Page 50 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. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Mercy House Waco
AL
MC
Waco (Cedar Ridge)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
50
Facility 50
TX AVG 40
Rank #291 / 865
17
Facility 17
TX AVG 17
Rank #148 / 410
Darsea Holdings, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
44-
Brookdale Watauga
AL
Watauga
50
Facility 50
TX AVG 69
Rank #467 / 752
Yes
61
Facility 61
TX AVG 40
Rank #151 / 865
-Brookdale Senior Living Communities, Inc
0
Facility 0
TX AVG 6
Rank #1 / 736
2-Studio / 1 Bed
Brookdale The Heights
AL
MC
Houston (Northside)
188
Facility 188
TX AVG 69
Rank #10 / 752
Yes
59
Facility 59
TX AVG 40
Rank #175 / 865
-Arc Pinegate L P
7
Facility 7
TX AVG 6
Rank #449 / 736
27Studio / 1 Bed
The Oxford Grand
AL
MC
Mckinney
95
Facility 95
TX AVG 69
Rank #223 / 752
Yes
58
Facility 58
TX AVG 40
Rank #184 / 865
-Ashr Mckinney, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
22Studio / 1 Bed / 2 Bed
Elan Westpointe
AL
MC
New Braunfels
128
Facility 128
TX AVG 69
Rank #83 / 752
Yes
47
Facility 47
TX AVG 40
Rank #342 / 865
10
Facility 10
TX AVG 17
Rank #254 / 410
Sabra Healthcare Reit, Inc
9
Facility 9
TX AVG 6
Rank #540 / 736
19-
Belmont Village Senior Living West University
AL
MC
RC
Houston (Braeswood)
174
Facility 174
TX AVG 69
Rank #18 / 752
Yes
83
Facility 83
TX AVG 40
Rank #15 / 865
-Belmont Village West University Tenant LLC
15
Facility 15
TX AVG 6
Rank #652 / 736
-15Studio / 1 Bed / 2 Bed
Arabella of Athens Senior Living
AL
CCRC
IL
MC
Athens
66
Facility 66
TX AVG 69
Rank #358 / 752
Yes
6
Facility 6
TX AVG 40
Rank #814 / 865
11
Facility 11
TX AVG 17
Rank #234 / 410
Quality Senior Housing Foundation Of East Texas, Inc
3
Facility 3
TX AVG 6
Rank #200 / 736
13Studio / 1 Bed / 2 Bed
Brookdale Lake Brazos
AL
MC
Waco (North Lake Waco)
101
Facility 101
TX AVG 69
Rank #195 / 752
Yes-
17
Facility 17
TX AVG 17
Rank #148 / 410
Esc IV, L.p
2
Facility 2
TX AVG 6
Rank #156 / 736
12Suite
Brookdale Galleria
AL
CCRC
IL
NH
SNF
Houston (Westside)
46
Facility 46
TX AVG 69
Rank #491 / 752
Yes
89
Facility 89
TX AVG 40
Rank #6 / 865
-S-H Opco Galleria, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
-41 Bed / 2 Bed
Orchid Care Homes
AL
HOS
PC
RESC
RC
Carrollton (North Central)
9
Facility 9
TX AVG 69
Rank #687 / 752
No
28
Facility 28
TX AVG 40
Rank #576 / 865
2
Facility 2
TX AVG 17
Rank #392 / 410
Orchid Care Homes LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--Single / Shared / Private Suites

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 Mercy House Waco

Mercy House in Waco, Texas, comprises a dedicated team of assisted living and memory care professionals, offering specialized housing and care services for seniors. Renowned for their exceptional approach, they empathize with the challenges of transitioning to a new living arrangement. Their well-organized team prioritizes resident care, creating a familial atmosphere in this historically rich location. With a focus on individualized care, Mercy House accommodates up to 16 residents, ensuring each receives personalized attention.

As an assisted living facility that feels like family, Mercy House welcomes short-term stays, providing indoor and outdoor common areas. This secure community, particularly beneficial for those with memory loss, stands out for its inclusivity, offering American Sign Language communication and Spanish-speaking staff. Residents, especially those with disabilities, can find comfort in this small yet comprehensive assisted living home, fostering a sense of community in the field of senior living.

Starting Price $4,000/Month

Contact Mercy House Waco

Overview of Brookdale Watauga

Nestled in Watauga, Texas, near Fort Worth, Brookdale Watauga is an assisted living retirement community designed to help seniors with personal needs like bathing or dressing, allowing them to spend the rest of their day doing what they want without a care in the world. The community connects residents with others who share similar interests and life experiences, enabling them to enjoy a social and active lifestyle. When residents need quiet time, they can retreat to the comfort of their private apartments in the charming one-story building, surrounded by beautifully landscaped grounds.

