Page 62 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. 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.
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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Twin Rivers
AL
MC
RC
Richardson
122
Facility 122
TX AVG 78
Rank #178 / 980
Yes
28
Facility 28
TX AVG 42
Rank #956 / 1,345
Vop Twin Rivers, LLC
18
Facility 18
TX AVG 6
Rank #769 / 839
117-
Village Green Assisted Living and Memory Care Conroe
AL
MC
Conroe
16
Facility 16
TX AVG 78
Rank #788 / 980
No
51
Facility 51
TX AVG 42
Rank #480 / 1,345
Village Green LLC
5
Facility 5
TX AVG 6
Rank #372 / 839
14-
Mountain Villa at Kerrville
AL
Kerrville
50
Facility 50
TX AVG 78
Rank #661 / 980
No
74
Facility 74
TX AVG 42
Rank #82 / 1,345
Maharlika Resources Inc
17
Facility 17
TX AVG 6
Rank #754 / 839
116-
Volante of Sage Spring
AL
IL
MC
San Marcos
106
Facility 106
TX AVG 78
Rank #315 / 980
Yes
6
Facility 6
TX AVG 42
Rank #1,286 / 1,345
Inspired Senior Living Of San Marcos Mt, LLC
5
Facility 5
TX AVG 6
Rank #372 / 839
5--
Cedar Hill Assisted Living
AL
MC
RC
Cedar Hill
50
Facility 50
TX AVG 78
Rank #661 / 980
Yes
61
Facility 61
TX AVG 42
Rank #267 / 1,345
Cedar Senior Living, Inc
12
Facility 12
TX AVG 6
Rank #680 / 839
48-
Tribute Senior Living
AL
MC
Prosper
84
Facility 84
TX AVG 78
Rank #443 / 980
No
38
Facility 38
TX AVG 42
Rank #784 / 1,345
Elder Living Operations - Prosper LP
9
Facility 9
TX AVG 6
Rank #602 / 839
9--
Elison Assisted Living & Memory Care of Graham
AL
IL
MC
Graham
16
Facility 16
TX AVG 78
Rank #788 / 980
No
19
Facility 19
TX AVG 42
Rank #1,113 / 1,345
Bishop Graham Lessee LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
22Studio / 1 Bed / 2 Bed
Assisted Living Homes God’s Servants
AL
HOS
MC
RC
Spring (Research Forest)
6
Facility 6
TX AVG 78
Rank #959 / 980
No
54
Facility 54
TX AVG 42
Rank #406 / 1,345
Rafikihomes Ucgs LLC
13
Facility 13
TX AVG 6
Rank #708 / 839
76Private / Semi-Private Rooms
Harmony Assisted Living
AL
MC
Conroe
16
Facility 16
TX AVG 78
Rank #788 / 980
Yes
43
Facility 43
TX AVG 42
Rank #664 / 1,345
Harmony Assisted Living, Inc
18
Facility 18
TX AVG 6
Rank #769 / 839
5131 Bed
Assisted Living Homes God’s Angels
AL
HOS
MC
RC
Spring
6
Facility 6
TX AVG 78
Rank #959 / 980
No
50
Facility 50
TX AVG 42
Rank #512 / 1,345
Rafikihomes Ucga LLC
13
Facility 13
TX AVG 6
Rank #708 / 839
-13Private / Semi-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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Twin Rivers

1720 N Plano Rd, Richardson, TX 75081
Overview of Twin Rivers

Situated in the heart of Richardson, Texas, Twin Rivers stands as a remarkable luxury independent senior living community, radiating an inviting “Southern Charm.” Offering Independent Living, Memory Care, and Short-term/Respite Stays, this community welcomes residents with open arms, creating an instant sense of home. The management and staff, boasting industry expertise and longstanding commitments to Twin Rivers, form a dedicated and cohesive team focused on serving the residents.

