Page 6 of Best Assisted Living in Texas

Why trust this guide? Our editorial team analyzed 905 assisted living communities in TX using TX Health & Human Services Commission (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in TX
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every assisted living provider in Texas.
905 homes
Other senior care options in Texas:

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Avg Monthly Cost: $5,572The average monthly cost across facilities in Texas. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 42/ 100The average Walk Score across facilities in Texas. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 78The average licensed bed capacity across facilities in Texas. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Texas

Info below is compiled from the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. 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. 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
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.
Clearwater at The Heights
AL
IL
MC
Houston (Northside)
267
Facility 267
TX AVG 78
Rank #3 / 980
Yes
74
Facility 74
TX AVG 42
Rank #82 / 1,345
4
Facility 4
TX AVG 21
Rank #545 / 587
-Cre-Hcw The Heights Trs LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
--Studio / 1 Bed / 2 Bed
The Village of River Oaks
AL
IL
MC
Houston (Montrose)
120
Facility 120
TX AVG 78
Rank #192 / 980
Yes
83
Facility 83
TX AVG 42
Rank #23 / 1,345
8
Facility 8
TX AVG 21
Rank #464 / 587
-Bmsh II River Oaks Tx Owner LLC
1
Facility 1
TX AVG 6
Rank #87 / 839
-1Studio / 1 Bed / 2 Bed
The Reserve at Pasadena
AL
MC
Pasadena
120
Facility 120
TX AVG 78
Rank #192 / 980
No
49
Facility 49
TX AVG 42
Rank #540 / 1,345
22
Facility 22
TX AVG 21
Rank #180 / 587
-Tarantino Senior Living Communities, LLC
2
Facility 2
TX AVG 6
Rank #172 / 839
-2Studio / Suite
The Heritage Tomball
AL
HOS
IL
MC
RC
Tomball
147
Facility 147
TX AVG 78
Rank #70 / 980
No
63
Facility 63
TX AVG 42
Rank #235 / 1,345
14
Facility 14
TX AVG 21
Rank #306 / 587
-1221 Graham Drive Opco LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
24Studio / 1 Bed / 2 Bed
Southern Hospitality Home
AL
ADC
MC
RC
Austin (Rosedale)
15
Facility 15
TX AVG 78
Rank #865 / 980
No
80
Facility 80
TX AVG 42
Rank #37 / 1,345
30
Facility 30
TX AVG 21
Rank #125 / 587
-Home Of Southern Hospitality LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
--Private / Shared Rooms
The Tradition – Woodway
AL
IL
MC
Houston (Westside)
121
Facility 121
TX AVG 78
Rank #187 / 980
No
64
Facility 64
TX AVG 42
Rank #209 / 1,345
5
Facility 5
TX AVG 21
Rank #530 / 587
-Woodway Tradition, LP
0
Facility 0
TX AVG 6
Rank #1 / 839
2-Studio / 1 Bed / 2 Bed
Brookdale Lewisville
AL
Lewisville
60
Facility 60
TX AVG 78
Rank #567 / 980
Yes
41
Facility 41
TX AVG 42
Rank #709 / 1,345
48
Facility 48
TX AVG 21
Rank #47 / 587
A+Brookdale Senior Living Communities, Inc
8
Facility 8
TX AVG 6
Rank #564 / 839
-8Suite
Brookdale Midwestern
AL
Wichita Falls
60
Facility 60
TX AVG 78
Rank #567 / 980
Yes
33
Facility 33
TX AVG 42
Rank #884 / 1,345
45
Facility 45
TX AVG 21
Rank #92 / 587
A+Febc-Alt Holdings, Inc
6
Facility 6
TX AVG 6
Rank #442 / 839
33Suite
Belmont Village West University
AL
IL
MC
Houston (Braeswood)
174
Facility 174
TX AVG 78
Rank #29 / 980
Yes
83
Facility 83
TX AVG 42
Rank #23 / 1,345
21
Facility 21
TX AVG 21
Rank #194 / 587
-Belmont Village West University Tenant LLC
15
Facility 15
TX AVG 6
Rank #731 / 839
-15Studio / 1 Bed
Garden Estates of Temple
AL
IL
Temple
156
Facility 156
TX AVG 78
Rank #49 / 980
Yes
44
Facility 44
TX AVG 42
Rank #646 / 1,345
29
Facility 29
TX AVG 21
Rank #132 / 587
-Ahr Temple Trs Sub, LLC
6
Facility 6
TX AVG 6
Rank #442 / 839
26Private / Companion Suites

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

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Overview of Clearwater at the Heights

Two hundred sixty-seven beds makes Clearwater at the Heights one of the larger senior living communities in Houston, and scale shows up in the details here. It’s a high-rise at 1245 W 18th Street in the Northside neighborhood, opened in March 2022, so about four years old now, run by administrator Veronica Weathers on behalf of Cre-Hcw The Heights Trs LLC.

