Page 31 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. 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.
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Brookdale Palestine
AL
Palestine
50
Facility 50
TX AVG 69
Rank #467 / 752
Yes
25
Facility 25
TX AVG 40
Rank #624 / 865
17
Facility 17
TX AVG 17
Rank #148 / 410
A+S-H Thirty-Five Opco - Round Rock, LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
-2Suite
Brookdale Lewisville
AL
Lewisville
60
Facility 60
TX AVG 69
Rank #388 / 752
Yes
41
Facility 41
TX AVG 40
Rank #420 / 865
48
Facility 48
TX AVG 17
Rank #7 / 410
A+Brookdale Senior Living Communities, Inc
8
Facility 8
TX AVG 6
Rank #505 / 736
-8Suite
The Waterford at College Station
AL
MC
RC
College Station (Southwood Forest)
60
Facility 60
TX AVG 69
Rank #388 / 752
Yes
14
Facility 14
TX AVG 40
Rank #739 / 865
16
Facility 16
TX AVG 17
Rank #159 / 410
-Csl Ce College Station LLC
1
Facility 1
TX AVG 6
Rank #82 / 736
2-Studio / 1 Bed / 2 Bed
Clearwater at The Heights
AL
IL
MC
Houston (Northside)
267
Facility 267
TX AVG 69
Rank #2 / 752
Yes
74
Facility 74
TX AVG 40
Rank #40 / 865
4
Facility 4
TX AVG 17
Rank #370 / 410
-Cre-Hcw The Heights Trs LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--Studio / 1 Bed / 2 Bed
The Village of River Oaks
AL
IL
MC
Houston (Montrose)
120
Facility 120
TX AVG 69
Rank #106 / 752
Yes
83
Facility 83
TX AVG 40
Rank #15 / 865
9
Facility 9
TX AVG 17
Rank #299 / 410
-Bmsh II River Oaks Tx Owner LLC
1
Facility 1
TX AVG 6
Rank #82 / 736
-1Studio / 1 Bed / 2 Bed
The Heritage Tomball
AL
HOS
IL
MC
RC
Tomball
147
Facility 147
TX AVG 69
Rank #40 / 752
No
63
Facility 63
TX AVG 40
Rank #132 / 865
14
Facility 14
TX AVG 17
Rank #184 / 410
-1221 Graham Drive Opco LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
24Studio / 1 Bed / 2 Bed
Southern Hospitality Home
AL
ADC
MC
RC
Austin (Rosedale)
15
Facility 15
TX AVG 69
Rank #639 / 752
No
80
Facility 80
TX AVG 40
Rank #24 / 865
30
Facility 30
TX AVG 17
Rank #53 / 410
-Home Of Southern Hospitality LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--Private / Shared Rooms
Brookdale North Austin
AL
MC
Austin (Mcneil)
112
Facility 112
TX AVG 69
Rank #146 / 752
Yes
55
Facility 55
TX AVG 40
Rank #218 / 865
13
Facility 13
TX AVG 17
Rank #199 / 410
-Esc-Ngh, L.p
1
Facility 1
TX AVG 6
Rank #82 / 736
-1Studio / 1 Bed
University Village Memory Care
AL
MC
Round Rock
126
Facility 126
TX AVG 69
Rank #86 / 752
No
40
Facility 40
TX AVG 40
Rank #434 / 865
15
Facility 15
TX AVG 17
Rank #174 / 410
-Uv Memory Care LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
1-Private Apartments
The Tradition – Woodway
AL
IL
MC
Houston (Westside)
121
Facility 121
TX AVG 69
Rank #104 / 752
No
64
Facility 64
TX AVG 40
Rank #114 / 865
6
Facility 6
TX AVG 17
Rank #343 / 410
-Woodway Tradition, LP
0
Facility 0
TX AVG 6
Rank #1 / 736
2-Studio / 1 Bed / 2 Bed

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 Brookdale Palestine

Located in Palestine, Texas, Brookdale Palestine offers seniors the opportunity to return to the fun experience of living with a family of like-minded friends, reminiscing about the camaraderie of college dorms or summer camps. The community recognizes that sustaining social relationships and friendships is integral to aging well and living well. Residents can connect with others who share similar interests, jump into a busy social calendar, and enjoy an independent lifestyle while still receiving the personal assistance they need.

