Page 38 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. 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.
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.
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.
Promiseland Assisted Living
AL
Lubbock
14
Facility 14
TX AVG 69
Rank #645 / 752
-No
60
Facility 60
TX AVG 40
Rank #168 / 865
23
Facility 23
TX AVG 17
Rank #87 / 410
-Promiseland Assisted Living LP
0
Facility 0
TX AVG 6
Rank #1 / 736
--1 Bed / 2 Bed
The Legacy Midtown Park
AL
HOS
IL
MC
NH
SNF
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 69
Rank #207 / 752
?Yes
45
Facility 45
TX AVG 40
Rank #368 / 865
5
Facility 5
TX AVG 17
Rank #359 / 410
-The Legacy Midtown Park, Inc
1
Facility 1
TX AVG 6
Rank #82 / 736
1-Studio / 1 Bed / 2 Bed
Buckner Parkway Place
AL
IL
MC
NH
RC
Houston (Energy Corridor)
42
Facility 42
TX AVG 69
Rank #504 / 752
?Yes
81
Facility 81
TX AVG 40
Rank #19 / 865
--Buckner Retirement Services, Inc
1
Facility 1
TX AVG 6
Rank #82 / 736
151 Bed / 2 Bed
Wesley Court Senior Living
AL
IL
NH
RC
SNF
Abilene (Far Southside)
30
Facility 30
TX AVG 69
Rank #547 / 752
?No
5
Facility 5
TX AVG 40
Rank #827 / 865
21
Facility 21
TX AVG 17
Rank #99 / 410
-Wesley Court, LLC
2
Facility 2
TX AVG 6
Rank #156 / 736
-2-
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio
60
Facility 60
TX AVG 69
Rank #388 / 752
?No
75
Facility 75
TX AVG 40
Rank #34 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
A+Incarnate Word Retirement Community, Inc
13
Facility 13
TX AVG 6
Rank #632 / 736
49-
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 69
Rank #129 / 752
?No
71
Facility 71
TX AVG 40
Rank #59 / 865
55
Facility 55
TX AVG 17
Rank #1 / 410
--
9
Facility 9
TX AVG 6
Rank #540 / 736
63-
The Oaks at Flower Mound Assisted Living & Memory Care
AL
MC
Flower Mound
103
Facility 103
TX AVG 69
Rank #191 / 752
DYes---Csh Flower Mound Licensee LLC
11
Facility 11
TX AVG 6
Rank #597 / 736
56-
Rolling Meadows Retirement Community
AL
IL
MC
NH
SNF
Wichita Falls
86
Facility 86
TX AVG 69
Rank #266 / 752
?Yes
50
Facility 50
TX AVG 40
Rank #291 / 865
8
Facility 8
TX AVG 17
Rank #299 / 410
A+Wichita Falls Retirement Foundation
3
Facility 3
TX AVG 6
Rank #200 / 736
31-
SilverCrest Assisted Living and Memory Care
AL
MC
RESC
Katy (Cypress)
16
Facility 16
TX AVG 69
Rank #565 / 752
-No
39
Facility 39
TX AVG 40
Rank #447 / 865
8
Facility 8
TX AVG 17
Rank #321 / 410
-Silvercrest Villages #2, LLC
1
Facility 1
TX AVG 6
Rank #82 / 736
--Single Apartment / Double Apartment
The Legacy at Cimarron
AL
MC
RC
El Paso (Northwest El Paso)
110
Facility 110
TX AVG 69
Rank #151 / 752
?Yes
14
Facility 14
TX AVG 40
Rank #739 / 865
9
Facility 9
TX AVG 17
Rank #273 / 410
A+Lac Tenant LLC
6
Facility 6
TX AVG 6
Rank #400 / 736
16Studio / 1 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 Promiseland Assisted Living

Promiseland Assisted Living of Lubbock is a senior living community in Lubbock, TX, offering assisted living services to its residents. It boasts of the quality of dedication they provide in caring for their residents, making sure that each program is tailored to their specific needs. This senior living community offers five assisted living locations within Lubbock, all of which has options for private or semi private rooms with baths. Their dedicated staff also provides 24/7 supervision and care to their residents, making sure that help is provided anytime it is needed.

