Page 79 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.
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.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
GoldStar Living
AL
Baytown (Country Club Estates)
10
Facility 10
TX AVG 69
Rank #670 / 752
No
55
Facility 55
TX AVG 40
Rank #218 / 865
---
Gemstone Senior Living at Northstar
AL
MC
San Antonio (North Central)
-Yes
62
Facility 62
TX AVG 40
Rank #139 / 865
--Private / Semi-Private Rooms
The Crossings Retirement Community
AL
IL
MC
NH
SNF
League City
-Yes
55
Facility 55
TX AVG 40
Rank #218 / 865
--1 Bed / 2 Bed
New Horizon Homes – McKinney
AL
MC
RESC
Mckinney
6 ResidentsNo
54
Facility 54
TX AVG 40
Rank #231 / 865
--Private Rooms
Acorn Garden Independent and Assisted Living
AL
IL
MC
The Woodlands
-Yes
52
Facility 52
TX AVG 40
Rank #259 / 865
--Private / Shared Rooms
Kingwood Memory & Assisted Living
AL
HOS
MC
RC
Kingwood (Kingswood)
-Yes
52
Facility 52
TX AVG 40
Rank #259 / 865
--Private Suites
Harvest of Roanoke Assisted Living and Memory Care
AL
MC
Roanoke
-Yes
46
Facility 46
TX AVG 40
Rank #359 / 865
--Studio / 1 Bed / 2 Bed
Fairhaven Denton Assisted Living
AL
Denton
-Yes
44
Facility 44
TX AVG 40
Rank #381 / 865
--Suite
Silver Leaf Assisted Living & Memory Care
AL
MC
Colleyville
16
Facility 16
TX AVG 69
Rank #565 / 752
No
28
Facility 28
TX AVG 40
Rank #576 / 865
Lake Point Assisted Living LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
Private / Shared Rooms
Deer Creek Senior Living
AL
IL
RC
Desoto
58
Facility 58
TX AVG 69
Rank #423 / 752
Yes
71
Facility 71
TX AVG 40
Rank #59 / 865
De Soto Senior Living, Inc
5
Facility 5
TX AVG 6
Rank #341 / 736
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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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GoldStar Living

4218 Waterwood Dr, Baytown, TX 77521
Overview of GoldStar Living

GoldStar Living is a family-owned and operated assisted living community in Baytown, TX, that offers personal care. As a state-licensed community for 10 beds, the community ensures older adults can feel at home with its intimate and home-like setting.  Nutritious meals, medication management, and mobility assistance are among the high-quality services provided to enrich residents’ living experiences. Owned by a registered nurse with more than a decade of experience, the community ensures residents receive top-tier care tailored to their unique needs and habits.

Social gatherings, light exercises, and various games provide residents with more opportunities to explore new interests and have fun. Thoughtfully furnished living areas and lively gathering spaces ensure residents can relax without hassles. Residents also have quick access to their necessities and leisure, especially with its beautiful setting in Baytown. This assisted living community is a great choice for senior living in Texas, as it has dedicated services and top-notch amenities.

Contact GoldStar Living

Overview of Gemstone Senior Living at Northstar

Tucked away in the neighborhood of San Antonio, TX, Gemstone at Northstar is a blissful senior living community that offers assisted living and memory care services. The community offers a dedicated 24/7 team trained to deliver personalized care in a home-like setting that provides utmost comfort and security. A compassionate memory care team undergoes continuous training to make sure they consistently deliver up to date practices in memory care.

The community also conducts a wide variety of activities geared toward engagement and socialization, fostering a nurturing and vibrant living environment. Three nutritious home-cooked meals and snacks are offered daily to make sure residents always receive their daily nourishment and sustenance. With most of the tedious daily chores handled by the community, residents are free to focus on their wellbeing and enjoyment.