The staff is available 24/7 to provide comfort and be alerted to emergencies. At Brookdale Palestine, seniors can have the best of both worlds – care customized to their needs and an independent lifestyle. The community offers a wide range of activities, from happy hours and ice cream socials to arts & crafts, fitness classes, live music, and group excursions to local attractions like the Museum for East Texas Culture and The Texas Theatre. The restaurant-style dining in the elegant dining room provides plenty of menu options, incorporating residents’ feedback, favorite recipes, and requests.

Starting Price $3,390/Month

Contact Brookdale Palestine

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.

Starting Price $4,120/Month

Contact Brookdale Lewisville

The Waterford at College Station

1103 Rock Prairie Rd, College Station, TX 77845
Overview of The Waterford at College Station

Based in the welcoming neighborhood of College Station, TX, The Waterford at College Station is a vibrant senior living community that offers assisted living, memory care, and temporary stay services. Here, residents can select among well-appointed and cozy accommodations with several floor plans including studio, one-bedroom, and two-bedroom. Having a highly equipped and dedicated team, this community provides round-the-clock care and support for its residents. In terms of memory care, those with cognitive conditions like Alzheimer’s disease and dementia can receive a specialized program called Magnolia Trails catering to the whole person – mind, body, and spirit.

Providing top-of-the-line amenities and services, residents can enjoy 3 meals and snacks daily, housekeeping and laundry services, home maintenance, and transportation to nearby locations. Experience a perfect ambiance for both engagement and relaxation in its landscape courtyard, beauty salon, and barber shop. Engage in diverse social activities and events such as wellness programs and birthday parties. Truly, seniors can enjoy a wonderful retirement with The Waterford at College Station.

Contact The Waterford at College Station

Overview of Clearwater at the Heights

Two hundred sixty-seven beds makes Clearwater at the Heights one of the larger senior living communities in Houston, and scale shows up in the details here. It’s a high-rise at 1245 W 18th Street in the Northside neighborhood, opened in March 2022, so about four years old now, run by administrator Veronica Weathers on behalf of Cre-Hcw The Heights Trs LLC.

Walkability is genuinely strong; a Walk Score of 74 puts this in “very walkable” range, meaning shops, restaurants, and cultural spots are realistically reachable without a car. Apartments run from compact studios up to two-bedrooms, spanning 369 to nearly 1,500 square feet, so there’s real range in how residents can live day to day.

Care spans three types under one roof: assisted living, independent living, and memory care, with 21 dedicated Alzheimer’s units and formal Alzheimer’s certification behind the memory-care piece specifically. Twenty-four-hour staffing covers the whole community regardless of which care level a resident falls under.

A saltwater heated pool, fitness center, spa services, and chef-prepared dining through the Savor Culinary team anchor daily life, while wellness programs and a steady calendar of social events and outings fill in the rest; pets are welcome. Short-term stays and therapy services are both available too, for residents who need something more flexible than a permanent move.

What Clearwater at the Heights adds up to is a large, amenity-rich community built to handle a genuinely wide range of care needs, from independent living through specialized memory care, in one of Houston’s more walkable neighborhoods.

Contact Clearwater at The Heights

Overview of The Village of River Oaks

Operated by Bmsh II River Oaks, TX Owner LLC, The Village of River Oaks is a senior living community in Houston’s Montrose neighborhood. Kristen Jordan serves as the administrator. The community is located at 1015 South Shepherd Drive, which is about 2.7 miles from downtown Houston. It offers independent living, assisted living, and memory care, allowing residents to remain in the same community as their care needs change.

The high-rise community has 120 beds and has served residents for 8 years. Studio, one-bedroom, and two-bedroom apartments are available, giving residents several floor plan options. The neighborhood has a Walk Score of 83, which is very walkable. Most nearby shops, restaurants, and services can be reached on foot, which can be convenient for both residents and visiting family.

Memory care is a dedicated part of the community. There are 33 units reserved for people living with Alzheimer’s disease and related forms of dementia. The community also holds an Alzheimer’s Certification. Residents receive medication management, scheduled wellness programs, recreational activities, housekeeping, and transportation services to support both daily living and social engagement.

Restaurant-style dining is available daily. Concierge services help residents and families manage everyday needs. Community amenities include a swimming pool, fitness centre, dining room, resident lounges, and outdoor spaces with views of the Houston skyline. The Village of River Oaks also welcomes pets, allowing residents to move in with a companion animal.

The Texas Health and Human Services Commission oversees state inspections of the community. Reviews have mainly focused on fire alarm and smoke detection system compliance. Meanwhile, the community’s broader health and safety record has remained in good standing. Families touring The Village of River Oaks should ask how fire safety systems are inspected and maintained as part of the community’s regular operations.

