Best Assisted Living in Texas

The Lodge Assisted Living and Memory Care in Gun Barrel City, Texas, is a specialized residential neighborhood providing comprehensive assisted living and memory care services. Operated by The Lodge at Gun Barrel City LLC with a 60-bed capacity, this community is designed to support older adults at different stages of cognitive function and physical capability.

Its mission directly reflects a dual-service commitment, which is assisted living for older adults requiring daily care assistance, and specialized memory care programming for individuals experiencing cognitive decline. This integrated approach allows the community to serve a broad spectrum of care needs under one roof. The Gun Barrel City location also makes this an accessible resource for families throughout East Texas seeking quality care options with both assisted living and memory care services.

This community maintains an excellent compliance record within the Texas regulatory oversight system. The Health and Human Services Commission (HHSC) conducts unannounced inspections at all licensed care properties in Texas and identified no reported findings during the inspection period in this community. Notably, there are zero enforcement actions on record. This represents a strong regulatory standing, as the Texas average is approximately one enforcement action per community. This clean enforcement history also signals consistent adherence to state regulations and quality standards, providing families with confidence in the operational practices and commitment to regulatory compliance.

Daily living assistance is provided for older adults who benefit from professional support while maintaining residential independence, including medication management, personal care assistance, meal services, and access to trained staff throughout the day and night. The community also offers specialized programming for individuals with Alzheimer’s disease and other forms of dementia. Memory care environments are typically designed with enhanced safety features, structured activities tailored to cognitive abilities, and staff trained specifically in dementia care approaches.

Providing a specialized focus that addresses the unique needs of older adults experiencing memory loss while providing reassurance to families, The Lodge Assisted Living and Memory Care is an appealing option to families seeking assisted and memory care in Henderson County.

The Legacy at Oak Hill is a senior living community in Austin, TX, offering assisted living services. Serving residents with a 122-bed capacity, this community provides professional caregiving support for older adults seeking an independent living arrangement with available assistance and community engagement. Operated by CSH AUSTIN LICENSEE LLC, the community serves families researching assisted living options in Central Texas.

This community participates in the comprehensive regulatory oversight system managed by the Health and Human Services Commission (HHSC), including the comprehensive inspection on September 05, 2023, and received inspection results with documented citations. Additionally, it is important to understand these findings in context, as Texas averages approximately one inspection with citations per community and about six total citations statewide. The three citations recorded for this community place it below the Texas average for total citations. The community has also recorded zero enforcement actions, indicating it has not received administrative penalties despite the citations. This pattern suggests the community addressed cited issues through corrective action processes rather than requiring state enforcement intervention.

This community offers residential care focused on the assisted living model, where older adults maintain semi-independent living while benefiting from daily professional support services. With a 122-bed capacity, the community also provides programming, social activities, and coordinated services that support both physical health and quality-of-life outcomes for its residents. Focusing on assisted living services, it is designed for older adults who require daily help with personal care tasks.

Operating with an assisted living framework, The Legacy at Oak Hill supports the independence of residents while ensuring trained professionals are available for essential care needs. Located in Travis County, the community also addresses the housing needs of individuals and families across the greater Austin metropolitan area seeking quality care with accessibility to urban resources.

The Harbor Assisted Living is a residential care community in Pearland, Texas, providing assisted living services. Operated by Pearland Seniors Living, Ltd., this 30-bed community offers personalized caregiving support for older adults seeking assistance with daily living tasks while maintaining independence. As a smaller-scale assisted living community, it emphasizes personalized, resident-centered care within a residential setting. The name of the community also evokes a sense of safety and security, which is a metaphor reflecting the protective and supportive environment that it aims to create for its residents.

This community maintains a clean regulatory record in the Texas care oversight system. The Health and Human Services Commission (HHSC) conducts unannounced inspections at all state-licensed care communities. Notably, the community’s enforcement-action-free record is a positive indicator since Texas averages approximately one enforcement action per community. The absence of enforcement actions also indicates consistent adherence to state regulations and quality standards, providing families with confidence in the operational reliability and commitment to regulatory compliance.

