Page 57 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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Last updated
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. 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.
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.
A Touch of Home
AL
IL
MC
Round Rock (Brushy Bend Park)
-Yes
5
Facility 5
TX AVG 42
Rank #1,303 / 1,345
32
Facility 32
TX AVG 21
Rank #121 / 587
Scott Enterprises Inc
10
Facility 10
TX AVG 6
Rank #640 / 839
82Private / Semi-Private Rooms
Sage Oak of Denton
AL
MC
Denton
16
Facility 16
TX AVG 78
Rank #788 / 980
Yes
11
Facility 11
TX AVG 42
Rank #1,215 / 1,345
-Sage Oak Holdings Of Denton, LLC
3
Facility 3
TX AVG 6
Rank #220 / 839
13Suite
Gateway Villas and Gateway Gardens
AL
Marble Falls
52
Facility 52
TX AVG 78
Rank #646 / 980
Yes
16
Facility 16
TX AVG 42
Rank #1,153 / 1,345
-Snh Se Tenant Trs Inc
5
Facility 5
TX AVG 6
Rank #372 / 839
-5Studio / 1 Bed
Eagle Crest Villa Senior Living
AL
IL
Azle
55
Facility 55
TX AVG 78
Rank #634 / 980
No
22
Facility 22
TX AVG 42
Rank #1,064 / 1,345
-Eagle Crest Health Care Lllp
6
Facility 6
TX AVG 6
Rank #442 / 839
42Studio / 1 Bed / 2 Bed
Riva Ridge Assisted Living & Memory Care Center
AL
MC
Leander
16
Facility 16
TX AVG 78
Rank #788 / 980
No
2
Facility 2
TX AVG 42
Rank #1,336 / 1,345
-Knm Senior Care Services LLC
3
Facility 3
TX AVG 6
Rank #220 / 839
-5Private / Semi-Private Rooms
Madisonville Assisted Living
AL
Madisonville
30
Facility 30
TX AVG 78
Rank #765 / 980
No
54
Facility 54
TX AVG 42
Rank #406 / 1,345
-Madisonville III Enterprises, LLC
1
Facility 1
TX AVG 6
Rank #87 / 839
-1-
Alma Residential Care
AL
RESC
Plano (Cross Creek)
5
Facility 5
TX AVG 78
Rank #975 / 980
No
55
Facility 55
TX AVG 42
Rank #384 / 1,345
-Vana Capital Group LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
---
Meadow Creek Senior Living
AL
MC
RC
Lancaster
50
Facility 50
TX AVG 78
Rank #661 / 980
Yes
39
Facility 39
TX AVG 42
Rank #754 / 1,345
-Pleasant Run Senior Living Inc
1
Facility 1
TX AVG 6
Rank #87 / 839
1--
Beehive Homes of Lubbock
AL
MC
RC
Lubbock (Bowie)
14
Facility 14
TX AVG 78
Rank #872 / 980
No
39
Facility 39
TX AVG 42
Rank #754 / 1,345
-P. P. Enterprises LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
---
Lilywest Homes
AL
MC
Rosharon
6
Facility 6
TX AVG 78
Rank #959 / 980
No
4
Facility 4
TX AVG 42
Rank #1,317 / 1,345
2
Facility 2
TX AVG 21
Rank #567 / 587
Lillywest Homes LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
4-Private Rooms

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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A Touch of Home

4301 Crestridge Dr, Round Rock, TX 78681
Overview of A Touch of Home

Experience the best of your golden years at A Touch of Home, a blissful community in Round Rock, TX, offering independent living, assisted living, and memory care. Residents can ease their worries with exceptional care from a compassionate and well-trained team attending to their needs around the clock. Here, pets are also welcome to accompany residents to brighten their moods.

Engaging activities and enriching programs allow residents to interact with their surroundings and create meaningful moments. Mealtimes promote social interactions and satisfy dietary needs with delightful and healthy dining options. The community is ideal for those seeking comfort and independence in retirement, especially with its committed care and state-of-the-art amenities.