At Twin Rivers, the pillars of the experience revolve around freedom, community, socialization, and independence. Active and independent seniors thrive in an environment where friendly neighbors share the same zest for life. The spacious apartment homes at Twin Rivers provide comfort and convenience, allowing residents to choose from a diverse array of amenities and services that enhance their overall living experience.

Contact Twin Rivers

Overview of Village Green Assisted Living and Memory Care Conroe

Village Green Assisted Living and Memory Care Conroe delivers a marvelous approach to senior care services. The family-like atmosphere is designed for a relaxing and rejuvenating recovery journey for seniors in a home-like setting. Their patient-friendly staff provides quality services to offer the best care possible for their residents. Village Green is dedicated to delivering a compassionate, dignified, and respected approach to modern assisted and memory care living.

Assisted living residents receive the feasibility of still doing their personal interests and social engagement while being cared for by their care staff, who are available 24/7. The memory care center offers a separate care program for seniors with Alzheimer’s and Dementia, and residents of both programs receive the necessary and additional care they need. Other accommodations include a beautiful garden, patio, well-maintained bedrooms, spacious living room, and dining room.

Contact Village Green Assisted Living and Memory Care Conroe

Overview of Mountain Villa at Kerrville

Mountain Villa at Kerrville is a family-owned assisted living and memory care community in Kerrville, Texas. This 50-bed community also offers a balance between personalized support and an active residential atmosphere. Serving older adults in Kerr County since 1994, its established presence in the area has built its reputation for compassionate care, relationship-centered service, and a community-focused approach to assisted living.

Operating under Maharlika Resources Inc., the community is licensed as a Type B assisted living provider. Its moderate size also allows staff to build meaningful relationships with residents while still supporting organized activities, shared amenities, and social engagement opportunities. Many families are drawn to communities of this scale because they often provide a more personal environment than larger corporate-operated settings while still maintaining professional staffing and structured programming. Furthermore, one of its defining characteristics throughout the community’s history is its family ownership, which reflects stability, local investment, and an enduring commitment to serving older adults in the region. This type of ownership structure also appeals to families because it can support greater consistency in leadership and a more individualized approach to resident care.

The community is regulated and licensed through the Texas Health and Human Services Commission, which conducts routine inspections and oversight for assisted living operations. As with all licensed assisted living communities in Texas, ongoing compliance reviews help monitor care standards, resident safety, and operational practices. On April 24, 2024, the community completed its most recent comprehensive inspection, which resulted in three violations. These mainly centered on documentation gaps in terms of fire marshal inspection and required fire drills. However, these were corrected in the following months. Notably, an enforcement action was taken on October 7, 2024, with a fee of $2,250 for failing to ensure an environment free of abuse, neglect, and exploitation.

Specialized support for residents living with Alzheimer’s disease and other forms of dementia is provided through its Alzheimer’s certification program. Staff members also receive training in cognitive care strategies, behavioral support, and evidence-based memory care practices designed to promote safety, familiarity, and emotional well-being. This specialized focus helps address the evolving needs of older adults experiencing memory impairment while supporting dignity and quality of life.

The smaller-scale setting helps foster familiarity among residents and staff, contributing to a close-knit atmosphere that many families appreciate, along with recreational activities, social gatherings, and daily engagement opportunities. Since the community remains family-owned and operated, decision-making and care practices are often shaped by long-term relationships, continuity of service, and responsiveness to resident needs.

As an established local provider with decades of experience, Mountain Villa at Kerrville is especially well-suited for older adults who need assisted living support or specialized memory care within a moderately sized, relationship-focused environment, particularly those who value personalized attention and dementia care expertise.

Contact Mountain Villa at Kerrville

Overview of Volante of Sage Spring

Volante of Sage Spring is a licensed senior living community in San Marcos, Texas, that provides independent living, assisted living, and memory care services within a single campus. Operated by Inspired Senior Living of San Marcos, MT, LLC under a Type B license, the community has a multi-level care model that is beneficial for individuals or couples planning for changing care requirements over time. With 106 licensed beds, it is a mid-sized community in Hays County that can accommodate residents with a wide range of support needs.

