Page 33 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
Other senior care options in Texas:

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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: 42/ 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: 78The average licensed bed capacity across facilities in Texas. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Texas

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 to lowest based on our ranking 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. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
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.
The Heritage House of Allen
AL
HC
HOS
PC
Allen (Bethany Ridge Estates)
8
Facility 8
TX AVG 78
Rank #921 / 980
No
23
Facility 23
TX AVG 42
Rank #1,057 / 1,345
13
Facility 13
TX AVG 21
Rank #330 / 587
The Heritage House Of Plano, LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
2-Private / Semi-Private Rooms
Oak Ridge Alzheimer’s Special Care Center
AL
MC
RC
Haltom City
46
Facility 46
TX AVG 78
Rank #698 / 980
No
32
Facility 32
TX AVG 42
Rank #902 / 1,345
18
Facility 18
TX AVG 21
Rank #248 / 587
Sh1 Silver Sage Opco LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
43Private / Companion
Arabella of Athens Senior Living
AL
IL
MC
Athens
66
Facility 66
TX AVG 78
Rank #531 / 980
Yes
6
Facility 6
TX AVG 42
Rank #1,286 / 1,345
11
Facility 11
TX AVG 21
Rank #379 / 587
Quality Senior Housing Foundation Of East Texas, Inc
3
Facility 3
TX AVG 6
Rank #220 / 839
13Studio / 1 Bed / 2 Bed
Autumn Wind Senior Living
AL
IL
Winnsboro
69
Facility 69
TX AVG 78
Rank #523 / 980
Yes
10
Facility 10
TX AVG 42
Rank #1,230 / 1,345
16
Facility 16
TX AVG 21
Rank #274 / 587
Quality Senior Housing Foundation Of East Texas, Inc
6
Facility 6
TX AVG 6
Rank #442 / 839
16Studio / 1 Bed / 2 Bed
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 78
Rank #788 / 980
No
45
Facility 45
TX AVG 42
Rank #627 / 1,345
7
Facility 7
TX AVG 21
Rank #491 / 587
Parkway Assisted Living LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
-4Private / Semi-Private / Companion Suites
Teresas‘s House
AL
MC
Mckinney
16
Facility 16
TX AVG 78
Rank #788 / 980
Yes
21
Facility 21
TX AVG 42
Rank #1,079 / 1,345
5
Facility 5
TX AVG 21
Rank #530 / 587
Teresa's House - Craig Ranch LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
--Private Rooms
Heartis Longview Assisted Living
AL
Longview
78
Facility 78
TX AVG 78
Rank #463 / 980
No
13
Facility 13
TX AVG 42
Rank #1,196 / 1,345
12
Facility 12
TX AVG 21
Rank #357 / 587
Heartis Fountainview Partners, LP
6
Facility 6
TX AVG 6
Rank #442 / 839
15Studio / 1 Bed / 2 Bed
Pembroke Angel Care, LLC
AL
RESC
San Antonio (Northwest Side)
13
Facility 13
TX AVG 78
Rank #881 / 980
No
28
Facility 28
TX AVG 42
Rank #956 / 1,345
10
Facility 10
TX AVG 21
Rank #432 / 587
Pembroke Angel Care LLC
2
Facility 2
TX AVG 6
Rank #172 / 839
-2Private / Semi-Private Rooms
Longhorn Village
AL
IL
MC
NH
SNF
Austin
40
Facility 40
TX AVG 78
Rank #723 / 980
No
20
Facility 20
TX AVG 42
Rank #1,094 / 1,345
21
Facility 21
TX AVG 21
Rank #194 / 587
Longhorn Village
0
Facility 0
TX AVG 6
Rank #1 / 839
---
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 78
Rank #779 / 980
Yes
47
Facility 47
TX AVG 42
Rank #585 / 1,345
14
Facility 14
TX AVG 21
Rank #306 / 587
Bst Health Services Corp
3
Facility 3
TX AVG 6
Rank #220 / 839
21-

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 905 on this page.

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Overview of The Heritage House of Allen

Live a blissful retirement with The Heritage House of Allen, set in the quiet residential area of Yorkshire Drive, Allen, TX, providing assisted living. With dementia-trained professionals and a compassionate team, residents can rest assured of receiving the utmost care and support they deserve. Providing care since 2009, the community works closely with esteemed local home health providers, hospices, and healthcare professionals for residents’ ever-changing needs.

With scheduled group activities, residents are encouraged to remain active and socially connected. The community also boasts a state ombudsman, alongside family liaison to keep residents satisfied. Healthy home-cooked meals, housekeeping, laundry, linen services, and transportation assistance are also provided for residents’ comfort and convenience. Spend your golden years with ease with the community’s interactive care and serene environment.