At Brookdale Watauga, residents can maintain their independent lifestyle while receiving assistance with care needs like medication management, bathing, and dressing. The community’s exciting events calendar offers a constantly changing array of activities, from happy hour socials and dance classes to fitness programs, art workshops, and group excursions. The dining program provides memorable experiences with healthy, delicious meals, catering to residents’ unique dietary needs and preferences.

Starting Price $3,660/Month

Contact Brookdale Watauga

Overview of Brookdale the Heights

Brookdale the Heights sits at 2121 Pinegate Drive in Houston’s Heights neighborhood, a well-established residential area on the northwest inner loop where a Walk Score of 59 means everyday errands are doable on foot often enough to matter. The two-story building offers studio and one-bedroom floor plans across 188 beds, starting at $4,120 per month; a price point that positions this community at the accessible end of the Houston assisted living market.

The staffing model runs on licensed nurses and CNAs with 24-hour coverage, and respite care is available. The amenity list is practical and varied: a library, beauty and barber shop, courtyard and garden, greenhouse and gardening area, game room, walking paths, landscaped grounds, a community kitchen, meeting rooms, and a piano. Activity programming includes a book club, gardening, and social events. An on-site culinary team handles meals.

State inspections have addressed fire-safety systems, emergency preparedness, and housekeeping and upkeep. Brookdale the Heights is a large-capacity assisted living community in one of Houston’s most livable inner-loop neighborhoods, with a starting price, a well-stocked amenity set, and 24-hour licensed staffing that together offer a clear picture of what daily life looks like here for residents and the families budgeting for their care.

$4,120/Month

Contact Brookdale The Heights

Overview of The Oxford Grand

Located on Orchid Drive in McKinney, Texas, The Oxford Grand is an assisted living and memory care community in Collin County. The community is operated by Ashr McKinney, LLC. It is about 2.6 miles from the city center and less than 2 miles from Medical City McKinney.

The community has 95 beds in a two-story building, with studio, one-bedroom, and two-bedroom floor plans. Each residence includes a living area, kitchenette, private bathroom, ample closet space, and an emergency call system. These features give residents their own private space and a quick way to reach help when needed.

Caregivers are available 24 hours a day to provide medication management and assistance with daily activities such as bathing and toileting. The Oxford Grand also holds an Alzheimer’s certification for its memory care program. This reflects specialized support designed for residents with memory care needs not limited to general assisted living.

Residents have access to dining options, life engagement and wellness programs, and organized fitness and recreation activities. Housekeeping and laundry services are included. Transportation services help residents get to medical appointments and run errands. Residents can bring their pets because the community is pet-friendly.

The area has a Walk Score of 58, which is moderately walkable. Some errands can be completed on foot, but other trips require driving.

State inspections are conducted by the Texas Health and Human Services Commission. Reviews have mainly focused on records and administrative processes, including documentation for fire drills and gas heating system checks. These findings have not focused on direct resident care. No complaints against the community have been substantiated.

Contact The Oxford Grand

Elan Westpointe

2140 Independence Dr, New Braunfels, TX 78132
Overview of Elan Westpointe

In the charming town of New Braunfels, Texas, sits Elan, a senior living community that offers a warm and inviting atmosphere, providing assisted living and memory care services for seniors seeking a supportive environment to call home. The community offers a range of living options, including well-appointed studio, one-bedroom, and two-bedroom apartments, each equipped with a private bath and kitchenette. At Elan, residents find solace in the presence of dedicated, certified caregivers who are available 24-7, ready to provide personalized assistance with bathing, dressing, grooming, transferring, and incontinence. Furthermore, Elan’s emergency call system and security services offer peace of mind to both residents and their families.

In addition, Elan offers a plethora of amenities and activities to its residents, such as wellness programs promoting physical and mental health, while nutrition counseling ensures that residents receive tailored dietary support. The community also takes pride in its pet-friendly environment, and residents enjoy the convenience of housekeeping and personal laundry services, giving them time and energy to enjoy the other facilities and activities Elan has to offer. Elan’s commitment to holistic well-being extends to its culinary offerings, freshly prepared, in restaurant-style dining, and served three times a day. Lastly, their move-in assistance and scheduled transportation, makes transitioning into this vibrant community effortless.

Contact Elan Westpointe

Overview of Belmont Village Senior Living West University

Located in Houston, TX, Belmont Village Senior Living West University is an inviting senior living community that offers various levels of care, including Assisted Living, and Memory Care. The community offers an array of elegantly designed studios and one-bedroom apartments, complemented with on-site licensed nurses and well-trained team available 24/7. Additionally, physical, speech and occupational therapy services, as well as assistance with daily living activities, and enriching memory care programs are available to residents to ensure that all of their needs are covered.