Comprehensive assisted living services are provided for older adults who benefit from daily professional support. The assisted living model also allows older adults to maintain a degree of independence while ensuring trained caregivers are available throughout the day and night.

Located in Pearland, a growing suburban community south of Houston, The Harbor Assisted Living serves families throughout the Pearland region and surrounding areas, exploring quality assisted living options. Its 30-bed capacity also allows for more individualized attention and a close-knit atmosphere compared to larger organizations.

The Estates at Grand Prairie is a licensed assisted living community in Grand Prairie, Texas, offering personalized care. Operated by The Estates at Grand Prairie Inc, this 60-bed community holds a Type B license from the Texas HHSC. Its specific address at 1005 SW 3rd Street places it approximately one mile from the city center of Grand Prairie, which is a central location that provides families and visitors with easy access within the DFW region.

The regulatory standing of the community is among the strongest features of its profile, with the most recent comprehensive inspection, conducted on July 30, 2025, resulting in zero Health Code violations and zero Life Safety Code deficiencies, which is a clear outcome reflecting full compliance across all areas reviewed, including fire safety, building maintenance, resident care, and pest control. Additionally, no enforcement actions have been taken against the community, and no federal penalties or payment denials appear in the CMS database for the past three years. These outcomes place the community in a favorable position relative to the Texas state average of one enforcement action.

The community offers care tailored to assisted living residents, including those with memory-related needs. It holds Alzheimer’s certification, enabling it to support residents with dementia through trained, structured programming. Personalized care plans are also developed for each resident and guide the day-to-day delivery of medical and personal services. The community also focuses on providing individualized attention within a consistently staffed environment.

Programming and services include medical oversight, dining services, and social and recreational activities designed to keep residents engaged and connected. While specific amenity details were limited, the combination of structured programs and personalized care planning reflects a community-oriented approach to living for older adults. Located within the Dallas–Fort Worth metropolitan area, it also provides access to a broad range of healthcare providers, specialists, and community resources for residents and families alike.

Prioritizing a clean regulatory record and a personalized care model in a mid-sized, accessible environment, The Estates at Grand Prairie is a great option for older adults requiring assisted living care or memory support seeking a regulated, compliance-verified community in the Grand Prairie and Dallas–Fort Worth area.

Sterling Residential Care is a licensed assisted living community in Devine, Texas, serving older adults who require support with daily activities in a residential care setting. This 50-bed community holds a Type B license from the Texas HHSC in n Medina County and is owned and operated by Steinolfson Residential Care Inc, a locally oriented ownership entity.

From a compliance perspective, the record for this community is generally favorable, with two total citations from its most recent inspection cycle, which is below the Texas average of six citations. One inspection resulted in citations and zero enforcement actions, matching the state benchmark. No federal civil money penalties or payment denials appear in the CMS database for the past three years. While the two citations indicate some areas that require attention, the low count relative to the state average is a constructive signal for interested families.

Care and therapy services include rehabilitation services, with physical therapy and occupational therapy among the programs offered. The community is also positioned to serve older adults with recovery or functional support needs in addition to general assisted living assistance. The service model is focused and practical, offering targeted care without the broader specialty programming found at larger urban locations. On-site programs also include nursing home-level oversight, dining services, and community engagement. For families in the Devine, Medina County, and greater South Texas region, it also offers an accessible local option that keeps older adults close to their home neighborhoods.

With a low citation rate and the absence of enforcement actions, Sterling Residential Care is a compelling option for older adults who need assisted living support or post-rehabilitation assistance and who prefer to remain in a familiar, small-town environment in rural South Texas. Devine is a small town southwest of San Antonio, allowing the community to provide families in the surrounding region a nearby assisted living option without the need to relocate to a larger metro area.

Residency at Ridgewood is a licensed assisted living and memory care community in Waco, Texas, serving older adults who need daily living support or specialized dementia care in a residential-scale setting. The community is independently operated by Residency at Ridgewood LLC with a Type B license from the Texas HHSC. This 39-bed community is among the smaller assisted living communities in the Waco area, reflecting a more individualized attention and a more familiar, home-like environment for residents.

