Best Assisted Living in Texas

Overview of Morningstar at River Oaks

A proud member of the MorningStar Senior Living Group, Morningstar at River Oaks provides exceptional senior living in Houston. Their memory care and assisted living services are tailored to each individual’s needs. The community prides itself on providing the best services; striving to be the premier senior living community in Houston. River Oaks is an elegant community that is built on its contemporary design and styling, allowing for a more luxurious environment while providing resort-like service. Residents of Morningstar at River Oaks can rest assured that the best years are just beginning.

Furthermore, the community boasts elegant designs and upscale amenities such as its dining room, brightly-lit lounge areas, spacious apartments, courtyard, and arts and crafts studio. Morningstar at River Oaks promotes a stress-free lifestyle for their residents, which is why they have provided essential services to do so– housekeeping, social and recreational events, and transportation events. Management highly encourages residents to take part in activities and maximize the amenities so as to socialize and promote a warm and welcoming environment.

Overview of The Gables at Rolling Meadows

Located within Rolling Meadows Campus in Wichita Falls, TX, is The Gables, a skilled nursing care center that offers skilled nursing and rehabilitation services. This care center provides both short term and long term skilled nursing care in the comfort of their private and semi-private room accommodations. The Gables’ skilled nursing program is medicare approved and residents can expect 24/7 care and supervision, as well as assistance with daily activities.

At The Gables, residents are provided with delicious meals, served daily in the dining room and are prepared according to the residents’ dietary needs and restrictions. Residents may also engage in social, spiritual, and recreational activities in the center’s outdoor courtyard. Furthermore, therapy services are also available, especially for residents recovering from an illness or surgery.

Overview of Wisteria Place Nursing & Rehabilitation

Wisteria Place Nursing & Rehabilitation is one of Wisteria Place’s senior living communities located in Abilene, TX. This community offers quality skilled nursing and rehabilitation services,  and also provides specialized memory care for patients and residents living with Alzheimer’s and other forms of dementia. Their team of dedicated staff ranging from registered nurses, therapists, and certified caregivers are committed in delivering expert care, and balancing it with compassion and kindness.

Their skilled nursing services are customizable depending on the needs of patients, and encourages the families’ participation in crafting the perfect care plan for their loved ones. Wisteria Place Nursing & Rehabilitation is dedicated to providing the best care to both their patients and residents, and this is evident through their in house therapy programs, as well as activities that help individuals stay active and healthy, and on their way to recovery.

Overview of The Grandview of Chisholm Trail Senior Living

Overlooking the beautiful community of Fort Worth, TX, The Grandview of Chisholm Trail Senior Living is a tranquil and comfortable senior living community offering assisted living and memory care. Residents can choose from studios, one- or two-bedroom floor plans, each thoughtfully designed with kitchenettes, walk-in closets, private bathrooms, and plenty of living space to relax and feel at home. Committed to quality, high-level senior care, The Grandview of Chisholm Trail Senior Living provides peace of mind and a dedicated team offering round-the-clock comfort and security.

Beyond the topnotch amenities, The Grandview of Chisholm Trail Senior Living extends its care to include housekeeping and providing elders and their families with a warm and cozy environment. With top-quality amenities and services, The Grandview of Chisholm Trail Senior Living residents can enjoy an exceptional lifestyle.

Overview of Arabella of Red Oak Senior Living

Enjoy a delectable retirement living experience with Arabella of Red Oak Senior Living, a blissful senior living in Red Oak, TX offering independent living, assisted living, and memory care. Residents enjoy their freedom and independence to the fullest with no chores to worry about, thanks to a dependable team that handles most of their chores and needs. Beautiful accommodations in variations of studio, one-bedroom, and two-bedroom apartments are provided to give residents a cozy and inviting space for relaxation or hosting family and friends over.

The community helps its residents develop better living routines by offering various life-enhancing activities, convenient amenities, and helpful services. A delectable dining experience is also available to fuel residents’ days with their needed energy and nourishment. Here, residents have ample opportunity and time to fill their days with purpose, thanks to the convenience of having maintenance, housekeeping, transportation, and other supportive services.

The Buckingham occupies a 130-bed facility at 8580 Woodway Dr in Houston’s Mid West neighborhood, 11.4 miles from downtown Harris County. Operated by Greystone Management Services Company LLC and administered by Elise Green, the facility opened in August 2006. The license designates it a long-term care facility offering independent, assisted, and memory care alongside nursing home services.

Current occupancy sits at 51% (66 of 130 beds), trailing the Texas average of 63.5%. The community operates on a Medicare-and-private-pay model: 69% of new residents are Medicare-funded short-stay rehabilitation patients (averaging 18 days), while 31% are private-pay residents with typical stays of 1–2 years. Medicaid is not accepted.

Daily nursing hours/resident total 5 hours 5 minutes; 34% above the Texas average of 3 hours 47 minutes, positioning The Buckingham 18th among 289 state nursing homes.

