Page 60 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. 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.
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.
Brookdale New Braunfels
AL
New Braunfels
60
Facility 60
TX AVG 69
Rank #388 / 752
Yes
25
Facility 25
TX AVG 40
Rank #624 / 865
Brookdale Senior Living Communities, Inc
5
Facility 5
TX AVG 6
Rank #341 / 736
58
The Village at Sugar Land
AL
MC
Sugar Land
107
Facility 107
TX AVG 69
Rank #171 / 752
Yes
25
Facility 25
TX AVG 40
Rank #624 / 865
Yewtree Assisted Living & Memory Care
0
Facility 0
TX AVG 6
Rank #1 / 736
--
The Gables at Rolling Meadows
AL
IL
MC
NH
SNF
Wichita Falls
86
Facility 86
TX AVG 69
Rank #266 / 752
Yes
50
Facility 50
TX AVG 40
Rank #291 / 865
Wichita Falls Retirement Foundation
3
Facility 3
TX AVG 6
Rank #200 / 736
31
John Knox Village Personal Care
AL
IL
NH
SNF
Border Weslaco
32
Facility 32
TX AVG 69
Rank #541 / 752
No
89
Facility 89
TX AVG 40
Rank #6 / 865
John Knox Villages Of The Lower Rio Grande Valley Inc
2
Facility 2
TX AVG 6
Rank #156 / 736
-2
Brookdale North Austin
AL
MC
Austin
112
Facility 112
TX AVG 69
Rank #146 / 752
Yes
27
Facility 27
TX AVG 40
Rank #593 / 865
Esc-Ngh, L.p
1
Facility 1
TX AVG 6
Rank #82 / 736
-1
The Reserve at First Colony Assisted Living and Memory Care
AL
MC
RC
Sugar Land
93
Facility 93
TX AVG 69
Rank #234 / 752
Yes
38
Facility 38
TX AVG 40
Rank #464 / 865
Cima Houston First Colony Opco, LLC
2
Facility 2
TX AVG 6
Rank #156 / 736
32
Seguin Assisted Living LLC
AL
Seguin
60
Facility 60
TX AVG 69
Rank #388 / 752
Yes
68
Facility 68
TX AVG 40
Rank #80 / 865
Seguin Assisted Living LLC
5
Facility 5
TX AVG 6
Rank #341 / 736
-5
Bethesda Gardens
AL
MC
Arlington
75
Facility 75
TX AVG 69
Rank #308 / 752
Yes
78
Facility 78
TX AVG 40
Rank #27 / 865
Bethesda Foundation
7
Facility 7
TX AVG 6
Rank #449 / 736
-7
The Legacy at Oak Hill
AL
MC
Austin
122
Facility 122
TX AVG 69
Rank #100 / 752
No
7
Facility 7
TX AVG 40
Rank #805 / 865
Csh Austin Licensee LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--
Vitality Living Shadow Hills
AL
IL
Lubbock (Shadow Hills)
48
Facility 48
TX AVG 69
Rank #484 / 752
Yes
50
Facility 50
TX AVG 40
Rank #291 / 865
Shadow Hills, LLC
1
Facility 1
TX AVG 6
Rank #82 / 736
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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 Brookdale New Braunfels

Located in New Braunfels, Brookdale New Braunfels offers seniors a vibrant, friend-filled life by connecting them with others who share similar interests and experiences. The community offers private, pet-friendly apartments, a packed calendar of activities, and personal care that balances independence with the help residents need. Residents can take local excursions to nearby museums and art theaters, and enjoy restaurant-style dining with nutritious, chef-inspired meals.

The staff is available 24/7 to be alerted to emergencies, providing peace of mind. Residents engage in life-enriching activities centered around their unique hobbies and talents, with opportunities to socialize through after-dinner gatherings, evening tea socials, and card games. Each day is filled with exciting programs, from gathering in the courtyard and completing arts and crafts projects to improving physical fitness with the B-Fit exercise program. The community’s restaurant-style dining in the elegant dining room offers plenty of menu options, with residents’ feedback, favorite recipes, and requests incorporated. Residents can even join weekly menu chats to discuss upcoming meal choices.

