Page 73 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Independence Hill Assisted Living
AL
IL
San Antonio
115
Facility 115
TX AVG 69
Rank #134 / 752
Yes
35
Facility 35
TX AVG 40
Rank #508 / 865
--Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #540 / 736
-9-
Mrc the Crossings
AL
IL
MC
NH
SNF
League City
68
Facility 68
TX AVG 69
Rank #354 / 752
Yes
21
Facility 21
TX AVG 40
Rank #664 / 865
--Happy Harbor Methodist Home Inc
5
Facility 5
TX AVG 6
Rank #341 / 736
-5-
Cornerstone Retirement Community
AL
HC
IL
MC
NH
RC
SNF
Texarkana
66
Facility 66
TX AVG 69
Rank #358 / 752
Yes---Methodist Retirement Communities
0
Facility 0
TX AVG 6
Rank #1 / 736
---
EdenHill Communities
AL
CCRC
HOS
IL
MC
NH
RC
SNF
New Braunfels (Landa Park Estates)
64
Facility 64
TX AVG 69
Rank #377 / 752
Yes
5
Facility 5
TX AVG 40
Rank #827 / 865
--Eden Home, Inc
12
Facility 12
TX AVG 6
Rank #608 / 736
111-
Red Oak Memory Care
AL
MC
San Antonio (Arboretum)
10
Facility 10
TX AVG 69
Rank #670 / 752
No
46
Facility 46
TX AVG 40
Rank #359 / 865
3
Facility 3
TX AVG 17
Rank #382 / 410
------
The Waterford at Shavano Park
AL
MC
San Antonio
30
Facility 30
TX AVG 69
Rank #547 / 752
Yes
31
Facility 31
TX AVG 40
Rank #550 / 865
--Pal Shavano Park Trs, LLC---Studio / 1 Bed
Pipestone Place
AL
MC
San Antonio (Oak Haven Heights)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
22
Facility 22
TX AVG 40
Rank #653 / 865
--Sev, Inc
15
Facility 15
TX AVG 6
Rank #652 / 736
115-
Dear Friend Residentials
AL
RESC
Garland
9
Facility 9
TX AVG 69
Rank #687 / 752
No
55
Facility 55
TX AVG 40
Rank #218 / 865
---
17
Facility 17
TX AVG 6
Rank #674 / 736
-17Private / Shared Rooms
Royal Estates of El Paso
AL
El Paso (Northwest El Paso)
-No
41
Facility 41
TX AVG 40
Rank #420 / 865
28
Facility 28
TX AVG 17
Rank #66 / 410
A+-----
Family Tree Private Care – San Antonio
AL
HC
MC
NH
San Antonio
-No
59
Facility 59
TX AVG 40
Rank #175 / 865
15
Facility 15
TX AVG 17
Rank #184 / 410
A+-----

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 Independence Hill Assisted Living

Independence Hill Assisted Living in San Antonio, Texas, combines assisted living and independent living within a single campus. Independent living offers private apartments alongside community social events, while assisted living supplies help with daily routines like bathing, dressing, and managing medications. Studio and one-bedroom apartment layouts are available across this 115-bed property.

Operated by Stone Oak Villas II, the location features on-site rehabilitation therapy, a fitness center, a swimming pool, walking paths, and a garden gazebo. Additional conveniences include restaurant-style dining, local transportation, scheduled excursions, pet-friendly accommodations, and temporary respite stays. Staffing remains active 24 hours a day. Surrounding streets carry a 35 walk score, making standard errands off campus reliant on motor transportation.

Prospective individuals can get in touch with Independence Hill Assisted Living to confirm current lease options, request details on therapy programs, or arrange a guided tour.

Contact Independence Hill Assisted Living

Mrc the Crossings

255 N. Egret Bay Blvd, League City, TX 77573
Overview of Mrc the Crossings

Mrc the Crossings in League City, Texas, offers independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living gives residents a private living space with community services and no daily care. Assisted living adds help with dressing, bathing, medication, and other daily tasks while the resident keeps a private apartment. Memory care is provided in a secured setting with supervision, while nursing home and skilled nursing care include licensed nursing on site around the clock.

Several care levels are available within one community. Mrc the Crossings may be a good fit for a resident whose needs grow over time and who may be able to move between care levels without leaving the community. Respite care provides a short stay when a family caregiver needs to travel or recover. Short term rehabilitation offers a temporary stay focused on recovery.

Medicaid, Medicare, and private pay are accepted, giving families those listed ways to fund care. Total nurse staffing is 4 hours and 46 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. The community has 68 beds.