Contact The Heritage House of Allen

Overview of Oak Ridge Alzheimer’s Special Care Center

Enjoy your retirement with the esteemed senior living community of Oak Ridge Alzheimer’s Special Care Center in Silver Sage Drive, Haltom City, TX, offering companion living, memory care, and respite care. With meticulously designed and sophisticated companion and private suites, seniors live in comfort and style. The community boasts a compassionate and highly skilled team delivering top-notch care and support for seniors to thrive and reach their full potential.

The community fosters a bright and friendly environment, ensuring seniors maintain an active lifestyle. Create fun moments and participate in engaging activities and exciting programs for enjoyment and wellness. Have the finest dining experience with delightful and healthy meals catering to dietary requirements and preferences. Surrounded by well-maintained gardens and inviting common spaces, Oak Ridge Alzheimer’s Special Care Center is a safe place for seniors to keep their dignity in their golden years.

Contact Oak Ridge Alzheimer’s Special Care Center

Overview of Arabella of Athens Senior Living

Located in the beautiful town of Athens, TX, Arabella of Athens Senior Living delivers a dynamic blend of comfort, care, and convenience, making every day exceptional for its residents. The community offers a range of living options, including assisted living, independent living, and memory care. Residents can choose from one- and two-bedroom apartments, each thoughtfully designed to accommodate individual preferences and ensure lasting comfort.

Arabella of Athens Senior Living boasts a variety of amenities, including pet-friendly apartments, beautifully landscaped courtyards, a fitness center, a full-service salon, a movie theater, a library, and an activity room. The community provides comprehensive services to ensure a seamless and supportive living experience. With its exceptional blend of amenities and services, Arabella of Athens Senior Living ensures that residents enjoy a vibrant, secure, and fulfilling lifestyle.

Contact Arabella of Athens Senior Living

Overview of Autumn Wind Senior Living

Situated in the peaceful neighborhood of Winnsboro, TX, Autumn Wind Senior Living is an idyllic senior living community designed to offer support to residents who wish to maintain their independence for as long as possible through its excellent assisted living and independent living services. Dedicated to helping its residents live their best lives, the community provides the comfort of having 24/7 care services, graciously-appointed residences, and an array of resort-style amenities. Convenient services, such as housekeeping, laundry, and maintenance are also offered to offer a truly carefree experience.

Residents here enjoy access to all the good things in life, including a vibrant calendar of fun and enriching activities, a delectable dining experience, and beautifully maintained community spaces. The community also provides access to on-site physical therapy to make sure residents maintain their optimal mobility and strength. Various safety features, including emergency pull cords are also offered to guarantee residents’ safety and offer peace of mind.

Contact Autumn Wind Senior Living

Overview of Parkway Assisted Living

Parkway Assisted Living is a small, 16-bed assisted living community located at 4331 Parkway Drive in San Antonio, Texas. Operated by Parkway Assisted Living and administered by Sylvia Mendoza, the single-story home has served seniors in the city’s Inner West Side neighborhood for seven years.

The facility offers private and semi-private suite-style rooms, each featuring personal closets, direct bathroom access, wall-mounted televisions, and built-in emergency response systems. Daily operations are structured around a quiet, home-like environment where resident families are encouraged to participate in activities and meals. Staff are present on-site 24 hours a day to provide individualized support, and a dedicated kitchen team prepares home-cooked meals made to accommodate unique dietary restrictions.

The surrounding residential neighborhood is somewhat car-dependent, carrying a walk score of 36, meaning most errands and family visits require a vehicle. Records from the Texas Health and Human Services Commission show that the community maintains its Type B assisted living license with a solid compliance history and no active enforcement penalties.

Families seeking a collaborative residential senior care option in West San Antonio can contact the administrative office to discuss current suite openings.

Contact Parkway Assisted Living LLC

Teresas‘s House

6521 Collin Mckinney Pkwy, Mckinney, TX 75070
Overview of Teresas‘s House

Operated by Teresa’s House – Craig Ranch LLC, Teresa’s House is an assisted living and memory care community in McKinney, Texas. The community is about 5.3 miles from the city center and around 4 miles from Medical City McKinney. Its single-story setting has 16 beds with private rooms, offering a smaller residential environment compared with a larger senior living campus.

Care is shaped around each resident’s individual needs. Staff provides support around the clock. Residents receive help with daily activities, along with medication management and administration. Specialized programs focus on memory support and cognitive engagement.

The community maintains a staff-to-resident ratio of 1:5, allowing residents to receive regular hands-on attention. Staff also prepare meals and take care of laundry and housekeeping. Programs for mental stimulation and physical fitness add structure and activity to residents’ daily routines.

