Page 53 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. 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.
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.
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 Plaza at Edgemere Health Care
AL
IL
MC
NH
RC
SNF
Dallas (Preston Hollow)
129
Facility 129
TX AVG 69
Rank #75 / 752
?No
58
Facility 58
TX AVG 40
Rank #184 / 865
-Bay 9 Holdings LLC
5
Facility 5
TX AVG 6
Rank #341 / 736
23-
Holly Hall
AL
CCRC
IL
NH
SNF
Houston
60
Facility 60
TX AVG 69
Rank #388 / 752
?Yes
56
Facility 56
TX AVG 40
Rank #207 / 865
-Holly Hall
9
Facility 9
TX AVG 6
Rank #540 / 736
451 Bed / 2 Bed
Juniper Village at Spicewood Summit
AL
IL
MC
NH
SNF
Austin
109
Facility 109
TX AVG 69
Rank #159 / 752
?No
73
Facility 73
TX AVG 40
Rank #47 / 865
-S-H Opco Spicewood Springs LLC
2
Facility 2
TX AVG 6
Rank #156 / 736
-2-
Bethesda Gardens Memory Care Community
AL
MC
RC
Fort Worth
62
Facility 62
TX AVG 69
Rank #384 / 752
C+Yes
28
Facility 28
TX AVG 40
Rank #576 / 865
-Bethesda Foundation
11
Facility 11
TX AVG 6
Rank #597 / 736
38-
Meadowood
AL
MC
Grapevine
85
Facility 85
TX AVG 69
Rank #274 / 752
?No
60
Facility 60
TX AVG 40
Rank #168 / 865
-Meadowood Alf, LLC
10
Facility 10
TX AVG 6
Rank #576 / 736
55Studio / 1 Bed / 2 Bed
Rosemont
AL
MC
Humble (Pinehurst Of Atascocita)
120
Facility 120
TX AVG 69
Rank #106 / 752
?Yes
42
Facility 42
TX AVG 40
Rank #403 / 865
-Csl Kingwood, LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
-4Suite
Acorn Manor Assisted Living
AL
HOS
IL
MC
The Woodlands
11
Facility 11
TX AVG 69
Rank #665 / 752
?Yes
64
Facility 64
TX AVG 40
Rank #114 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
Priyanka Johri
18
Facility 18
TX AVG 6
Rank #685 / 736
118Private / Shared Rooms
Mustang Creek Estates of Keller
AL
MC
Keller
15
Facility 15
TX AVG 69
Rank #639 / 752
?Yes
5
Facility 5
TX AVG 40
Rank #827 / 865
8
Facility 8
TX AVG 17
Rank #299 / 410
Mce II Op Co LLC
3
Facility 3
TX AVG 6
Rank #200 / 736
39Private Rooms / Shared Rooms
The Heritage House of Richardson
AL
HC
HOS
PC
Richardson
9
Facility 9
TX AVG 69
Rank #687 / 752
?No
11
Facility 11
TX AVG 40
Rank #764 / 865
9
Facility 9
TX AVG 17
Rank #273 / 410
The Heritage House Of Plano, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
4-Private / Semi-Private Rooms
Cozy Living Community
AL
RESC
Missouri City
10
Facility 10
TX AVG 69
Rank #670 / 752
?No
42
Facility 42
TX AVG 40
Rank #403 / 865
8
Facility 8
TX AVG 17
Rank #299 / 410
Cozy Living Community
10
Facility 10
TX AVG 6
Rank #576 / 736
310Private / Semi-Private Rooms

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 The Plaza at Edgemere Health Care

The Plaza at Edgemere is a remarkable healthcare community located in the charming Preston Hollow neighborhood. The Tuscan inspired architecture is a sight to behold, and the apartments starting at 1000 square feet are spacious and elegant. This community offers assisted living, memory support, and skilled nursing, rehabilitation services. Understanding that senior living is continually evolving, they constantly upgrade their services to stay up-to-date with the latest trends and technology. The beautifully landscaped grounds, as well as spacious patios and balconies, offer a peaceful environment where residents can enjoy a peaceful abode.
This home takes away the stress of home maintenance, allowing residents to focus on enjoying their golden years. Concierge services, housekeeping, and laundry, transportation services, and even underground parking for the convenience of its residents, are rendered with superb quality. Residents can take advantage of a wide range of amenities, including a library for book lovers, putting green, billiard room, herb garden, guest suites that provide comfortable accommodations for visitors,  an arts studio and woodshop offering creative spaces for artists and craftsmen, and a heated indoor pool. The Plaza at Edgemere Health Care truly offers a luxurious and fulfilling lifestyle for retirees.