The community ensures residents enjoy a vibrant and engaging lifestyle with access to an array of enriching activities and a variety of amenities. Here, residents relish chef-prepared dining, enjoy daily refreshments at the bistro, or get a makeover at the fully-equipped salon. Recognized as Best Memory Care by the U.S News and World Report, the community proves its dedication to providing the highest standard of memory care to residents dealing with the challenges of Alzheimer’s and other forms of dementia.

Contact Belmont Village Senior Living West University

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 Brookdale Lake Brazos

Located in Waco, Texas, Brookdale Lake Brazos provides both assisted living and Alzheimer’s and dementia care in a beautiful community setting. Residents can settle into spacious, private, pet-friendly apartments and engage with friends in the charming, home-like common areas. The community offers convenient access to many stores, shops, and restaurants in nearby Waco, providing the best of both worlds. Brookdale Lake Brazos offers a full calendar of events and activities, and a continuum of care that provides ease of transition should residents need further care.

The assisted living program supports seniors with daily tasks like dressing, bathing, medication management, and chores, allowing them more time to enjoy their retired life. The memory care program provides person-centered care, leading residents through an array of enriching daily activities designed to nurture their current skills and keep them socially engaged. Residents can participate in friendly competitions, try their hand at crafting, or take technology classes. Memory care residents enjoy activities like bowling, flower arranging, and music programs. The restaurant-style dining offers delicious, chef-inspired meals made with fresh, seasonal ingredients, with care of residents

Contact Brookdale Lake Brazos

Overview of Brookdale Galleria

Tucked away in Houston, Texas’ vibrant Galleria district, Brookdale Galleria offers a refined senior living experience tailored to independence and comfort. The community provides both Independent and Assisted Living options, ensuring personalized care that adapts to evolving needs, while our newly renovated apartments offer a modern, welcoming retreat. Residents enjoy easy access to shops, restaurants, and medical facilities, enhancing convenience and peace of mind. Nearby landmarks like the Galleria Mall and tranquil Waterwall Park provide opportunities for leisurely outings.

Brookdale Galleria aims to enrich the lives of residents through engaging activities and exceptional amenities. From chef-prepared meals served daily to a variety of enriching activities such as tai chi, live music, and themed events, there’s always something enjoyable to participate in. We prioritize creating a vibrant community where every resident feels valued and supported, allowing them to embrace each day with comfort and fulfillment. Whether relaxing in our beautifully landscaped grounds or participating in a stimulating activity, residents find a place where they can thrive and live life to the fullest.

Starting Price $3,065/Month

Contact Brookdale Galleria

Orchid Care Homes

1728 Hartford Dr, Carrollton, TX 75007
Overview of Orchid Care Homes

Orchid Care Homes began operations in July 2024 at 1728 Hartford Dr in Carrollton’s North Central neighborhood, a 9-bed community operated by Orchid Care Homes LLC under administrator Simon Koithara. The single-story facility holds a Type B license in Denton County and provides assisted living, home-based care, hospice services, and respite programming with a 1:3 staff-to-resident ratio and continuous registered nurse presence.

Medical complexity defines the community’s service model. The facility manages both peritoneal dialysis and hemodialysis alongside tube feeding, foley catheter care, wound management, and antibiotic infusions. Onsite laboratory testing and X-ray imaging support diagnostic needs, while house-call physicians provide routine visits. Pharmacy delivery is coordinated internally for medication management.

Specialty services include physical, occupational, and speech therapy conducted in-house, music therapy for cognitive and emotional engagement, massage therapy for pain and relaxation, ophthalmologic care through an onsite eye doctor, and rotating mobile dentistry and podiatry clinics.

Programming balances medical oversight with quality of life: daily recreational and social activities, music therapy sessions, card games and Scrabble, spiritual gatherings including Bible study, and celebrations marking birthdays, holidays, and life occasions.

Meals are prepared fresh daily with customization available for Asian, Indian, and specialty dietary preferences.

Security includes certified fire suppression and emergency response systems. As an operation established in 2024, the facility represents new infrastructure with contemporary building systems and protocols.

The Carrollton location sits 3.4 miles from downtown in a somewhat walkable area (Walk Score 28), though most activities require transportation.

This community is designed for residents managing serious medical conditions who benefit from onsite clinical resources, families coordinating end-of-life or temporary respite care, and individuals for whom integrated therapy and physician access support overall care strategy.

Contact Orchid Care Homes

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.