The most recent inspection, conducted on October 10, 2023, resulted in five Health Code citations that were reportedly corrected within two to three days. The cited concerns involved environmental cleanliness, hazard prevention, food handling and procurement practices, and aspects of the residential living environment. No Life Safety Code deficiencies or enforcement actions were recorded. Although the number of health citations exceeded the Texas average of two, the rapid correction timeline and absence of enforcement actions reflect positively on the community’s overall compliance response.

The community has an Alzheimer’s certification and offers an extensive selection of amenities designed to support an active and socially connected lifestyle. Chef-prepared meals made with locally sourced ingredients are provided, along with scheduled transportation, fitness groups, outdoor recreation areas, arts and crafts programming, social events, movie theaters, game rooms, and library spaces with quiet reading areas. This range of services and activities supports both independent lifestyles and residents requiring additional care or memory support. Located near downtown San Marcos, the community also provides convenient access to nearby healthcare providers, shopping, and local services while maintaining a residential atmosphere focused on engagement and quality of life.

Volante of Sage Spring is well-suited for older adults in the San Marcos area seeking a vibrant community environment with access to multiple levels of care. The inclusion of independent living alongside assisted living and memory care also appeals to couples with different care needs.

Contact Volante of Sage Spring

Overview of Cedar Hill Assisted Living

Cedar Hill Assisted Living is a licensed Type B senior living community in Cedar Hill, TX, offering assisted living, memory care, and respite care. This 50-bed community, managed by Cedar Senior Living, Inc. in Dallas County, is pet-friendly and features a robust amenity package for its size, including a theater room, a library, fitness classes, and an on-site salon and barber shop.

Practical services such as laundry, housekeeping, and resident parking are included, and each unit is equipped with individual climate controls. Chef-prepared meals with the flexibility of in-room dining are also available, while the grounds offer manicured gardens and walking paths for outdoor leisure. While memory support is a core part of the service roster, families should note that the community does not currently hold a formal Alzheimer’s certification and should discuss specific cognitive care protocols directly with staff. With a walk score of 61, the location offers better-than-average access to local services on foot.

In a September 2021 review, the community received four health-related citations involving infection control policies, fire drill frequency, and fire marshal documentation, which were resolved within weeks of the inspection. An earlier 2020 inspection focused on Life Safety Codes, identifying eight infrastructure points such as lighting levels and sprinkler inspections, which were also corrected promptly. While the historical citation counts sit above the state average, no formal enforcement actions were issued, indicating that the community worked collaboratively with state officials to meet compliance standards.

Cedar Hill Assisted Living offers a well-rounded and practical choice for families in the Cedar Hill area looking for a mid-sized setting with a full range of social activities. Since its most recent comprehensive data on record is from 2021, interested families are encouraged to ask the leadership team for their most recent state inspection results.

Contact Cedar Hill Assisted Living

Overview of Tribute Senior Living

Tribute Senior Living is a licensed assisted living and memory care community in Prosper, Texas, offering accommodations for up to 84 residents. Operating under a Type B license in Collin County, the community is recognized for its research-informed approach to memory care and wellness programming. Its care philosophy emphasizes nutrition, inflammation reduction, cognitive stimulation, and engagement across multiple dimensions of wellness, creating a more specialized model for older adults living with memory-related conditions. This evidence-based focus helps distinguish the community from more traditional assisted living and memory care settings.

The most recent state inspection, conducted on August 16, 2019, identified no Health Code or Life Safety Code deficiencies. No state standard violations or enforcement actions have been recorded, and citations per inspection remain at 0.0. Although the inspection data is several years old, the absence of any subsequent enforcement activity reflects a strong compliance history and stable operational standing.