Contact The Village of River Oaks

The Heritage Tomball

1221 Graham Dr, Tomball, TX 77375
Overview of The Heritage Tomball

Tucked in the harmonious residential area of Graham Drive, Tomball, TX, The Heritage Tomball is a prominent senior living community offering assisted living, independent living, and memory care. Live a wonderful retirement within the stunning and spacious residences of The Heritage Tomball in variations of studio, one-bedroom, and two-bedroom floor plans. A compassionate and highly skilled team strives to deliver top-notch care and support for seniors to flourish and gain valuable skills in their retirement.

The Heritage Tomball provides a jam-packed calendar of activities and programs for seniors to discover new interests and relive old hobbies for their enjoyment and wellness. Delight with healthy and tasty meals catering to nutritional needs and preferences. With its serene spaces and fabulous amenities, The Heritage Tomball is a great place to thrive and create lasting memories in its golden years.

$1,495/Month

Contact The Heritage Tomball

Southern Hospitality Home

5000 Shoalwood Avenue, Austin, TX 78756
Overview of Southern Hospitality Home

Tucked away in a serene area in Austin, TX, Southern Hospitality Home provides a safe and secure environment for those who need assisted living. The community compassionately cares for residents who need assistance with their daily activities or living with the challenges of memory loss. Residents here receive individualized care plans and 24/7 care and supervision by a team of kind and reliable caregivers.

From personal care to medication management, the community provides all the support residents need to thrive while maintaining their independence. A wide range of activities are also offered for a vibrant and enriching living experience. With on-site rehabilitation, massage therapies, and healthy meals, residents here are guaranteed to enjoy an improved quality of life.

Contact Southern Hospitality Home

Overview of Brookdale North Austin

Located at Brookdale North Austin in sunny Austin, Texas, residents can redefine their independence in a senior living community that offers both assisted living and memory care options on one campus. The community provides a range of amenities, including pet-friendly apartments, spacious common areas like patios and a garden gazebo, and 24/7 on-site staff for peace of mind.

The assisted living program offers support with daily tasks like dressing, bathing, medication management, and chores, allowing seniors to enjoy their retired life to the fullest. The memory care program provides person-centered care for those living with Alzheimer’s or dementia, guiding them through enriching activities designed to nurture their skills and keep them socially engaged. Residents can choose from a variety of activities, including card games, shopping trips, devotional services, exercise classes, and specialized programs for memory care like karaoke and Bible study. Dining is also a highlight, with restaurant-style meals served in an elegant setting and dementia-friendly options for memory care residents.

$4,540/Month

Contact Brookdale North Austin

Overview of University Village Memory Care

Enjoy your peace of mind with University Village Memory Care, a warm and welcoming community in Round Rock, TX, providing specialized memory care and assisted living services. They guarantee one-on-one and personalized care provided by a specially trained team who genuinely care for residents’ comfort and well-being by deeply understanding their needs and the conditions that affect them. Their accommodations are designed to let plenty of natural light in while giving residents plenty of space to move around, connect with others, and enjoy their precious personal time.

The community is also conveniently close to local amenities and two major hospitals to ensure residents’ healthcare needs or medical emergencies are met with urgency. Vibrant activities and family-style dining with healthy and nourishing meals are also available to help residents maintain their wellness. With 24/7 emergency response systems and amenities like a therapy room, beauty/barber shop, and therapeutic spas, residents’ living experiences here are further elevated.

Contact University Village Memory Care

Overview of The Tradition – Woodway

The Tradition – Woodway is a 121-bed senior living community located at 6336 Woodway Drive in Houston, Texas. Managed by Tradition Management, LLC under administrator Holt Perlman, the high-rise property has provided senior services in the Tanglewood and Memorial areas for 18 years. The community offers independent living, assisted living, and memory care with one- and two-bedroom apartment options.

A dedicated 40-unit neighborhood provides certified Alzheimer’s and memory care support. Residents receive assistance with activities of daily living, medication management, housekeeping, and scheduled transportation. The area carries a walk score of 64, making it moderately walkable with dining and retail destinations nearby. Medical care is accessible at Kindred Hospital Houston Medical Center, located about six miles away.

State inspections conducted by the Texas Health and Human Services Commission show a solid overall safety record. Reports have centered primarily on minor food safety and kitchen-handling procedures rather than direct patient care or building safety concerns, with all past findings successfully corrected.

Interested residents seeking a continuum of care option in West Houston can contact the community directly to schedule an in-person tour.

Contact The Tradition – Woodway

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.