The residents of Promiseland Assisted Living also enjoy a myriad of amenities this senior living community provides. Such amenities include home-style cooked meals prepared with dietary consideration of residents, assistance to daily living activities, and medication management. The staff also handles housekeeping and laundry, to make sure that the residents can focus on enjoying their stay in this community.

Contact Promiseland Assisted Living

Overview of The Legacy Midtown Park

The Legacy Midtown Park is at 8240 Manderville Ln in Dallas’s Midtown corridor; a high-rise nursing facility, which is an unusual configuration that signals something about the kind of experience the building is designed to deliver. Five years into operation, it carries 98 beds across one- and two-bedroom floor plans, with 86 currently occupied. An 88% occupancy rate at a post-acute facility is a substantive number; it means this building is running close to capacity.

The 37-day average length of stay defines the model: short-stay, post-acute, recovery-focused. Nursing coverage totals 5 hours and 25 minutes per resident per day; 4 hours and 2 minutes from nurse aides, 1 hour and 15 minutes from LPN/LVN staff, and 51 minutes of RN time. Medicare and private pay are accepted; the absence of Medicaid is consistent with the private-pay orientation one would expect from a high-rise Midtown building with apartment-style floor plans. The Walk Score of 45 reflects a somewhat walkable area where some nearby services are reachable, but most trips require a car.

State inspections have touched on emergency preparedness, care planning, and documentation. For someone leaving a Dallas hospital who wants a short-stay rehabilitation setting that looks and operates more like a residential building than a traditional nursing facility, The Legacy Midtown Park’s profile of a high-rise layout, high occupancy, strong nursing hours, and a five-year operating track record makes it one of the more distinctive options in the Dallas market.

Contact The Legacy Midtown Park

Overview of Buckner Parkway Place

Embrace phenomenal senior living with Buckner Parkway Place situated in Houston, TX. Offering a comprehensive range of exceptional services including independent living, assisted living, memory care, long-term care, and respite services, this community is committed to providing top-of-the-line care and support for its residents in an exciting and vibrant environment. Elegant and cozy accommodations are available and tailored to the preferences of its residents. Having a highly equipped and passionate team, residents can receive personalized care and support catering to their immediate needs and interests.

Discover its top-quality amenities and services where residents can make the most out of their stay. Indulge in delectable and healthy meals based on dietary needs prepared by a talented culinary team. Boost engagement and wellness by joining a carefully designed set of activities and programs. At Parkway Place Senior Living, seniors can enjoy a glorious living experience.

Contact Buckner Parkway Place

Overview of Wesley Court Senior Living

Wesley Court is a senior living community located in Abilene, TX, offering a variety of services including assisted living, respite care, rehabilitation, and skilled nursing services. This senior living community provides individualized care tailored to meet the needs of their residents without taking away their sense of independence. They offer one and two bedroom apartments equipped with kitchenettes. Their assisted living services include 24/7 supervision and assistance from certified nursing staff, medication management, pharmacy services, emergency response system throughout the facility, and assistance to daily living activities.

The residents of Wesley Court also enjoy top quality amenities. This includes chef inspired meals, transportation assistance for medical appointments, access to wellness areas, and scheduled programs and activities that promote physical and mental wellness. They also offer housekeeping and laundry services to ensure that residents can have a worry-free, comfortable stay.

Contact Wesley Court Senior Living

Overview of The Village at Incarnate Word

The Village at Incarnate Word offers nursing home, assisted living, home care, independent living, memory care, nursing care, and skilled nursing in San Antonio, Texas. Independent living provides private living with community services and no daily care, while assisted living offers 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. Nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock, while home care brings support to a person’s residence. Several care levels can suit a resident whose needs grow over time, allowing a move between levels without leaving the community or starting over socially.

Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community opened in 1988 and is operated by Incarnate Word Retirement Community. It has 60 beds, with total nurse staffing of 4 hours and 19 minutes per resident per day, representing the daily hands on nursing time assigned to each resident.