The RN component, at 1 hour 31 minutes daily, surpasses the average by 250%, delivering markedly stronger clinical oversight than peer facilities. LPNs contribute 1 hour 18 minutes (37% above average), and certified nursing aides 2 hours 56 minutes (45% above average). Weekend nursing sustains 4 hours 13 minutes/resident, 41% above state benchmark; with weekend RN hours at 1 hour 6 minutes, 230% above average. Physical therapy hours run 7 minutes/day, 75% above average.

Personnel comprise 22 registered nurses, 18 licensed practical nurses, 47 certified nursing aides, seven speech language pathologists, four clinical nurse specialists, and auxiliary therapy staff.

Health inspection ratings stand at 2 stars, 30.8% below Texas average.

Three-year citation totals reach 25, including 2 critical and 23 moderate violations, with quality-of-life-and-care deficiencies comprising 36%.

Federal penalties imposed over 2023–2025 total $138,000 across nine assessments; 71% above the Texas average and 866% above the typical fine count.

An administrative penalty in January 2025 ($2,250) specifically addressed inadequate staffing for resident supervision.

Pressure ulcer prevalence in high-risk long-stay residents registers at 34.8%, drastically, 687%; above state benchmark of 4.4%. Urinary tract infections affect 4.6% of residents, 467% worse than the 0.8% average. High-risk clinical events score 13.2, 53% worse than Texas average. Functional decline metrics, conversely, run 39% better.

Short-stay rehabilitation outcomes show 60% of residents successfully discharged to home or community, 19% better than average.

Financially, The Buckingham reports gross revenue of $32.2 million but carries a net operating loss of $12.7 million. Payroll comprises 48.1% of revenue, ranked 123rd of 297 Texas facilities; below the typical 51–63% investment.

Occupancy declined 12.5%age points between 2022 (63.4%) and 2023 (50.8%).

The Buckingham accommodates Medicare-funded short-term rehabilitation and private-pay long-term residents, supported by high nursing staffing levels yet marked by clinical risks and regulatory penalties.

Overview of Cambridge Court Senior Living

Located in Mesquite, TX, Cambridge Court Senior Living prioritizes a comprehensive range of health services, including assisted living, independent living, and memory care services. The community is conveniently situated in Matador Lane where a peaceful environment and idyllic atmosphere is ensured. It includes The Cottage where a comprehensive and intimate approach to memory care is available with the assistance of a skilled and compassionate team that provides specialized services for all phases of dementia. Here, residents can choose from well-appointed and cozy accommodations, including a variety of floor plans tailored to their preferences.

Cambridge Court Senior Living ensures enhanced lifestyle through providing enriching activities, fostering new friendships, and making avenues for its residents to confidently enjoy their freedom with chef-prepared food. In Cambridge Court Senior Living, with its nurturing top-quality care, opportunity to fill days with wonderment is available.

The Hacienda offers affordable senior housing for individuals in Georgetown seeking a nurturing and home-like atmosphere. The luxurious senior living community provides a warm, welcoming environment where residents are treated like family. Management and staff are committed to delivering tailored care to each individual, ensuring holistic needs are met. The community perfectly blends an opulent lifestyle and world-class hospitality for a vibrant senior living experience. 

The Hacienda’s accommodations include comprehensive services such as scheduled housekeeping and transportation, resident-centered enrichment programs, an on-site nurse available 24/7, well-balanced daily meals, and ADLs. amenities include wheelchair-accessible features, parking spaces, elevators, and a recreational room. 

Take in the warmth of the charming senior living community of Carriage Inn Lake Jackson in Lake Road, Lake Jackson, TX, that offers assisted living, independent living, and memory care. The community features carefully designed and sophisticated studio, one-bedroom, and two-bedroom residences, ensuring seniors keep their peace of mind and privacy within its premises. Moreover, residents receive round-the-clock care and support tailored to their needs and preferences from a dedicated and highly trained team.

Awaken your creativity through various art classes and social events; and mingle with people from diverse backgrounds to learn new things. Chat with friends and indulge in healthy and delicious for an unforgettable dining experience. Carriage Inn Lake Jackson is ideal for seniors who want to optimize their independence without worries.

Overview of Iris Memory Care of Turtle Creek

Iris Memory Care of Turtle Creek is a community that provides premier care for seniors with Alzheimer’s and dementia. Transitioning to this community is made easy due to its welcoming environment that allows residents to settle in with ease. The care provided to residents is always dignified and respectful, with specially trained caregivers available 24 hours a day. Healthy and nutritious snacks and chef-prepared meals are always available, along with housekeeping and laundry services, and assistance with emotional and behavioral needs, mobility and transfers.

Moreover, the community offers comfortable living rooms, a full-service salon, courtyards, a game and activity room, and amazing porches for residents to relax in. An emergency generator is also on standby to ensure the safety of residents. Seniors can also enjoy plenty of activities, such as strolls, community events, games, gardening, artistic expression, and more. It is also worth mentioning that emotional and behavioral management is one of Iris Memory Care of Turtle Creek’s main priority, ensuring that residents receive the support they need to manage their conditions while living to the fullest.