Contact Gemstone Senior Living at Northstar

Overview of The Crossings Retirement Community

Located about 1.5 miles from downtown League City, Texas, and just under 2 miles from Houston Methodist Clear Lake Hospital, The Crossings Retirement Community is a senior living campus offering nursing home care, assisted living, independent living, memory care, and skilled nursing. The several levels of care in one community allow residents to receive more support as their needs change without relocating. Its location also keeps hospital care within easy reach if residents need it.

Licensed nursing staff is available 24 hours a day. Residents recovering from surgery, illness, or injury have access to on-site speech, physical, and occupational therapy. Short-term rehabilitation is available for those working toward returning home. Residents have access to prepared meals, scheduled transportation, and a regular calendar of activities.

Residents receive an average of about 57 minutes of registered nurse care, 52 minutes of licensed practical or vocational nurse care, and 2 hours and 39 minutes of nurse aide care each day. These staffing levels provide licensed nursing support along with the hands-on personal care residents need every day. One-bedroom and two-bedroom floor plans are available. The community welcomes pets, allowing them to keep a companion animal after moving in.

The area has a Walk Score of 55, which is moderately walkable. Some errands can be completed on foot, but most trips require a car. Families who want a closer look at the community’s daily routines and apartment layouts should schedule an in-person tour.

Contact The Crossings Retirement Community

Overview of New Horizon Homes – McKinney

Located in a quiet neighborhood in McKinney, Texas, New Horizon Homes – McKinney is a single-story residential care home offering assisted living, memory care, and residential care. The community features private rooms, giving each resident a personal living space instead of a shared unit. Designed as a small home, it cares for six residents. It maintains a staffing ratio of one caregiver for every three residents, allowing for more personalized attention than many larger communities.

The community provides assisted living, memory care, and residential care in one location. Residents can remain in the same home as their care needs change over time. They also receive housekeeping services and can participate in recreational activities, exercise programs, music classes, arts classes, and health programs. On-site security systems help support a safe living environment.

New Horizon Homes – McKinney is about 3 miles from downtown McKinney and just over 1 mile from Medical City McKinney, providing convenient access to hospital care when needed. The area has a Walk Score of 54, which is moderately walkable. Some errands can be completed on foot, but most trips require driving.

Families looking for a smaller, home-style community may appreciate the combination of private rooms and the one-to-three caregiver-to-resident ratio. Asking how this level of staffing supports residents throughout the day can help families compare it with larger assisted living communities.

Contact New Horizon Homes – McKinney

Overview of Acorn Garden Independent and Assisted Living

Retire in a calming environment tailored to your needs in Acorn Garden Independent and Assisted Living, a blissful community in The Woodlands, TX that fosters independence and support. Depending on residents’ independent levels, the community provides independent living and assisted living services to accommodate their unique needs and preferences. Accommodations here are set up to foster a familiar feel with top-level safety features to ensure residents feel safe and secure as they enjoy their precious personal times.

Those looking to enjoy an active and carefree lifestyle can engage in various activities to keep their days vibrant and active. Residents needing extra care receive complete assistance with their daily living activities, including meal preparation, personal care, and medication management. At Acorn Garden Independent and Assisted Living, they consistently make efforts to help residents achieve their dream retirement without hassles and worries.

Contact Acorn Garden Independent and Assisted Living

Kingwood Memory & Assisted Living

911 Southern Hills Rd, Kingwood, TX 77339
Overview of Kingwood Memory & Assisted Living

Kingwood Memory & Assisted Living offers assisted living, hospice care, memory care, and respite care in Kingwood, TX. Assisted living helps with daily tasks, while memory care provides a secured setting with supervision for someone who may be at risk of wandering. Hospice care supports residents receiving end of life care. Respite care offers a short stay when a usual caregiver needs time away, must travel, or needs time to recover.

