Page 71 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. 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.
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.
Parsons House La Porte
AL
IL
La Porte
65
Facility 65
TX AVG 78
Rank #544 / 980
Yes
14
Facility 14
TX AVG 42
Rank #1,180 / 1,345
-
5
Facility 5
TX AVG 6
Rank #372 / 839
23-
Dear Friend Residentials
AL
RESC
Garland
9
Facility 9
TX AVG 78
Rank #915 / 980
No
55
Facility 55
TX AVG 42
Rank #384 / 1,345
-
17
Facility 17
TX AVG 6
Rank #754 / 839
-17Private / Shared Rooms
The Chatfield Assisted Living
AL
Brownwood
60
Facility 60
TX AVG 78
Rank #567 / 980
No
51
Facility 51
TX AVG 42
Rank #480 / 1,345
Brownwood I Enterprises, LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
25-
Independence Hill Assisted Living
AL
IL
San Antonio
115
Facility 115
TX AVG 78
Rank #267 / 980
Yes
35
Facility 35
TX AVG 42
Rank #849 / 1,345
Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #602 / 839
-9-
Golden Palms Retirement Center and Healthcare
AL
IL
MC
NH
RC
SNF
Harlingen
60
Facility 60
TX AVG 78
Rank #567 / 980
Yes
50
Facility 50
TX AVG 42
Rank #512 / 1,345
-----
EdenHill Communities
AL
HOS
IL
MC
NH
RC
SNF
New Braunfels (Landa Park Estates)
64
Facility 64
TX AVG 78
Rank #552 / 980
Yes
5
Facility 5
TX AVG 42
Rank #1,303 / 1,345
Eden Home, Inc
12
Facility 12
TX AVG 6
Rank #680 / 839
111-
Golden Palms Rehabilitation and Retirement
AL
IL
MC
NH
RC
SNF
Harlingen
60
Facility 60
TX AVG 78
Rank #567 / 980
Yes-Santiago Healthcare LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
4--
Apex Oaks at Clear Lake Assisted Living
AL
MC
Houston
44
Facility 44
TX AVG 78
Rank #708 / 980
No
25
Facility 25
TX AVG 42
Rank #1,020 / 1,345
12410 Space Center, LLC
15
Facility 15
TX AVG 6
Rank #731 / 839
312-
The Waterford at Shavano Park
AL
MC
San Antonio
30
Facility 30
TX AVG 78
Rank #765 / 980
Yes
31
Facility 31
TX AVG 42
Rank #914 / 1,345
Pal Shavano Park Trs, LLC---Studio / 1 Bed
Pipestone Place
AL
MC
San Antonio (Oak Haven Heights)
16
Facility 16
TX AVG 78
Rank #788 / 980
No
22
Facility 22
TX AVG 42
Rank #1,064 / 1,345
Sev, Inc
15
Facility 15
TX AVG 6
Rank #731 / 839
115-

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 Parsons House La Porte

Parsons House La Porte is an assisted living community in La Porte, TX, offering independent living and personal care. Promoting a comfortable and home-like atmosphere, the community ensures older adults are well-cared for. Restaurant-style dining, weekly housekeeping, and scheduled transportation are also provided to help residents maintain their independence with ease. Following a person-centered approach to care, the community strives to provide the best possible care for residents’ welfare.

Fitness classes, holiday parties, and game nights ensure residents can stay happy and encourage them to make friends. A gazebo, a garden, and spacious outdoors are among the well-maintained amenities dedicated to residents’ relaxation and wellness. Set along Fairmont Parkway, near Pecan Park, restaurants, and shops, in La Porte, the community guarantees accessibility and convenience. Providing exceptional standards of care for older adults’ well-being, this assisted living community is a great choice for senior living in Texas.

Contact Parsons House La Porte

Dear Friend Residentials

1817 Royal Crest Dr, Garland, TX 75043
Overview of Dear Friend Residentials

Dear Friend Residentials LLC in Garland, TX, is an assisted living and independent living community that offers beautifully designed accommodations and personal care for older adults. The community ensures older adults are treated like family in its warm and welcoming environment, ensuring their comfort and convenience. Housekeeping services, nutritious meals, and medication management are also provided to enrich residents’ living experiences. Driven by Christian values, the community ensures residents are well-cared for.