The Texas Health and Human Services Commission conducts inspections of the community. Reviews have found Teresa’s House meeting state health and safety standards. No cited deficiencies or substantiated complaints are on record.

Residents can use transportation services and take part in fitness and recreation activities. Pets are also welcome at the community. The surrounding neighborhood is car-dependent. Residents and visiting family will generally need to drive for outside appointments and other trips. Families considering memory care should ask how the memory-support programs are structured to match their loved one’s individual needs.

Contact Teresas‘s House

Overview of Heartis Longview Assisted Living

A 164-bed facility in operation since January 2014, Heartis Longview Assisted Living operates at 1408 Lago Trail in Longview, Gregg County, Texas, under the administration of Miranda Mcdaniel. Legal ownership rests with Heartis Fountainview Partners, LP, with Frontier Senior Living LLC providing management. The facility offers assisted living and memory care in a single-story structure with 22 dedicated Alzheimer’s units.

Room configurations span studio, 1-bedroom, and 2-bedroom options from 355 to 600 square feet.

A comprehensive Texas HHSC inspection conducted May 22, 2023 documented 11 life safety code deficiencies; substantially exceeding the Texas assisted living average of 6 total citations. Every identified violation relates to Life Safety Code standards; no Health Code violations were cited. Specific findings included fire safety non-compliance with NFPA 101 standards, inadequate sprinkler system design, insufficient emergency lighting, unsecured gate access, missing exit signage with emergency power, and unaddressed site hazards. While no enforcement actions resulted from the inspection, the breadth of life safety findings warrants careful consideration by prospective residents and families.

Dining operations include chef-prepared meals offered in a main dining room featuring water views, with bistro-style coffee service and grab-and-go alternatives.

Clinical staffing includes licensed nurses and certified nursing assistants maintaining 24-hour availability. The community provides beauty services, scheduled transportation, housekeeping, exercise programming, recreational activities, respite care, short-term rehabilitation services, and formal Alzheimer’s certification. The community philosophy incorporates Montessori-inspired principles in activity design and resident engagement.

With a Walk Score of 13, the facility occupies a car-dependent location 2.1 miles from Longview’s city center. Monroe County Hospital-affiliated Acuity Diagnostics is approximately 1.47 miles distant.

Heartis Longview Assisted Living serves central Texas seniors age 55 and older seeking residential memory care and assisted living services in Longview, with recognition that prospective residents should thoroughly evaluate life safety infrastructure and regulatory compliance status.

Contact Heartis Longview Assisted Living

Overview of Pembroke Angel Care

Tucked away in San Antonio, TX, Pembroke Angel Care provides a warm and comforting environment for those who need quality assisted living. Residents enjoy the convenience of having a team of qualified caregivers by their side to support them with their daily routines like personal hygiene and medication reminders. An in-house doctor and various therapy services are also available to help residents maintain their health and overall well-being.

There’s a wide array of enriching indoor and outdoor activities for residents to enjoy, helping them lead a vibrant and fulfilling life. Fresh and healthy meals are also served daily to make sure residents are properly nourished and energized throughout the day. With its extensive array of care services and experience in delivering care, Pembroke Angel Care ensures residents live a truly comfortable life.

Contact Pembroke Angel Care, LLC

Overview of Longhorn Village

Longhorn Village is a nursing home in Austin, Texas, located on Longhorn Parkway on the city’s western edge. The community has been in operation for 21 years and is owned by Stacy Hibma. It is a 60-bed community currently running at about 51 percent occupancy, which means there tends to be more room available here than at communities running closer to full capacity.

Care includes rehabilitation services, respite care, and 24-hour staffing, with a nursing team that averages 5 hours and 35 minutes of direct nursing care per resident each day. That level of daily attention is worth noting for families weighing options for a loved one who needs steady, hands on support. Longhorn Village accepts Medicaid, Medicare, and private pay, which gives families several ways to cover the cost of care.

State inspection reviews of the community have centered on administrative and documentation matters rather than resident care or safety concerns, with no complaints substantiated. That pattern points to a facility whose day to day regulatory footing tends to run smoothly.

Outside of clinical care, residents have access to a fitness center, library, and outdoor spaces, along with salon and spa services. Building-wide wifi, emergency call systems, and a secured perimeter round out the safety and comfort features. A Lifelong Learning program gives residents a structured way to stay engaged. The location is car-dependent, with a Walk Score of 20, so getting around the neighborhood will typically mean driving rather than walking.

Contact Longhorn Village

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.

Contact Blue Skies of Texas East

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.
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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.