On the regulatory side, this community carries a strong compliance profile, with zero enforcement actions reported, which is well below the Texas average of one, and no federal civil money penalties or payment denials appear in the CMS database over the past three years. The most recent inspection data available through TULIP did not document any Health Code or Life Safety Code violations, indicating a clean standing with state regulators.

Care services center on assisted living and memory care, as the community holds an Alzheimer’s certification, affirming its capacity to support residents with cognitive decline through a structured, trained approach. Emergency call systems are in place throughout the community, and staff are available to assist residents with activities of daily living. The administrative office is also open from Monday through Friday from 8 AM to 6 PM, though care support is available to residents around the clock.

The community’s amenities also focus on both safety and quality of life, providing access to dining rooms, lounges, and outdoor spaces, which are common areas that support social engagement and mobility. Organized activities and socialization programs also round out the daily rhythm of life for residents. With a location approximately 4.2 miles from Waco’s city center, it offers convenient access to hospitals and essential services for older adults.

Residency at Ridgewood benefits older adults who prefer a quieter residential setting with consistent staffing and a structured daily routine in Waco, especially with its dedicated memory care capabilities. Assisted living starts at $4,000 per month, with memory care priced at $6,000 per month.

Discovery Village at Southlake is a skilled nursing community in Southlake, Texas, offering independent living, assisted living, memory care, and skilled nursing. Operated by DSL Tenant II, LLC in Tarrant County, the community accepts Medicare, Medicaid, and private funds, ensuring diverse financial options for residents. Serving 29 residents with a 41-bed capacity, the community is currently operating at 71% occupancy rate, which is higher than the state average. It also maintains an overall CMS score of 3 out of 5 stars, matching the typical Texas state average.

The health inspection score is 3 out of 5 stars, placing it slightly higher than the state average of 2.9. Furthermore, the staffing score of 3 out of 5 stars indicates strong performance, as the community ranks 65th out of 240 Texas skilled nursing locations for total adjusted nursing hours. With 3 hours and 59 minutes of care provided per resident daily, it surpasses the state mean by roughly 5%, reflecting a stable care access. Weekend care is noted at 3 hours and 24 minutes daily, which is suggested for families to review in comparison to weekday levels. The quality measures score of 3 out of 5 stars is one point below the state average of 4.0, which points to potential areas for enhancing clinical data tracking.

In terms of financial data, the community generates roughly $10.3 million in annual revenue while seeing an operating deficit of $1.1 million. The resident population is composed of approximately 37% Medicare recipients, 37% Medicaid recipients, and 26% private pay residents. With an average stay lasting 28 days, the population largely consists of those receiving short-term rehab or transitional medical support.

The SHINE® memory care program also offers a specialized and structured framework for those living with dementia or Alzheimer’s. Its larger campus also promotes an energetic lifestyle for those in independent and assisted living through a wide array of social, health, and leisure activities for older adults.

Discovery Village at Southlake is a practical option for older adults who need various stages of support under one roof, ranging from active retirement to skilled nursing recovery in the Southlake area, particularly those looking for a local community that accepts both Medicare and Medicaid.

Riverstone Memory Center is a dedicated memory care community in Missouri City, Texas, specializing in the care of older adults living with Alzheimer’s disease and other forms of dementia. Operated by Riverstone Senior Care LLC in Fort Bend County, the community holds a Type B license from the Texas HHSC. With a capacity of 48 beds, this community has a mid-sized, purpose-built environment tailored specifically to the cognitive and emotional needs of residents with memory-related conditions.

The regulatory record reflects well on this community’s maintained operational standards. This community has recorded zero enforcement actions and has incurred no federal penalties or payment denials over the past three years, according to the CMS database. Inspection data available through TULIP also showed no Health Code or Life Safety Code deficiencies on record, which is a reassuring finding for families navigating the often complex process of selecting memory care. The track record reflects consistency in meeting state care standards.

With an Alzheimer’s certification, the care model is structured around the specific needs of individuals with Alzheimer’s and dementia. The community also employs 24-hour trained care staff and personalized care plans for each resident, which are updated in coordination with family members to ensure continuous supervision and support. Its environment is also designed with security in mind, providing a secure setting that reduces wandering risks while still allowing residents meaningful engagement within the community.