Contact A Touch of Home

Overview of Sage Oak of Denton

Part of a family of six sister homes, Sage Oak of Denton is an assisted living and memory care community in Denton, Texas. The two-story residence is located at 3015 Audra Ln. It is operated by Sage Oak Holdings of Denton, LLC, and offers suite-style accommodations. Each home in the group is licensed for 16 beds. The community is about 3. 3 miles from downtown Denton and roughly 3. 5 miles from Medical City Denton.

With only 16 beds, the community encourages closer relationships between residents and staff compared with a larger setting. Full-time chefs prepare daily meals. The shared living spaces create a comfortable, home-like atmosphere instead of a more institutional environment.

A separate memory care neighborhood provides a secure and welcoming setting for residents living with memory loss. Specially trained staff are available 24 hours a day. The all-inclusive memory care program includes activities for residents with dementia and other memory-related conditions. The community also holds an Alzheimer’s certification.

Residents have access to transportation services, fitness programs, and recreation activities, and pets are welcome. The surrounding neighborhood is car-dependent, so most errands and outings require a vehicle. Families visiting the community should take note of this when planning regular trips.

Texas Health and Human Services Commission state inspections have largely been limited to life safety requirements such as fire sprinkler systems, electrical compliance, and facility lighting, not resident care or health code issues. The inspection record shows no complaints or enforcement actions. Findings reported have not been replicated over time.

Contact Sage Oak of Denton

Overview of Gateway Villas and Gateway Gardens

Situated in the harmonious neighborhood of Marble Falls, TX, the Gateway Villas and Gateway Gardens is a remarkable senior living community offering assisted living and respite care services. This community is accessible to nearby places like Flat Creek Estate Winery, Balcones Canyon Lands National Wildlife Refuge, and Sweet Berry Farm. Here, residents can choose among spacious and well-appointed accommodations ranging from one-bedroom to studio. Short-term stays with diverse activities prepared are also available for respite care services.

With its top-tier amenities and services, residents can enjoy restaurant-style dining with signature dishes prepared by executive chefs, a beauty salon, a barbecue pit, a library, and scheduled transportation. Meet new friends and create meaningful memories within its beautiful spaces like the patios and gazebos. Participate in various social activities like arts and crafts, exercise classes, community piano, and other community events prepared by a professional team. Equipped with the right tools and people, seniors can never go wrong with the Gateways Villas and Gateway Gardens.

Contact Gateway Villas and Gateway Gardens

Overview of Eagle Crest Villa Senior Living

Surrounded by lush trees and a peaceful atmosphere, Eagle Crest Villa Senior Living provides residents in Azle, TX a relaxing haven for independent living and assisted living. Residents here enjoy the comfort of their cozy accommodations with access to a 24/7 care team should they need assistance with their daily activities. Access to a physician and other healthcare professionals is available to help residents manage their health and well-being.

Housekeeping, linen services, and delicious meals are also provided for more comfort and convenience. With an array of social activities to enjoy, residents maintain an active and enriching lifestyle. At Eagle Crest Villa Senior Living, residents enjoy a beautiful setting tailored to their safety, mobility, and social needs.

Contact Eagle Crest Villa Senior Living

Overview of Riva Ridge Assisted Living & Memory Care Center

Receive exceptional caregiving from Riva Ridge Assisted Living & Memory Care Center, a distinguished community in Leander, TX, offering compassionate assisted living and memory care services. Surrounded by lush trees, the community provides a relaxing and intimate setting with an excellent caregiver-to-resident ratio for personalized care and high-level attention. Those living with the challenges of memory condition can also receive compassionate care and assistance in the community’s boutique Memory Care Center.

To ensure everyone receives the proper amount of care, the community makes sure residents are offered tailored care plans based on their needs and preferences, alongside 24/7 care and supervision. With fun activities and nourishing meals served daily, the community makes sure residents receive all the tools they need to maintain their wellness. At Riva Ridge Assisted Living & Memory Care Center, everyone is given the chance to live a comfortable and fulfilling retirement experience.

Contact Riva Ridge Assisted Living & Memory Care Center

Overview of Madisonville Assisted Living

Madisonville Assisted Living is an assisted living community in Madisonville, Texas, offering assisted living and nursing services. Managed by Madisonville III Enterprises, LLC in Madison County, this licensed Type A community has a 106-bed capacity and also accepts Medicaid and Medicare.