The community is in the Kingswood neighborhood, with private suites in a single story building. A Walk Score of 52 places the area in the somewhat walkable band, so some errands can be completed on foot. For a resident who no longer drives, that creates an option for certain independent trips. Pets are allowed, so residents can bring a pet to live with them. The combination of care types may suit a resident whose needs change over time or a family needing short term support while a primary caregiver is away.

Overview of Harvest of Roanoke Assisted Living and Memory Care

Experience the warmth and care of Harvest of Roanoke Assisted Living and Memory Care, TX, where exceptional support and a vibrant, nurturing environment create a truly enriching living experience. At Harvest, they offer an encompassing range of services including assisted living and memory care services. The community also provides enriching activities, encourages new friendships, and makes avenues for its residents to confidently enjoy their freedom through a wide array of features and amenities including, pet-friendly and beautifully-designed apartments tailored to meet unique lifestyle needs and preferences.

Harvest of Roanoke Assisted Living and Memory Care also offers a wide variety of amenities and services including 24/7 on-site staff, a full-time licensed nurse, weekly housekeeping, personal laundry services, medication management, personal assistance including bathing, dressing, and grooming, a beautifully landscaped courtyard, spacious common rooms, and many more. At Harvest of Roanoke Assisted Living and Memory Care, each moment is thoughtfully designed to have ample opportunity to fill each day with purpose.

Starting Price $5,330/Month

Contact Harvest of Roanoke Assisted Living and Memory Care

Overview of Fairhaven Denton Assisted Living

A luxury assisted living, Fairhaven Denton aims to make residents feel not only at home but like family, ensuring an individual-focused approach where a team of well-trained staff gives a personal and unique care experience. The upscale senior home offers residential living created by seniors to thrive with a lifestyle of their choice. Discover endless opportunities in a luxury setting with world-class hospitality.

Fairhaven offers a range of premier accommodations that focus on its residents’ holistic wellness and independence. Community services and amenities include ADLs, exercise programs, transportation services, housekeeping, and laundry services, daily nutritious meals, respite stays, and medical supervision.

Contact Fairhaven Denton Assisted Living

Overview of Silver Leaf Assisted Living & Memory Care

Surrounded by serene parks in Bransford Road, Colleyville, TX, Silver Leaf Assisted Living & Memory Care is a unique community that offers assisted living and memory care. The community is committed to helping residents in living their day-to-day activities comfortably with care plans tailored to their needs and preferences. Medication management, housekeeping, and laundry services are cared for to ensure residents enjoy a maintenance-free retirement.

Enrich your golden years with fun activities and engaging programs, promoting an active lifestyle and belongingness. The community also provides high acuity care including diabetic care, hospice care, rehabilitative care, respite care, and more to enhance residents’ well-being. Indulge in delightful and healthy meals served three times daily for the finest dining experience. Spend your later years without worries with the community’s dedicated care programs and beautifully designed amenities.

Contact Silver Leaf Assisted Living & Memory Care

Overview of Deer Creek Senior Living

Deer Creek Senior Living offers assisted living, independent living, and respite care in Desoto, Texas. Assisted living includes help with daily tasks such as dressing, bathing, and medication while the resident keeps a private living space; independent living offers private living with community services and no daily care. Respite care provides a short stay when a resident’s usual caregiver needs to travel or recover, so the range of options can suit someone who wants independent living now and may later need daily assistance, while also supporting a family through a temporary caregiving gap.

Deer Creek has 58 beds, creating a smaller community where staff and residents can get to know one another. Gardens and walking paths provide outdoor space for walking, while restaurant style dining with chef prepared meals gives residents meals in a restaurant style setting. An on site salon and barber, together with an activities calendar, provide personal grooming and scheduled activities within the community.

Pets are allowed, so a resident can bring a pet when moving in. The area has a Walk Score of 71 and is very walkable, meaning most errands can be done on foot; someone who no longer drives can still get out independently. Medicaid is accepted as a payment option, and De Soto Senior Living operates Deer Creek Senior Living.

Contact Deer Creek Senior Living

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.