Amenities are thoughtfully curated to support both physical well-being and quality of daily life, with two private courtyards providing outdoor access in a secure setting. An in-house salon also offers grooming services that support dignity and routine. Daily housekeeping and three nutritious meals per day are included, with recreational activities offered every day through a center-based activities and recreational program. These features, combined with the attentiveness of trained memory care staff, create a consistent and structured day that is ideal for residents with cognitive impairment.

Riverstone Memory Center is an appealing option for families seeking a dedicated, secure memory care community in the Missouri City and Fort Bend County area, particularly older adults in the moderate to advanced stages of Alzheimer’s or dementia who require specialized, around-the-clock supervision within a safe and engaging residential environment.

Knopp Retirement Center is a licensed senior living community in Fredericksburg, Texas, offering assisted living services. Managed as a family-owned enterprise under Knopp Retirement Center Inc., the community has a Type B license in Gillespie County. Operating since 1965 with a 60-bed capacity, it is one of the most enduring providers for older adults in the area.

In terms of state oversight, the most recent evaluation performed on April 27, 2023, identified five Health Code deficiencies, which involved delays in creating and starting individual service plans, gaps in annual background verifications through national and state registries, inadequate tuberculosis testing for staff, the absence of a yearly fire marshal review, and questions about food procurement from approved vendors. Notably, every concern was resolved between April 28 and June 9, 2023. No Life Safety Code deficiencies were found, and the community has faced zero enforcement actions, which is a better record than the Texas average of one. With five citations against a state average of six, the total volume of findings is slightly below the regional benchmark.

The community delivers assisted living and long-term support with a focus on empathy, dignity, and personal care, which are principles rooted in its independent family legacy. Available on-site clinical services also consist of physical, occupational, and speech therapy, positioning this location as a practical choice for older adults who need consistent rehabilitative help without relocating.

Providing assisted living, memory care capabilities, and on-site therapeutic support, Knopp Retirement Center is a good option for older adults who aim to age in place in the Fredericksburg region and the wider Hill Country and prefer a more intimate, family-run atmosphere with deep local roots.

Proveer at Northgate is a licensed assisted living community in Houston, Texas, offering care for older adults who need support with daily activities alongside access to therapy and rehabilitation services. Operated by Proveer Senior Living LLC with a Type B license from the Texas Health and Human Services Commission (HHSC), the community accommodates up to 60 residents. Its location along Cypress Grove Meadows Drive also places it within Harris County, one of the most populous regions in the state, giving families a range of nearby healthcare and community resources.

From a regulatory standpoint, this community presents a clean record, as it has recorded zero enforcement actions, in contrast to the Texas average of one, and no civil money penalties or payment denials were reported in the past three years. Inspection data on file through the Texas Unified Licensure Information Portal (TULIP) did not yield recorded Health Code or Life Safety Code violations, which is a positive indicator for families evaluating compliance. While detailed inspection records are limited, the absence of regulatory actions reflects the community’s ongoing commitment to meeting state standards.

This community distinguishes itself through a wide range of care offerings, which include rehabilitation services, respite care, and short-term rehab, making it a practical option for older adults transitioning out of a hospital setting or recovering from an illness or procedure. The community also holds Alzheimer’s certification, enabling it to support residents with memory care needs under a trained, structured approach. 24-hour staffing also ensures that residents have access to assistance at any hour.

Lifestyle amenities are also designed to support both health and engagement, featuring farm-to-table dining with heart-healthy menu options, which is a key feature for residents managing chronic conditions. Pet-friendly policies are also in place, and individualized service plans are developed for each resident to ensure personalized attention. Home health care coordination is also available for those with more complex ongoing needs.

Prioritizing a clean regulatory history, personalized care planning, and access to rehabilitation therapy, Proveer at Northgate is best suited for older adults who require assisted living support, memory care, or short-term rehabilitation in a mid-sized residential setting, particularly those who value a balance of attentiveness with social engagement. Pricing begins at approximately $3,150 per month.