Medicaid, Medicare, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence. A Walk Score of 75 out of 100 places the area in the very walkable band, meaning most errands can be completed on foot; a resident who no longer drives can still reach nearby shops, pharmacies, or cafes independently.

The community has a salon or spa and rehabilitation services, giving residents access to grooming and rehabilitation without arranging those services elsewhere. Religious services and a Spiritual Life program are also available for residents who want to participate.

Contact The Village at Incarnate Word

Overview of Saint Francis Nursing Home

Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.

At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.

Contact Saint Francis Nursing Home

Overview of The Oaks at Flower Mound Assisted Living & Memory Care

The Oaks at Flower Mound Assisted Living & Memory Care offers assisted living and memory care in Flower Mound, TX. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps their own apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

The combination of care levels may suit a resident whose needs grow over time, since care can change without leaving the community. The community has 103 beds. Pets are allowed, giving residents the option to live with a pet, and Csh Flower Mound Licensee operates the community.

Contact The Oaks at Flower Mound Assisted Living & Memory Care

Overview of Rolling Meadows Retirement Community

Rolling Meadows Retirement Community in Wichita Falls, TX offers pet friendly independent living options for active seniors looking to live independently but with the comfort and security of easy access to medical help and assistance, should they need it. They offer one-to-three bedroom cottages and apartments featuring full kitchens and patios/balconies, and individual heating and air conditioning units. All the units and facilities at Rolling Meadows are also equipped with 24hr emergency call systems.

There’s so many things any active senior can do at Rolling Meadows Retirement Community such as trying their fine dining in the Renaissance Room Restaurant, working up a sweat at their fitness center, or spending time with their beloved pet at the designated dog park.

Price range $5,500 - $7,500/Month

Contact Rolling Meadows Retirement Community

Overview of SilverCrest Assisted Living and Memory Care

Ideally situated in the harmonious neighborhood of Settlers Village Drive, Katy, TX, SilverCrest Senior Living is an idyllic retreat that offers assisted living and memory care. With its dedication to improving residents’ welfare, the community provides top-tier care and assistance from a compassionate and well-trained team around the clock. The community also promises the utmost attention for every resident with a high ratio of team members to residents. Here, residents retain their independence without having to worry about anything with the community that is willing to help with their day-to-day activities whenever necessary.

Lead a fun-filled and meaningful life with a variety of activities and programs tailored to residents’ leisure and wellness. Have hassle-free dining with healthy and delicious meals catering to residents’ dietary needs and preferences. Enjoy the highest quality of life in your later years with the community’s purposely designed amenities and dedicated services.

Contact SilverCrest Assisted Living and Memory Care

Overview of The Legacy at Cimarron

Owned by Lac Tenant LLC, The Legacy at Cimarron is a 110-bed assisted living and memory care community in Northwest El Paso, Texas. Lifewell Senior Living manages the community, with Executive Director Jacob Boggs serving as administrator. The two-story building offers studio and one-bedroom housing options. It has been operating for 9 years.

Memory care is a central part of the community rather than an added service. The Legacy at Cimarron holds an Alzheimer’s certification and offers its Connections program for residents living with memory loss. The program follows what the community calls its 7 Pillars of Memory Care. These include choice-based living, thoughtful dining, personalized care, and ongoing partnerships with residents’ families, among other areas. About 30 of the community’s 110 beds are dedicated Alzheimer’s units, so memory care has its own defined space within the larger community.

Transportation services and organized fitness and recreation programs are available for residents. Pets are allowed in the community. The car-dependent area has a Walk Score of 14, so most errands and outings require driving.

The Texas Health and Human Services Commission inspects the community as part of its regular oversight of assisted living communities. Past reviews have focused on abuse-reporting procedures and safe oxygen storage practices. The community has had to address these areas as part of its standard compliance work.

Families considering memory care may ask about current staff-to-resident ratios during a tour. Overall, The Legacy at Cimarron is a mid-sized community with a strong focus on memory care. Its named memory care program and dedicated Alzheimer’s units provide a clear setting for cognitive care within the larger assisted living community.

Contact The Legacy at Cimarron

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.