Therapeutic activities, social events, and fishing trips provide residents with various opportunities for recreation and wellness. A spacious backyard, cozy dining rooms, and a meditation room are also available, ensuring residents can rest without worries. Residents also have a laid-back retirement with its ideal location in the peaceful Garland neighborhood. This assisted living and independent living community is a great choice for senior living in Texas, as it has exceptional services.

Contact Dear Friend Residentials

Overview of The Chatfield Assisted Living

The Chatfield Assisted Living is a 60-bed Type B senior living community in Brownwood, Texas, providing supportive residential care, with memory care, temporary respite stays, and physical rehabilitation programs. Established in November 2009 in Brown County, this private-pay community is operated by Brownwood I Enterprises, LLC, and is affiliated with Creative Solutions in Healthcare, a prominent Texas-based long-term care organization.

Personal care support with bathing, dressing, and grooming is provided, alongside routine health assessments, medication administration, physician coordination, and professional collaboration with visiting home health agencies. 24-hour staffing, regular wellness checks, and an integrated emergency call box and pull-cord infrastructure are also available. Daily chef-prepared dining, local transportation, cable television, hair styling services, routine housekeeping, and laundry care are also provided, all supported by CDC-aligned disinfection protocols.

Out of 26 total citations, 5 are health-related infractions, and 21 are life safety findings. This total trends higher than the Texas statewide average of roughly 6 citations and 2 health findings per evaluation. The health deficiencies focused on employee record-keeping and specific abuse or neglect reporting compliance protocols, with all items fully resolved by August 31, 2022. The life safety violations involved structural maintenance, fire safety, and electrical systems, citing correction dates between March and April 2022. Since these corrections predated the August inspection itself, the issues were formally resolved before the survey concluded, resulting in zero regulatory penalties or state enforcement actions.

The Chatfield Assisted Living is well-suited for older adults looking for boutique, localized care in a welcoming environment that offers reliable meal service and structured clinical coordination.

Contact The Chatfield Assisted Living

Overview of Independence Hill Assisted Living

Independence Hill Assisted Living is a 115-bed Type A senior living in San Antonio, Texas, providing independent living, assisted living services, short-term respite stays, rehabilitation, and a dedicated memory care neighborhood. Established in 1987, this securely gated and beautifully landscaped campus stands as one of the pioneering choices for supportive care in the northern sector of the city, located less than two miles from Methodist Stone Oak Hospital. It also earned distinction as a 2026 Caring Star Best Senior Living recipient.

The community offers a remarkably diverse selection of amenities for a Texas residential care setting, with on-site features that include a modern fitness center, a swimming pool, a movie theater, a pair of libraries, a technology center, a social coffee pub, an on-site beauty and barber shop, manicured walking paths, a gazebo, and dedicated suites for visiting guests. Furthermore, older adults living here receive special privileges at The Club at Sonterra, granting them access to golf, tennis, and expanded social and fitness events. The activities calendar boasts over 150 monthly life-enrichment opportunities, ranging from water aerobics and tai chi to arts, crafts, choir, gardening, and dedicated card and game rooms. Regular group excursions to cultural landmarks around San Antonio are also scheduled. Dining is presented restaurant-style, featuring three daily meals for those in the supportive care program, supplemented by all-day bistro choices and special themed dinners. Notably, monthly fees conveniently bundle all utilities, weekly housekeeping, linen laundering, and scheduled local transportation. Safety operations include round-the-clock staffing, a 24-hour emergency alert system, and a secure perimeter. Pets are also welcome.