Contact The Plaza at Edgemere Health Care

Overview of Holly Hall

Seventy years is a long time for any nursing home to keep its doors open, and Holly Hall has managed it from the same address in Houston’s Astrodome Area: 2000 Holly Hall Street. Dana Short administers the place now. It’s nonprofit, 62 beds, laid out as a single-story cottage-style building with one- and two-bedroom units, currently running at 76% occupancy with 47 of those beds filled.

The neighborhood itself sits at a Walk Score of 56, moderately walkable, enough for some errands on foot without eliminating the need for a car entirely.

Here’s the number that actually tells you something about care quality: nearly 4 hours and 45 minutes of total nursing care per resident, per day, split across RNs, LPNs, and nurse aides. That’s a meaningful daily commitment, and it lines up with what Holly Hall is actually built for.

The average stay runs just 26 days, which points toward short-term, rehabilitation-focused care rather than long-term residency. Medicare covers 38% of admissions, mostly for rehab. Private pay accounts for 61%, and Medicaid rounds out the picture.

Regulatory attention here has centered on emergency preparedness and food service, the kind of routine categories inspectors look at across nursing homes broadly, not anything specific to this address.

What seventy years and a 4-hour-45-minute daily staffing commitment add up to is a nursing home built around short-stay, rehabilitation-focused care, backed by real nursing hours and broad payment access, in a long-standing Houston institution that’s outlasted most of its neighbors.

Contact Holly Hall

Overview of Juniper Village at Spicewood Summit

Juniper Village at Spicewood Summit offers independent living, assisted living, memory care, and nursing home care with skilled nursing in Austin, Texas. Its range of care levels may suit a resident whose needs grow over time, since care can continue within the same community.

Independent living provides private living with community services and no daily care. Assisted living adds help with daily tasks such as bathing, dressing, and medication. Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing provides licensed nursing care around the clock.

The community offers long term skilled care, short term rehabilitation, and respite care. Short term rehabilitation supports a temporary, recovery focused stay, while respite care provides a short stay when a usual caregiver needs to travel or recover. With 109 beds, the community may be a good fit for someone who needs one of these care arrangements, including a resident whose needs may change over time.

Total nurse staffing is 4h 19m per resident per day, representing the daily nurse staffing time allocated to each resident. Medicare and private pay are accepted, giving families payment options for eligible short term skilled care or direct payment for services. A Walk Score of 73 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. S-H Opco Spicewood Springs operates the community.

Contact Juniper Village at Spicewood Summit

Overview of Bethesda Gardens Memory Care Community

Bethesda Gardens Memory Care Community provides assisted living, memory care, and respite care in Fort Worth, TX. Assisted living provides help with daily tasks while allowing a resident to maintain their own living space, while memory care offers a secured setting with supervision for someone at risk of wandering. Respite care provides a short stay for a resident while a usual caregiver travels or recovers.

The community has 62 beds and is operated by Bethesda Foundation. Pets are allowed, so a resident may be able to continue living with a pet. Wheelchair accessibility supports residents who use wheelchairs for mobility.

Restaurant-style dining gives residents meals served in a restaurant-style setting, with an emphasis on nutrition and variety. Garden spaces and outdoor barbecue areas provide places for residents to spend time outdoors, while religious services offer an on-site worship option. Bethesda Gardens Memory Care Community may be a good fit for someone living with dementia who needs a supervised setting or for a family seeking a short-term respite stay.

Contact Bethesda Gardens Memory Care Community

Overview of Meadowood

Part of the Legend Senior Living group, Meadowood is an assisted living and memory care community in Grapevine, Texas. The community is operated by Meadowood ALF, LLC. It is located on Merlot Avenue, about 3 miles from Baylor Scott & White Medical Center, providing convenient access to nearby hospital care.

The single-story community has 85 beds and offers studio, one-bedroom, and two-bedroom apartments. Its single-level design makes it easy for residents with mobility concerns to get around easily. Meadowood also holds an Alzheimer’s certification, reflecting its specialised memory care program alongside assisted living services.

Residents receive housekeeping and transportation services. There are also fitness programmes, recreational activities, and on-site beauty services. These amenities support an active lifestyle while reducing many of the everyday tasks of daily living. Also, residents won’t need to leave the community.

The neighbourhood has a Walk Score of 60, which is moderately walkable. Some nearby shops and services can be reached on foot, but other errands and outings require a short drive.