The most recent evaluation of the community in November 2020 concluded with a single finding involving a Life Safety Code deficiency regarding the documentation of fire drills, which was resolved in roughly two weeks. No Health Code deficiencies were cited during that particular review period. While historical records indicate 36 total findings, which is much higher than the Texas state average of six, linked to a solitary past event rather than a current trend. No enforcement actions were recorded in relation to the 2020 check. However, families are encouraged to examine the complete history of inspections to better understand the community’s regulatory history.

This community accommodates both Medicaid and Medicare, which increases availability for those who depend on government funding, a notable characteristic among Texas assisted living locations. Chef-prepared meals are provided every day, along with transit assistance, cable or satellite television, hair and barber services, housekeeping, laundry, and waste collection. Medical services, security, and alert systems are provided on the premises, and the community performs regular sanitization in accordance with CDC guidelines.

Madisonville Assisted Living is an ideal match for older adults who need assisted living with nursing-level standards and require Medicare or Medicaid to help with expenses. Its domestic atmosphere and focus on daily schedules, including organized dining, social events, and helpful staff, also appeal to those who thrive in a steady and caring environment.

Contact Madisonville Assisted Living

Overview of Alma Residential Care

Alma Residential Care, located in Plano, TX, is a residential care home providing assisted living services to its residents. This senior care home offers all inclusive rates in their non-smoking residence. The residents are provided with 24/7 assistance from well trained staff, medication management, and companionship and assistance with all day-to-day activities.

Residents are also provided home cooked meals everyday, where special dietary needs can be accommodated. Alma residential also values the residents’ need for socialization and interaction, which is why they have regular programs scheduled both for socialization and recreation. 

Contact Alma Residential Care

Overview of Meadow Creek Senior Living

Meadow Creek is an upscale senior assisted living home in Lancaster, Texas, committed to delivering a personal approach to the meaningful service they are guaranteed to give its residents. The retirement home is excellent in cultivating a supportive environment that provides a sense of belonging through a family-focused approach to senior care. At Meadow Creek, seniors are guaranteed exceptional care vital to their holistic growth.

As a Pennant Community, the resident-focused lifestyle involves premier amenities that help an active and independent experience. These include housekeeping, transportation, ADLs, and restaurant-style dining– delivered by its compassionate care staff.

Contact Meadow Creek Senior Living

Overview of Beehive Homes of Lubbock

In Lubbock, TX, Beehive Homes stands as a distinguished senior living community specializing in assisted living, and provides essential memory care services, along with respite care options. Situated in a smoke-free residential setting, the community offers private rooms equipped with bathrooms featuring ADA showers, ensuring comfort and accessibility. The dedicated staff at Beehive Homes provides 24/7 supervision and assistance, including medication management and support with daily living activities.
Within Beehive Homes, residents can enjoy a host of amenities designed to enhance their quality of life. The community provides dietician-approved meals, fostering a healthy and well-balanced lifestyle. Additionally, residents have access to a secure outdoor courtyard, offering a tranquil environment for relaxation. The community extends its services to include beauty and grooming facilities, along with convenient laundry and housekeeping services. To further enrich the lives of its residents, Beehive Homes organizes life-enrichment activities, including the opportunity for residents to engage in fulfilling pursuits such as gardening.

Contact Beehive Homes of Lubbock

Overview of Lilywest Homes

Enjoy the best of your golden years in Lillywest Homes, a distinct community in Alaina Drive, Rosharon, TX, that offers assisted living. The highest quality of care and support is provided 24/7, alongside cozy and beautifully designed accommodations for residents’ comfort and wellness. With accessible amenities and safety precautions throughout the community, residents are guaranteed to enjoy a worry-free retirement.

Have fun with friends and do the things you love with the community’s jam-packed calendar of fun activities and engaging programs. Enjoy mealtimes with healthy and delicious meals catering to nutritional needs and preferences. The community also utilizes various technologies to ease residents’ burdens and ensure their safety like the wireless smart call system.

Contact Lilywest 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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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.