A total of 17 state standard violations have been recorded, 16 of which were categorized as Life Safety Code deficiencies, while just 1 fell under the Health Code. The Life Safety citations focused on physical plant and fire safety protocols, including portable extinguisher compliance, fire alarm and smoke detection systems, and mandatory sprinkler testing schedules, alongside general maintenance like exit signs, illumination levels, and HVAC operations. Documentation reveals that multiple Life Safety items listed correction dates spanning March to May 2020. No regulatory penalties or enforcement actions were issued following the review. While the 16 life safety citations register higher than the Texas statewide average of 6, the overall trend points toward building infrastructure and fire protection hardware rather than issues with direct resident care or clinical oversight. The single health-related citation, combined with a total absence of state enforcement actions, indicates that daily resident care practices were functioning in substantial compliance during the evaluation.

Independence Hill Assisted Living is well-suited for active older adults aged 55 and above seeking a vibrant, amenity-rich environment in a premier north San Antonio location, offering a seamless transition to higher levels of supportive care or memory assistance if health needs change over time.

Contact Independence Hill Assisted Living

Overview of Golden Palms Retirement Center and Healthcare

Discover an exceptional living experience with the legendary Golden Palms Retirement Center and Healthcare located in the vibrant neighborhood of Harlingen, TX, providing independent living, assisted living, rehabilitation therapy, and respite care services. A wide array of beautifully appointed and comfortable accommodations ranging from studio to one-bedroom, two-bedroom, and three-bedroom are available for its residents. The community offers round-the-clock individualized care and assistance to ensure the comfort and security of its residents.

Committed to providing top-notch amenities and services, residents can avail delectable and healthy meals in restaurant-style dining, housekeeping and laundry services, full-service beauty and barber salon, and many more. Explore its amazing shared spaces such as the beautiful courtyard and scenic walking path. Enjoy participating in a full calendar of social activities and life enrichment programs with new companions. At Golden Palms Retirement Center and Healthcare, seniors are guaranteed a blissful and empowering retirement.

Contact Golden Palms Retirement Center and Healthcare

Overview of EdenHill Communities

EdenHill Communities offers independent living, assisted living, and memory care with additional options such as skilled nursing and rehabilitation. For over 100 years, the life plan community has gained the trust of many families over the years, as proven by their excellent and dignified service. This faith-based and non-profit community is dedicated to enriching the lives of seniors to continue living purposeful lives while growing as individuals. EdenHill is a place where residents can thrive, where their needs are being satisfied, and where goals are being achieved. 

EdenHill’s Communities is spread over their beautiful 27-acre campus which creates a home-like atmosphere for seniors to feel a sense of belonging. The team at EdenHill proudly provides a list of helpful amenities and services that encourage a wonderful social life– a private dining room for family gatherings, restaurant-style dining, bingo activities, fitness activities, and other special events or celebrations for all residents to take part in. Management allows visitations and overnight stays for the families of residents. 

Contact EdenHill Communities

Overview of Golden Palms Rehabilitation and Retirement

Golden Palms Rehabilitation and Retirement is a skilled nursing community in Harlingen, Texas, offering independent living, assisted living, skilled nursing, recovery services, respite care, and on-site therapy. Managed by Keystone Care LLC under the legal entity Santiago Healthcare LLC in Cameron County, this privately owned, 60-bed community is approved to accept both Medicare and Medicaid. It also achieved an overall CMS score of 3 out of 5 stars, which matches the Texas state average.

The community maintains a 3-star CMS Health Inspection score, which is marginally higher than the Texas average of 2.9, alongside a 2-star staffing score. Over the last three years, it documented 18 total health findings. However, it has faced three federal financial penalties, which is 80% lower than the state average, with no instances of denied payments. Notably, the most recent thorough state review in December 2023 identified zero deficiencies.

Constant staffing is provided with a caregiver-to-resident ratio of 1.65 to 1, performing 9% better than the state average. Physical therapy hours provided to each resident daily are 250% above the Texas average. The team includes speech language pathologists, physical therapy assistants, respiratory technicians, and occupational therapists. Restaurant-style meals are also served three times a day, and the community provides monthly schedules featuring group excursions, faith-based services, and active councils for residents and families.

It has a current occupancy rate of 82.8%, which is 30% higher than the state average. With an average residency of 42 days, the community reflects a clear focus on post-acute recovery for older adults. Additionally, Medicare represents 30% of stays, typically lasting 25 days, while those paying privately make up 69% of admissions and usually stay for about one month. The community also assists long-term Medicaid recipients. Its high numbers for rehabilitation staff, a strong rate of residents returning to their homes at 64.7%, and higher-than-average occupancy signify steady local interest and positive results.