State inspections by the Texas Health and Human Services Commission have mainly focused on fire safety documentation, food handling, and staff background verification rather than direct resident care. Families touring Meadowood should ask how these areas are managed as part of the community’s daily operations.

Contact Meadowood

Rosemont

6450 Kings Pkwy, Humble, TX 77346
Overview of Rosemont

Conveniently located in the neighborhood of Atascocita, Texas, Rosemont is a classic senior living community, offering extensive assisted living and memory care services. The community ensures residents are well-cared for by offering a dependable team of caregivers to provide them with compassionate assistance with their daily living activities. Bright and spacious accommodations are provided to give residents a peaceful living environment where they can spend quality time and rest comfortably.

Residents thrive and live fully with a wonderful array of activities and social events conducted by the community regularly. With the convenience of housekeeping, laundry, and maintenance services, residents are guaranteed to enjoy a maintenance-free and worry-free lifestyle. Three meals and snacks are offered daily to make residents’ stay more fulfilling and satisfying.

Contact Rosemont

Acorn Manor Assisted Living

25807 Budde Rd, The Woodlands, TX 77380
Overview of Acorn Manor Assisted Living

Surrounded by delightful restaurants and convenient local amenities in peaceful The Woodlands, TX, Acorn Manor Assisted Living is a distinguished group of 5 residential care homes offering assisted living, memory care, independent living, and hospice care. Committed to improving residents’ well-being, each community provides top-notch care and support tailored to residents’ unique needs. Here, residents enjoy their later years with their furry companions in the community’s pet-friendly and welcoming environment.

Elevate your retirement with a full slate of fun activities and engaging programs tailored to residents’ interests and strengths. The community also utilizes innovative technology to ensure residents remain well-connected to their families. Here, residents enjoy healthy and delightful meals that cater to dietary needs and preferences. Make every moment of your golden years count while receiving the community’s dedicated care and beautifully designed amenities.

Contact Acorn Manor Assisted Living

Overview of Mustang Creek Estates of Keller

Overlooking the beautiful neighborhood of Keller, TX, Mustang Creek Estates of Keller is a welcoming senior living community that provides excellent assisted living, enhanced assisted living, and memory care services. The community accommodates around 46 residents in their well-designed and spacious accommodations, allowing for a focused and personalized attention and fostering an intimate environment that encourages tight-knit relationships. Residents can rest easy with an array of supportive services offered, including assistance with daily living, 24-hour incontinence care, and specialized memory care.

Each day is a chance to live fully with a wide array of vibrant social activities, exciting excursions, and various exercise classes. Residents have plenty of time to spend on their hobbies or exploring what the community has to offer with daily cleaning, laundry & linen handled by an attentive team. Three home-cooked meals a day and snacks curated by a registered dietician ensures residents have the energy and the proper nourishment for a healthy lifestyle.

Contact Mustang Creek Estates of Keller

Overview of The Heritage House of Richardson

Continue enjoying your passions in your golden years with the help of The Heritage House of Richardson, a reliable community in Richardson, TX that offers assisted living. The community strives to make residents’ lives as comfortable as possible by assisting them with their daily living activities and offering additional care services like regular physician visits. Residents here can also freely enjoy their personal time without worrying about household chores like cleaning and laundry.

The atmosphere in the community is always vibrant with an array of exciting and enriching activities to enjoy. Mealtimes are always delightful with tasty and healthy meals served fresh daily. At The Heritage House of Richardson, they strive to create a supportive and engaging environment that allows residents to live their golden years with joy and confidence.

Contact The Heritage House of Richardson

Cozy Living Community

1405 Adams St, Missouri City, TX 77489
Overview of Cozy Living Community

Cozy Living Community in Fort Bend County, Missouri City, TX, is a compassionate senior living community that offers quality assisted living services. Residents are provided with a comfortable living environment with access to a team of caring and hardworking caregivers devoted to providing assistance, personalized care and comfort for elderly residents. From assistance with daily living activities to companionship and supervision, residents enjoy a wide array of services that empowers them to live confidently in a safe and secure environment.

Basic housekeeping and laundry services are also offered to relieve residents from the common hassles of daily living and provide them plenty of time to spend on their wellness and happiness. Three nutritious meals daily, plus snacks and beverages are offered to every resident to make sure they eat healthy and right on time without the hassles of grocery shopping, cooking, and cleaning. Planned social activities; arts and crafts are also offered to keep residents happy, entertained, well-connected, and active.

Contact Cozy Living Community

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.