Starting Price $3,635/Month

Contact Brookdale New Braunfels

Overview of The Village at Sugar Land

Committed to promoting a higher quality of life, The Village at Sugar Land in Fort Bend County, Sugar Land, TX, is an excellent senior living community that offers assisted living and memory care. Residents can choose from a variety of floor plans from our suites and studios with individualized heating and cooling systems, walk-in closets, kitchenettes, and cable television. The community provides a wide range of services, including ophthalmology, dentistry, podiatry, and psychiatry to ensure residents have access to said services when they need them.

Residents are encouraged to maintain their strength and mobility with fitness and rehabilitation services overseen by a dedicated wellness director in the community’s fully-equipped gym and wellness center. The community makes sure residents are always busy doing fun and engaging activities that fosters entertainment and socialization among residents. Residents also enjoy wholesome meals prepared by a well-trained team of culinary and clinical professionals, ensuring they receive their daily sustenance and nourishment.

Contact The Village at Sugar Land

Overview of The Gables at Rolling Meadows

The Gables at Rolling Meadows offers nursing home, assisted living, independent living, memory care, nursing care, and skilled nursing in Wichita Falls, TX. Independent living provides housing without daily care, while assisted living helps with daily tasks. Memory care provides a secured setting with supervision, and nursing care and skilled nursing provide licensed nursing care around the clock. With several care levels on one campus, the community may be a good fit for a resident whose needs may change over time and who may want to remain in the same community.

The community has 86 beds. A Walk Score of 50 out of 100 places the area in the somewhat walkable category, so some errands can be done on foot and a resident who no longer drives may be able to handle some outings independently. Pets are allowed, which means a resident can bring a pet when moving in. The Wichita Falls Retirement Foundation operates the community.

Contact The Gables at Rolling Meadows

Overview of John Knox Village Personal Care

John Knox Village Personal Care in Weslaco offers independent living, assisted living, nursing home care, and skilled nursing. Independent living gives residents private living space with community services and no daily care, while assisted living helps with tasks such as dressing, bathing, and taking medication. Nursing care and skilled nursing provide licensed nursing care on site around the clock.

The LifeCare program brings these care levels together under one community. It may suit a resident whose needs grow over time and can be met through a different level of care without leaving the community. With 32 beds, the home is small enough for staff and residents to get to know one another.

A Walk Score of 89 means the area is very walkable, with most errands possible on foot. A resident who no longer drives can still get out independently. John Knox Village Personal Care is operated by John Knox Villages Of The Lower Rio Grande Valley.

Contact John Knox Village Personal Care

Overview of Brookdale North Austin

Brookdale North Austin is an assisted living and memory care community in Austin, TX. Assisted living provides help with daily tasks such as dressing, bathing, and medication while allowing a resident to maintain a private apartment. Memory care provides a secured setting with supervision, which can suit someone living with Alzheimer’s disease or another form of dementia who may be at risk of wandering. The combination of care levels may be a good fit for a resident whose needs could grow over time without requiring a move to another community.

Starting monthly prices are $4,540 for assisted living and $8,720 for memory care. The assisted living rate corresponds to support with daily tasks, while the higher memory care rate reflects the secured setting and supervision that memory care requires. Brookdale North Austin has 112 beds and is operated by Esc-Ngh.

Residents can use the fitness center, beauty and barber shop, and courtyard and garden for on-site exercise, grooming, and outdoor time. Pets are allowed, so a resident can continue living with a pet. Gardening, fitness classes, and themed dinner nights provide activities centered on plants, exercise, and shared dining.

$4,540/Month

Contact Brookdale North Austin

Overview of The Reserve at First Colony Assisted Living and Memory Care

Situated in Sugar Land, Texas, The Reserve At First Colony is a remarkable senior living community offering both assisted living and memory care living options. The community provides spacious rooms and private areas to accommodate the residents’ preferences. Acknowledging the differences of every individual, The Reserve At First Colony boasts well-trained and skilled caregivers who focus on personal care.