Residents can use the salon and spa on site. Transportation is available for destinations outside the home. Chef prepared meals are served in both a restaurant and a Bistro, giving residents two dining settings within the community. A doctor is on staff, and pets are allowed. Greg Rossi is the director, and Happy Harbor Methodist Home operates the community.

Contact Mrc the Crossings

Overview of Cornerstone Retirement Community

Cornerstone Retirement Community offers nursing home care, assisted living, home care, independent living, memory care, respite care, and skilled nursing in Texarkana, TX. Independent living means private living with community services and no daily care, while assisted living adds help with dressing, bathing, medication, and other daily tasks. Memory care provides a secured setting with supervision for someone at risk of wandering, and nursing home and skilled nursing care provide licensed nursing care on site around the clock.

Home care provides support where a resident lives, while respite care offers a short stay when a family’s usual caregiver needs to travel or recover. The range of care levels can suit a resident whose needs grow over time without leaving the community. Needs can change without requiring a move. Cornerstone opened in 1996 and has 66 beds.

Medicaid, Medicare, and private pay are accepted. Medicaid can help families whose savings may not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay allows families to fund care directly. Total nurse staffing is 4 hours and 18 minutes per resident each day, representing the daily nurse staffing time allocated per resident.

Meals are prepared from scratch and shaped by resident feedback, giving residents menu options influenced by their preferences. A salon provides on site grooming, while rehabilitation services include short term rehab for recovery after an illness or procedure. Pets are allowed, religious services are available, Methodist Retirement Communities operates the community, and Chuck Lewis serves as director.

Contact Cornerstone Retirement Community

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. 

Starting Price $2,928/Month

Contact EdenHill Communities

Overview of Red Oak Memory Care

Red Oak Memory Care tops the list as a reliable choice when it comes to residential assisted living for dementia patients, offering specialized and licensed care tailored to seniors diagnosed with memory impairement. Their commitment to providing excellent services includes professional medication management and 24/7 CCTV security for residents’ safety. With comfortable private suites, a home air purification system, and dedicated staff, this facility also ensures a secure and homelike environment where residents and their families can feel at ease.
Situated in a peaceful neighborhood, Red Oak Memory Care prioritizes the dignity and respect of residents facing dementia challenges. Families seeking compassionate care for their loved ones will surely find reassurance in the facility’s dementia-friendly approach, proving itself as a trusted senior home and memory care provider in San Antonio, Texas.

Contact Red Oak Memory Care

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

Dear Friend Residentials

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

Dear Friend Residentials provides assisted living and residential care in Garland, TX. Assisted living includes help with daily tasks while a resident keeps a private or shared room, and residential care offers an ongoing residential setting. With 9 beds, the community may be a good fit for someone who prefers a smaller setting where residents and staff can become familiar with one another.

Private rooms give residents an individual living space. Shared rooms suit someone who wants to live with a companion, while wheelchair accessibility supports residents who use wheelchairs in their daily routines. Add-on home health care services can be included when additional home health support is needed.

Residents can take part in scheduled fishing trips at a nearby lake, providing an outdoor outing. The area has a Walk Score of 55 and is somewhat walkable, so some errands can be completed on foot and a resident who no longer drives may be able to manage certain outings independently.

Contact Dear Friend Residentials

Overview of Royal Estates of El Paso

Royal Estates of El Paso offers assisted living in El Paso’s Northwest El Paso neighborhood. Residents can receive help with daily tasks such as dressing, bathing and medication while keeping their own apartment. With a Walk Score of 41, the area is car-dependent, so most errands require a car or a ride. Royal Estates of El Paso may be a good fit for someone who needs help with everyday personal care while continuing to live in a private apartment.

Contact Royal Estates of El Paso

Family Tree Private Care – San Antonio

901 Ne Interstate 410 Loop Suite 300, San Antonio, TX 78209
Overview of Family Tree Private Care – San Antonio

Family Tree Private Care is an exceptional in-home care provider that offers Care Giving, Private Nursing, and Care Management. With a team comprised of professional caregivers, private nurses, care managers, advisors, and dedicated people, Family Tree ensures a better quality of life within the comfort of home. Providing care for over a decade, Family Tree also provides long-term insurance and round-the-clock nursing support.

Family Tree combines compassion and professionalism in delivering the utmost care that seniors deserve. Assistance and care recognized in the industry, Family Tree Care fosters a family-like relationship with the team and seniors.

Contact Family Tree Private Care – San Antonio

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.