Golden Palms Rehabilitation and Retirement is a great fit for older adults needing recovery support after a hospital visit and looking for short-term recovery options in the Harlingen area.

Contact Golden Palms Rehabilitation and Retirement

Overview of Apex Oaks at Clear Lake Assisted Living

Offering assisted living, memory care, and respite care, Apex Oaks at Clear Lake Assisted Living is a licensed Type B assisted living community in Houston, Texas. Managed by 12410 Space Center, LLC in Harris County, the community specializes in delivering dedicated support for older adults living with Alzheimer’s disease, dementia, and other forms of cognitive decline. With a 44-bed capacity, its mid-sized design is intended to encourage personal attention while still providing shared amenities and social opportunities.

The community maintains an active license from the Texas Health and Human Services Commission (HHSC). Regulatory data reported zero enforcement actions, no civil money penalties, or payment denials have been documented over the previous three years, which places this community well below the Texas state averages. While formal evaluation records do not provide specific deficiency counts or citation details, the lack of any enforcement history is a positive indicator for families reviewing compliance and safety performance.

Combining 24-hour support, help with daily living activities, medication management, and three daily meals into one stable cost, the community offers an all-inclusive pricing model. Temporary relief stays are also available for families through respite care. Notably, a Montessori-inspired activities curriculum is conducted, which is a structured and evidence-informed method that promotes meaningful participation and mental stimulation for residents with dementia. Mobility and transfer aid, housekeeping, laundry services, Wi-Fi, and utilities are also available.

Apex Oaks at Clear Lake Assisted Living appeals to older adults experiencing mild to advanced stages of Alzheimer’s disease, dementia, or other cognitive changes who require steady and organized support throughout the day, especially with its dedicated memory care environment, a comprehensive pricing structure, and a therapeutic activities program. Its position in the Clear Lake region of southeast Houston also offers suburban convenience while providing convenient access to the wider Houston metropolitan area.

Contact Apex Oaks at Clear Lake Assisted Living

The Waterford at Shavano Park

4096 De Zavala Rd, San Antonio, TX 78249
Overview of The Waterford at Shavano Park

Providing a fun and safe environment for seniors, The Waterford at Shavano Park is a dedicated senior living community in Bexar County, San Antonio, TX, offering assisted living and memory care. The community warrants access to 24-hour support services in the comfort of thoughtfully designed accommodations built with safety features that help protect residents from accidents and emergencies. Residents enjoy on-site occupational, physical, and speech therapy and clinic services that ensure they are always on top of their well-being.

The community supports spiritual, intellectual, and social engagement through its wide array of enriching activities and beautiful common areas that foster social interaction. From educational speakers and exercise sessions to various clubs and pet-focused programs, there’s always something happening to keep residents active and enjoying life. The community’s restaurant-style dining ensures every meal is delicious and nutritious, enhancing residents’ health and wellness. With their all-encompassing care and various wellness programs, the community ensures residents always feel great and healthy.

Contact The Waterford at Shavano Park

Overview of Pipestone Place

Settling in the serene Pipestone Drive, San Antonio, TX, Pipestone Place Assisted Living is a blissful senior living community offering assisted living and memory care. With round-the-clock care and assistance from a well-trained and dedicated team, the community ensures the comfort and safety of its residents. Moreover, the community provides a personalized approach to its residents and a higher resident-to-team ratio to ensure that their needs are met. A cozy and warm residence for seniors to live in a comfortable and welcoming environment.

Pipestone Place is a welcoming community that delivers a family-centered approach to ensure that its residents are well-respected and receive the proper care they need. The community serves healthy and hearty meals based on personal needs and preferences to satisfy its residents’ dietary needs and preferences. Fostering meaningful connections among the community and its residents, Pipestone Place conducts specialized programs and cognitive and recreational activities for their enjoyment and leisure.

Contact Pipestone Place

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.