georgetown should ask how staffing is structured within the memory care wing because that can be an important factor for residents who need specialized cognitive support.

Overview of Simpatico Cielo Vista

Simpatico Cielo Vista, located in El Paso, Texas, is committed to the well-being and dignity of memory care and assisted living residents. The Simpatico Way is a holistic approach, integrating cognitive stimulation, physical engagement, and social connectivity within a nurturing environment. Embracing intergenerational relationships, Simpatico empowers staff and families to contribute actively, creating an uplifting atmosphere. The community prioritizes individual needs to preserve residents’ dignity and individuality.

In Simpatico’s Memory Care program, each resident receives personalized attention through a Person-Centered model. Tailored Resident Plans support individual interests and abilities, incorporating activities like fitness classes, musical entertainment, creative art expression, and community trips. Simpatico’s home-style setting enhances each resident’s life experience, focusing on cognitive and sensory stimulation, physical engagement, and fostering social interactions. Activities range from reminiscence therapy and sensory-rich experiences to physical exercises, social discussions, and intergenerational activities, ensuring a comprehensive approach to residents’ well-being. 

Overview of Heritage Lakes Senior Living Community

Overlooking the breathtaking scenery of Pflugerville, TX, Heritage Lakes Senior Living Community is committed to enhancing seniors’ quality of life with assisted living, independent living, and memory care services. Receive the highest quality of care and assistance around the clock from a team of compassionate and well-trained professionals. Seniors live to the best of their potential and maximize their independence surrounded by incredible amenities and a cheerful community.

Promoting a bright and inviting environment, residents have a relaxing time with friends. Here, residents enjoy the finest dining experience with healthy and delicious meals catering to dietary needs and preferences. Heritage Lakes Senior Living Community is a good place for seniors to enjoy a blissful retirement with its cozy and serene campus.