The community holds Alzheimer’s certification and provides Enhanced Assisted Living services for residents whose care needs go beyond standard assisted living support. Dining is also guided by the proprietary MARK V nutritional program, which focuses on brain health and inflammation-conscious meal planning. Wellness, fitness, and engagement programs are also designed around cognitive health research and purposeful daily activity. Volunteer opportunities, educational resources, a resident event calendar, and ongoing communication tools are also available to support family involvement and community engagement.

Providing structured memory care programming, enhanced support services, and an active approach to resident engagement, Tribute Senior Living is a suitable option for older adults in the Prosper area seeking assisted living or memory care within a wellness-oriented environment grounded in cognitive health research.

Contact Tribute Senior Living

Overview of Elison Assisted Living & Memory Care of Graham

Elison Graham stands out as an extraordinary senior living community, offering a compassionate haven for individuals seeking a nurturing and comfortable environment. Tucked in a charming small town, this residence exudes timeless elegance, providing seniors with a classic and picturesque setting to call home. With a commitment to personalized care, Elison Graham goes the extra mile to ensure residents’ relaxation and security, going as far as implementing specialized safety features such as 24-hour nurse access, pool cords, and pendants.
On-site amenities like a beauty salon and barber shop, along with engaging events such as happy hours and live entertainment, cater to residents’ well-being and social needs. The dining experience is equally exceptional, offering a range of nutritious and flavorful options. Whether residents require assisted living or memory care, the home’s dedication to quality shines through, earning it numerous accolades. The community offers a variety of apartment options, from studios to one or two-bedroom units, with added conveniences like medication assistance, transportation services, and stunning outdoor views. With also an array of engaging activities and outings, Elison Graham truly elevates the senior living experience to new heights.

Contact Elison Assisted Living & Memory Care of Graham

Overview of Assisted Living Homes God’s Servants

Nestled in a serene neighborhood in Spring, TX, Assisted Living Homes God’s Servants is a safe retreat for residents needing assisted living. The community guarantees peace of mind in their bright and spacious accommodations with a 24/7 security system and safety features. Residents maintain a carefree lifestyle while receiving compassionate care and support with their daily activities like personal care and medication management.

Most of the chores like household maintenance are handled to give residents more time for fun and enriching activities. The community also serves three healthy meals a day to ensure well-balanced diets and proper nutrition. Access to physical, occupational, and home health services is also offered for added comfort and convenience.

Contact Assisted Living Homes God’s Servants

Overview of Harmony Assisted Living

Harmony Assisted Living provides a comfortable and upscale senior living experience for adults in Surprise. The luxurious assisted living and memory care place creates a lifestyle that aims to provide an enjoyable lifestyle that cultivates individuality and growth with family-like treatment. The person-focused atmosphere provides each personalized care plan tailored to their unique needs. They hope residents discover many possibilities where anything can happen at the premier residence in Conroe.

Harmony’s assisted living and memory care benefits ensure an unwavering commitment to security, as the facility is thoughtfully designed to offer a secure and comfortable atmosphere. The residence boasts a vibrant social calendar and a wide range of recreational activities, promoting engagement and fulfillment in personalized memory care training.

Contact Harmony Assisted Living

Overview of Assisted Living Homes God’s Angels

Enjoy a cozy retirement experience with Assisted Living Homes God’s Angels, an inviting community in Spring, TX designed for assisted living. The community caters to only a few residents, guaranteeing truly personalized and focused care. Residents here find peace in having 24/7 security systems and caregivers to support them with their daily activities and attend to their emergencies.

From personal care to medication management, the community ensures residents are well-supported in every aspect of their lives. Everyone is relieved from the hassles of chores so they can freely enjoy the community’s vibrant activities and delicious meals. With conveniences like transportation assistance, salon services, and on-site therapies, residents here enjoy a genuinely comfortable living experience.

Contact Assisted Living Homes God’s Angels

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.
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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.