With utmost compassion and dedication to seniors’ well-being, the community also features luxurious dining, fitness programs, and community games. Alongside seniors, pets are also valued residents in the community. Transportation services are also top-notch with scheduled weekly outings and daily necessity rides.

Contact The Reserve at First Colony Assisted Living and Memory Care

Overview of Seguin Assisted Living

Seguin Assisted Living provides assisted living in Seguin, TX, helping residents with daily tasks such as bathing, dressing, and medication management while they keep their own apartments. The community opened in 2000 and has 60 beds, and Karen Taylor serves as director.

A month-to-month rental arrangement allows residents to rent without committing to a fixed long-term lease. A beauty and barber shop is available Tuesday through Friday, giving residents access to grooming services within the community, while a driver is on staff Monday through Friday for community transportation during the workweek.

Pets are allowed, which may make the community a good fit for a resident who wants to keep a pet while receiving assisted living support. The Walk Score is 68 out of 100, classified as somewhat walkable because some errands can be done on foot, so a resident who no longer drives may be able to reach some errands without a car or ride.

Contact Seguin Assisted Living LLC

Overview of Bethesda Gardens

Bethesda Gardens provides assisted living and memory care within a 75-bed setting in Arlington, TX. The community supports residents with daily tasks, such as bathing, dressing, and medication. With a secure environment, residents with memory-related conditions receive specialized care.

A Community Activity Calendar lets residents view scheduled activities and choose which ones to attend, while the pet policy allows residents to keep a pet. With a Walk Score of 78, the area is very walkable, so most errands can be completed on foot, and a resident who no longer drives may still get out independently.

Contact Bethesda Gardens

Overview of The Legacy at Oak Hill

The Legacy at Oak Hill offers assisted living, memory care, and respite care in Austin, TX. Assisted living includes help with dressing, bathing, and medication while a resident keeps a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering.

Having assisted living and memory care in one community means a resident whose needs increase can move between care levels without leaving the community or starting over socially. Respite care provides a short stay when a family’s usual caregiver needs to travel or recover, so the community may be a good fit for someone who needs temporary support or may need more help over time.

The community has 122 beds and is operated by Csh Austin Licensee. Residents can eat chef prepared meals in a restaurant style dining room, use salon services on site, and take scheduled transportation to planned outings or appointments. Life enrichment programs, social events, and wellness activities give residents ways to participate during daily life.

Contact The Legacy at Oak Hill

Overview of Vitality Living Shadow Hills

Nestled in the heart of Lubbock, TX, Vitality Living Shadow Hills stands as a distinguished senior living community, seamlessly blending independent living and assisted living services to cater to the diverse needs of its residents. The community offers a variety of living options, including private studios, one-bedroom, two-bedroom, and cottage-style apartments, ensuring individuals find a space that suits their preferences. Each residence features a well-appointed kitchenette with a refrigerator and sink, walk-in showers, and the added comfort of basic cable and internet services, fostering a sense of independence and convenience.
Vitality Living Shadow Hills takes pride in prioritizing the well-being of its residents through a comprehensive range of amenities and services. From licensed nurses available 24 hours a day to personalized service plans, medication assistance, and around-the-clock personal care, the community ensures residents receive the support they need. The commitment to a holistic living experience extends to specially designed exercise and fitness programs, a diverse array of daily programs, events, and outings, and accessible transportation services. Residents can also enjoy the tranquility of outdoor gardening areas, courtyards, and patios, as well as engage in social activities in the recreation and activity room or unwind in the library and spacious family room. With a focus on fostering a vibrant community, Vitality Living Shadow Hills offers a full-service salon, washers/dryers for personal use, and freshly prepared, nutritious meals served daily, complementing the diverse array of services that contribute to a fulfilling senior living experience.

Contact Vitality Living Shadow Hills

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.