Page 67 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. 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. 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.
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.
Lilywest Homes
AL
MC
Rosharon
6
Facility 6
TX AVG 69
Rank #731 / 752
No
4
Facility 4
TX AVG 40
Rank #840 / 865
2
Facility 2
TX AVG 17
Rank #392 / 410
Lillywest Homes LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
4-Private Rooms
Agape Heritage Home – Richmond
AL
MC
RESC
Richmond (Riverpark West)
8
Facility 8
TX AVG 69
Rank #693 / 752
No
22
Facility 22
TX AVG 40
Rank #653 / 865
16
Facility 16
TX AVG 17
Rank #159 / 410
Agape Heritage Home Inc
3
Facility 3
TX AVG 6
Rank #200 / 736
-3-
Primrose Retirement Community of Lubbock
AL
IL
MC
RC
Lubbock
112
Facility 112
TX AVG 69
Rank #146 / 752
Yes
4
Facility 4
TX AVG 40
Rank #840 / 865
-Lubbock Retirement, LLC
3
Facility 3
TX AVG 6
Rank #200 / 736
-3-
4 Seasons Senior Living
AL
HOS
MC
RESC
RC
Lewisville (Oak Creek Estates)
9
Facility 9
TX AVG 69
Rank #687 / 752
Yes
19
Facility 19
TX AVG 40
Rank #690 / 865
-4Ssl Holdings, LLC
1
Facility 1
TX AVG 6
Rank #82 / 736
1-Private Rooms / Semi-Private Rooms
Serenity Pointe Assisted Living
AL
IL
MC
Pearland
9
Facility 9
TX AVG 69
Rank #687 / 752
No
35
Facility 35
TX AVG 40
Rank #508 / 865
3
Facility 3
TX AVG 17
Rank #382 / 410
Serenity Pointe Care, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
-4-
Providence Assisted Living Solutions
AL
Fulshear
11
Facility 11
TX AVG 69
Rank #665 / 752
No-
1
Facility 1
TX AVG 17
Rank #403 / 410
Providence Assisted Living Solutions LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--Private / Shared Rooms
Annie’s Place by Majestic Residences
AL
RESC
Conroe (Research Forest)
8
Facility 8
TX AVG 69
Rank #693 / 752
No
3
Facility 3
TX AVG 40
Rank #850 / 865
-Haven Maison LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--Private Rooms / Semi-Private Rooms
A Blessed Home
AL
RESC
Richmond (Pecan Acres)
8
Facility 8
TX AVG 69
Rank #693 / 752
No
49
Facility 49
TX AVG 40
Rank #314 / 865
--
2
Facility 2
TX AVG 6
Rank #156 / 736
2-Private / Shared Rooms
Columbus Oaks Healthcare Community
AL
NH
SNF
Columbus
40
Facility 40
TX AVG 69
Rank #511 / 752
No
47
Facility 47
TX AVG 40
Rank #342 / 865
-Pmg Opco - Columbus LLC
5
Facility 5
TX AVG 6
Rank #341 / 736
-5-
Denton Village by Purehealth
AL
IL
NH
RC
SNF
Denton
30
Facility 30
TX AVG 69
Rank #547 / 752
No
81
Facility 81
TX AVG 40
Rank #19 / 865
-Dv Ops Denton LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
-7-

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 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

Overview of Agape Heritage Home – Richmond

Located in the neighborhood of Richmond, TX, Our Richmond Home is a dependable senior living community, offering excellent assisted living and memory care services. The community warrants each resident utmost comfort and security with a 24/7 care team trained to offer various assistance, including specialized memory care. Residents also find peace of mind from having licensed nurses available to conduct regular wellness visits and access to physical and occupational therapies should they need it.

Committed to elevating its residents’ overall quality of life, the community also offers an array of amenities and regular activities and programs for fitness, creativity, socialization, learning, and leisure. Residents also enjoy three delicious, nutritionally balanced meals and snacks & beverages available throughout the day to ensure they are always nourished and full. Here, residents are guaranteed to successfully age in place while maintaining their dignity and independence as much as possible.

Contact Agape Heritage Home – Richmond

Overview of Primrose Retirement Community of Lubbock

Primrose is a senior living community located in Lubbock,TX, specializing in assisted living and memory care services. The community offers private studio apartments meticulously designed for residents with memory-related challenges, equipped with a private bathroom and a rapid response call system for added safety and security. Primrose takes pride in their quality of care, providing 24-hour nurse staffing, medication management, and assistance with daily living activities. Notably, the community features the Silver Lace program, tailored specifically for residents living with Alzheimer’s, ensuring specialized care and support.
Primrose enhances the living experience for its residents through a variety of amenities designed for comfort and convenience. These include three home-cooked meals per day, weekly housekeeping, and laundry service. The community boasts an enclosed courtyard, providing a tranquil outdoor space, and as well as a secured environment for relaxation. Residents have ample space for their treasured belongings, creating a personalized and homely atmosphere. Primrose promotes an active and engaging lifestyle through a range of activities, including a physical fitness program to support residents’ well-being, sensory-related activities for cognitive stimulation, and a music program for enjoyment and relaxation.

$4,820/Month

Contact Primrose Retirement Community of Lubbock

Overview of 4 Seasons Senior Living

Located in Lewisville, Texas, 4 Seasons Senior Living provides care in a residential-style setting with just nine beds. Operated by 4SSL Holdings, LLC, the single-story community offers both private and semi-private accommodations, creating a more intimate environment for older adults than many larger care settings.