Walkability is genuinely strong; a Walk Score of 74 puts this in “very walkable” range, meaning shops, restaurants, and cultural spots are realistically reachable without a car. Apartments run from compact studios up to two-bedrooms, spanning 369 to nearly 1,500 square feet, so there’s real range in how residents can live day to day.

Care spans three types under one roof: assisted living, independent living, and memory care, with 21 dedicated Alzheimer’s units and formal Alzheimer’s certification behind the memory-care piece specifically. Twenty-four-hour staffing covers the whole community regardless of which care level a resident falls under.

A saltwater heated pool, fitness center, spa services, and chef-prepared dining through the Savor Culinary team anchor daily life, while wellness programs and a steady calendar of social events and outings fill in the rest; pets are welcome. Short-term stays and therapy services are both available too, for residents who need something more flexible than a permanent move.

What Clearwater at the Heights adds up to is a large, amenity-rich community built to handle a genuinely wide range of care needs, from independent living through specialized memory care, in one of Houston’s more walkable neighborhoods.

Contact Clearwater at The Heights

Overview of The Village of River Oaks

Operated by Bmsh II River Oaks, TX Owner LLC, The Village of River Oaks is a senior living community in Houston’s Montrose neighborhood. Kristen Jordan serves as the administrator. The community is located at 1015 South Shepherd Drive, which is about 2.7 miles from downtown Houston. It offers independent living, assisted living, and memory care, allowing residents to remain in the same community as their care needs change.

The high-rise community has 120 beds and has served residents for 8 years. Studio, one-bedroom, and two-bedroom apartments are available, giving residents several floor plan options. The neighborhood has a Walk Score of 83, which is very walkable. Most nearby shops, restaurants, and services can be reached on foot, which can be convenient for both residents and visiting family.

Memory care is a dedicated part of the community. There are 33 units reserved for people living with Alzheimer’s disease and related forms of dementia. The community also holds an Alzheimer’s Certification. Residents receive medication management, scheduled wellness programs, recreational activities, housekeeping, and transportation services to support both daily living and social engagement.

Restaurant-style dining is available daily. Concierge services help residents and families manage everyday needs. Community amenities include a swimming pool, fitness centre, dining room, resident lounges, and outdoor spaces with views of the Houston skyline. The Village of River Oaks also welcomes pets, allowing residents to move in with a companion animal.

The Texas Health and Human Services Commission oversees state inspections of the community. Reviews have mainly focused on fire alarm and smoke detection system compliance. Meanwhile, the community’s broader health and safety record has remained in good standing. Families touring The Village of River Oaks should ask how fire safety systems are inspected and maintained as part of the community’s regular operations.

Contact The Village of River Oaks

The Reserve at Pasadena

4004 Vista Rd, Pasadena, TX 77504
Overview of The Reserve at Pasadena

The Reserve at Pasadena, located in peaceful Pasadena, Texas is an exceptional senior living community that offers a serene and secure environment for assisted living and memory care. Here, residents can enjoy their golden years with dignity and independence in the comfort of their well-appointed apartments, ranging from studios to shared suites. With a 24-hour response system, residents enjoy peace of mind, knowing that assistance is available whenever they need it.

Committed to enhancing the quality of life for all its residents, the community offers personalized care plans, a variety of engaging activities, and a dedicated team of professionals trained to provide the utmost care and assistance to residents. Residents also enjoy the luxury of housekeeping & laundry, medication management, therapy services, and scheduled transportation. With chef-prepared meals, snacks, and refreshments served daily, residents are guaranteed a delightful dining experience that fosters both nourishment and social connection.

Contact The Reserve at Pasadena

The Heritage Tomball

1221 Graham Dr, Tomball, TX 77375
Overview of The Heritage Tomball

Tucked in the harmonious residential area of Graham Drive, Tomball, TX, The Heritage Tomball is a prominent senior living community offering assisted living, independent living, and memory care. Live a wonderful retirement within the stunning and spacious residences of The Heritage Tomball in variations of studio, one-bedroom, and two-bedroom floor plans. A compassionate and highly skilled team strives to deliver top-notch care and support for seniors to flourish and gain valuable skills in their retirement.

The Heritage Tomball provides a jam-packed calendar of activities and programs for seniors to discover new interests and relive old hobbies for their enjoyment and wellness. Delight with healthy and tasty meals catering to nutritional needs and preferences. With its serene spaces and fabulous amenities, The Heritage Tomball is a great place to thrive and create lasting memories in its golden years.

Contact The Heritage Tomball

Southern Hospitality Home

5000 Shoalwood Avenue, Austin, TX 78756
Overview of Southern Hospitality Home

Tucked away in a serene area in Austin, TX, Southern Hospitality Home provides a safe and secure environment for those who need assisted living. The community compassionately cares for residents who need assistance with their daily activities or living with the challenges of memory loss. Residents here receive individualized care plans and 24/7 care and supervision by a team of kind and reliable caregivers.

From personal care to medication management, the community provides all the support residents need to thrive while maintaining their independence. A wide range of activities are also offered for a vibrant and enriching living experience. With on-site rehabilitation, massage therapies, and healthy meals, residents here are guaranteed to enjoy an improved quality of life.

Contact Southern Hospitality Home

Overview of The Tradition – Woodway

The Tradition – Woodway is a 121-bed senior living community located at 6336 Woodway Drive in Houston, Texas. Managed by Tradition Management, LLC under administrator Holt Perlman, the high-rise property has provided senior services in the Tanglewood and Memorial areas for 18 years. The community offers independent living, assisted living, and memory care with one- and two-bedroom apartment options.

A dedicated 40-unit neighborhood provides certified Alzheimer’s and memory care support. Residents receive assistance with activities of daily living, medication management, housekeeping, and scheduled transportation. The area carries a walk score of 64, making it moderately walkable with dining and retail destinations nearby. Medical care is accessible at Kindred Hospital Houston Medical Center, located about six miles away.

State inspections conducted by the Texas Health and Human Services Commission show a solid overall safety record. Reports have centered primarily on minor food safety and kitchen-handling procedures rather than direct patient care or building safety concerns, with all past findings successfully corrected.

Interested residents seeking a continuum of care option in West Houston can contact the community directly to schedule an in-person tour.

Contact The Tradition – Woodway

Brookdale Lewisville

965 N Garden Ridge Blvd, Lewisville, TX 75077
Overview of Brookdale Lewisville

At Brookdale Lewisville in the historic city of Lewisville, Texas, residents can create a cozy sanctuary in spacious, private apartments while socializing with friends and neighbors in comfortable, stylish common areas. The community offers an engaging calendar of activities, classes, and outings, allowing residents to stay busy as much or as little as they like. Brookdale Lewisville’s trained caregivers assist with daily tasks like bathing, dressing, and medication management, while also helping to coordinate with outside healthcare providers. The community tackles cooking, cleaning, and home maintenance, allowing residents to enjoy restaurant-style dining and convenient amenities, with staff available 24/7 for emergencies.

The community’s constantly changing activities calendar provides opportunities for residents to reignite old passions or discover new ones, with options ranging from painting and flower arranging to happy hour socials, technology classes, and movies. Brookdale Lewisville also organizes group excursions for local shopping, dining, and sightseeing. The dining program creates memorable experiences with tasty meals prepared by a culinary team passionate about great food, incorporating residents’ favorite dishes, family recipes, and requests.

Contact Brookdale Lewisville

Overview of Brookdale Midwestern

Located in Wichita Falls, Texas, Brookdale Midwestern is an assisted living community that aims to help residents make the most of their golden years with endless opportunities to explore hobbies, nurture passions, and unwind. The community offers private, pet-friendly apartments and a fun-filled activities calendar to help residents get involved and connect with others. Residents can receive assistance with daily living activities like bathing and dressing, while the care team handles mundane tasks like housekeeping and laundry.

The staff is available 24/7 to be alerted to emergencies, providing peace of mind. Brookdale Midwestern’s assisted living program can handle the chores and help with daily tasks, allowing residents to spend time with friends or enjoy activities like bingo. The community is situated in Wichita Falls, offering opportunities to explore local museums, hike in the great outdoors, and relax with neighbors. Residents can visit the Wichita Falls Museum of Art, take a stroll along the Lucy Park Nature Trail, or catch a show at the historic Wichita Theatre.

Contact Brookdale Midwestern

Overview of Belmont Village West University

Considered to be an active community in the West-U, Belmont Village Senior Living houses an award-winning memory care in Houston. The assisted living and memory care community is ranked as one of the only assisted living facilities in Houston that is best in its class brought by their premier level of care entrusted to residents. Belmont Village boasts its innovative and modern approach to senior care; they have ensured that they provide a spectrum of care as they understand the unique needs of each individual. Their management and staff are well-trained professionals that ensure that residents are being heard and provide a lifestyle that suits their needs. 

Located by neighboring shopping centers and entertainment centers, Belmont Village offers an array of possibilities and opportunities. The community itself provides premier essential amenities and services such as their Diabetes for Center for Excellence, hair service salon, and scheduled transportation; as with essential services that include visiting physician, medication management, 24/7 licensed nurse on-site; and 24/7 urgent care telemedicine available. Belmont Village ensures that every resident is able to gain the right level of care appropriate for them while living an independent life. 

Contact Belmont Village West University

Overview of Garden Estates of Temple

Discover the beauty and warmth of Garden Estates of Temple in Temple, TX, an outstanding destination where vibrant living and exceptional care unite. With a comprehensive range of services, including assisted living and independent living, this community ensures personalized support for every resident. Residents can choose from pet-friendly, cozy accommodations with various floor plans designed for comfort and individuality. Situated near medical facilities, entertainment attractions, and distinguished restaurants, the community offers the perfect balance between serenity and accessibility.

Amenities abound, including a full-service hair salon and barbershop, TV lounge, pub, bistro, library, and more. Residents can engage in diverse activities in these recreational areas. Explore its amazing shared spaces and meet new companions. At Garden Estates of Temple, life is celebrated with joy, comfort, and excellence.

Contact Garden Estates of Temple

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
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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.