Services span multiple levels of support, including assisted living, memory care, residential care, respite care, and hospice care. This range allows residents to receive changing levels of assistance as their needs evolve. Around-the-clock caregivers and medication management services help ensure support is available whenever needed.

Daily life includes access to shared living spaces, outdoor areas, and a communal dining room where meals are served. Housekeeping, transportation, wellness activities, and recreational programs are also available, giving older adults opportunities to stay active and engaged while reducing the need to rely on family members for routine errands and appointments.

Since the surrounding area is not particularly walkable, most outings require transportation by car. The smaller size of the community can allow for more individualized attention and stronger day-to-day connections between residents and staff.

Contact 4 Seasons Senior Living

Overview of Serenity Pointe Assisted Living

Live a blissful retirement at Serenity Pointe, an idyllic retreat in Texas, offering assisted living and independent living. With a kind and well-trained team available 24/7, residents receive top-notch care for their unique needs. The community strives to maintain residents’ independence without the busy work, handling the housekeeping and chores.

A thoughtfully curated calendar of fun recreational activities and enriching programs is conducted to keep residents active and socially connected. Residents delight in delicious and healthy homemade meals that cater to their dietary needs and preferences. With its two convenient locations in League City and Pearland, residents can rest assured of finding the right care and place to spend their golden years without worries.

Contact Serenity Pointe Assisted Living

Overview of Providence Assisted Living Solutions

Providence Assisted Living Solutions provides assisted living in Fulshear, Texas, helping residents with daily tasks while they keep their own living space. With 11 beds, it is a smaller setting that may suit someone who prefers a more intimate community. Private and shared rooms are available, offering the choice of a personal room or living with a companion; the single story community is administered by Jude Tomdio.

Contact Providence Assisted Living Solutions

Overview of Annie’s Place by Majestic Residences

Peacefully settled in a neighborhood of Conroe, TX, Annie’s Place by Majestic Residences is a serene senior living community that offers compassionate assisted living services to its residents. With an intimate environment consisting of 9 spacious and snug bedrooms, the community allows for focused attention and truly personalized care services. The community helps residents thrive and maintain their independence for as long as possible through compassionate care and support, including assistance with daily living activities.

With a team of highly-skilled caregivers on standby 24/7, residents are able to live confidently knowing that they are well cared for in a safe and secure environment. The community makes sure residents live a fulfilling lifestyle by offering them an array of carefully curated activities and programming, including arts and crafts, light exercise classes, social gatherings, and occasional outings. Residents also enjoy an array of inviting indoor and outdoor spaces that are designed to be safe and provide a space for relaxation or sharing meaningful interactions with fellow residents.

Contact Annie’s Place by Majestic Residences

A Blessed Home

913 Victoria Dr, Richmond, TX 77469
Overview of A Blessed Home

A Blessed Home is a nurse-managed assisted living community in Richmond, TX, that offers assistance with daily living activities. Here, older adults are guaranteed the utmost attention and care, accompanied by its cozy and home-like environment. 24-hour support, housekeeping services, and medication management are also provided to help residents maintain their independence with ease. Through personalized care plans, the community ensures residents can live comfortably in their later years.

Social gatherings and light physical activities allow residents to make friends and stay active. With naturally lit living spaces, wide hallways, and lively communal areas, residents can rest and interact with their surroundings comfortably. Oakbend Medical Center and other local amenities are also easily accessible from the area. This assisted living community is committed to improving older adults’ quality of life, making it a trusted choice for senior living in Texas.

Contact A Blessed Home

Overview of Columbus Oaks Healthcare Community

Columbus Oaks Healthcare Community in Columbus, Texas, offers skilled nursing care and general nursing home services. Short-term rehabilitation programs assist individuals who are recovering after an illness or injury, while long-term care supports residents who need continuous assistance.

Operating a 40-bed setting under management firm Pmg Opco, Columbus, the facility features a location with a 47 walk score, indicating that most everyday errands rely on automobile transportation. Financial options accepted by the community include Medicare, Medicaid, and private funds.

Interested residents interested in learning more about services or tour availability can reach out to the Columbus Oaks Healthcare Community.

Contact Columbus Oaks Healthcare Community

Overview of Denton Village by Purehealth

Denton Village by Purehealth in Denton, Texas, supports residents across independent living, assisted living, skilled nursing, and short-term respite care. Private residences come in one- to three-bedroom floor plans, accommodating single residents or couples moving in together. Assisted living services help residents manage bathing, dressing, and daily medications, while short-term respite options give primary caregivers a chance to travel or recharge.

Dv Ops Denton manages this 30-bed community, where available therapies take place inside an on-site rehabilitation center. Community amenities feature chef-prepared meals served in a main dining room, a full-service salon, a chapel, and regular spiritual activities. With an 81 walk score, the area lets residents handle routine errands on foot without needing a car. Payment structures accept private funds alongside Medicare for post-hospital stays and Medicaid for long-term clinical needs.

Families exploring senior living options or planning for changing health needs can contact Denton Village by Purehealth to check current floor plan availability, discuss pricing details, or arrange a property tour.

Price range $1,692 - $3,971/Month

Contact Denton Village by Purehealth

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.