Page 83 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
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.
Kingwood Memory & Assisted Living Humble
AL
MC
Humble (Kingswood)
-No
30
Facility 30
TX AVG 42
Rank #929 / 1,345
----Private / Semi-Private Rooms
Rocky Hollow Lake House
AL
MC
Georgetown
-Yes-Rh Lake House LLC
9
Facility 9
TX AVG 6
Rank #602 / 839
27-
Prestonwood Court Assisted Living & Memory Care
AL
MC
Plano (Prestonwood)
-No
30
Facility 30
TX AVG 42
Rank #929 / 1,345
----Studio / 1 Bed
Legend of McKinney
AL
MC
Mckinney
-No
27
Facility 27
TX AVG 42
Rank #977 / 1,345
----1 Bed / 2 Bed / Suite
The Spear Home
AL
Harlingen
-No
78
Facility 78
TX AVG 42
Rank #45 / 1,345
-----
Seasons Assisted Living
AL
Arlington (West Arlington)
-Yes
65
Facility 65
TX AVG 42
Rank #197 / 1,345
-----
4 Seasons Senior Living
AL
HOS
MC
RESC
RC
Dallas
-Yes
66
Facility 66
TX AVG 42
Rank #185 / 1,345
-----
EternaCare Living
AL
IL
Spring
-No
61
Facility 61
TX AVG 42
Rank #267 / 1,345
----Private / Semi-Private Rooms
Avir at Woodlands Villas
AL
MC
NH
SNF
Eastland
48
Facility 48
TX AVG 78
Rank #684 / 980
No
49
Facility 49
TX AVG 42
Rank #540 / 1,345
125 Inspiration Blvd Alf Opco LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
25-
Grandmother’s House
AL
MC
RC
Arlington (West Arlington)
-No
55
Facility 55
TX AVG 42
Rank #384 / 1,345
-----

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 Kingwood Memory & Assisted Living Humble

Kingwood Memory & Assisted Living – Masters Way is an assisted living and memory care community in Humble, TX, offering assistance with daily living activities and specialized care for Alzheimer’s and dementia. The community also ensures residents are treated like family in a nurturing and home-like environment. With 24-hour care, three nutritious meals daily, and housekeeping, residents can maintain their independence with ease. Through customized care plans, residents receive the utmost attention and care tailored to their needs and habits.

Live entertainment, group activities, and celebrations help improve residents’ cognition and encourage them to live actively. Residents can also relax and freely interact with the community in the lively dining room and cozy living spaces. Nestled in the tree-lined neighborhood of Humble, the community ensures residents have a laid-back lifestyle. This nursing home is a good option for senior living in Texas, especially with its commitment to older adults’ welfare.

Overview of Rocky Hollow Lake House

Offering assisted living, memory care, adult day care, and respite care, Rocky Hollow Lake House is a senior living community on the outskirts of Georgetown, Texas. Rh Lake House LLC operates the community. Residents can access different levels of care in one location, making it easier to remain in the community if care needs change or if short-term support is needed.

Residents receive 24-hour assistance with medication management and personal care. Private accommodations include air conditioning, and the community provides housekeeping and laundry services. Freshly prepared meals can meet a variety of dietary needs. Residents can also join cognitive and physical activities that encourage an active and social lifestyle.

Amenities on-site include transportation services and fitness and recreation programs. Pets are welcome in the community. The location is outside the main part of Georgetown, so most errands and outings require a car. The quieter setting may appeal to families looking for a more rural environment.

State inspections in Texas have repeatedly focused on staff training for emergency procedures and building safety, including fire alarm documentation. Follow-up visits confirmed that some identified issues had been corrected. However, similar training and safety topics have appeared in more than one inspection.

Families considering Rocky Hollow Lake House may want to ask about the community’s current emergency preparedness and fire safety practices during a tour.

Contact Rocky Hollow Lake House

Overview of Prestonwood Court Assisted Living & Memory Care

Located in Plano’s Prestonwood neighborhood, Prestonwood Court Assisted Living & Memory Care provides assisted living and specialized memory care services for older adults. The three-story community offers studio and one-bedroom residences and is situated roughly one mile from Texas Health Presbyterian Hospital Plano.

Support for individuals living with Alzheimer’s disease and other forms of dementia is a key focus. Enhanced security measures help reduce wandering risks, while higher staffing levels support medication management, nursing oversight, and assistance with daily activities.

Residents also have access to rehabilitation services, occupational and physical therapy, personal care, telehealth appointments, housekeeping, and linen service. Dining includes three daily meals prepared with fresh ingredients, along with chef-prepared snacks available throughout the day.

Amenities are designed to encourage activity and social engagement, including a fitness center, indoor swimming pool, outdoor patio, community gardens, salon services, and on-site religious programs. Wheelchair accessibility and safety features, such as bathroom grab bars, help support comfort and mobility throughout the community.

Structured daily programming provides opportunities for recreation and social interaction, while on-site therapy services allow many rehabilitation needs to be addressed without traveling elsewhere. The surrounding area has a Walk Score of 30, meaning most errands and outings require a short drive.

Contact Prestonwood Court Assisted Living & Memory Care

Legend of McKinney

220 S, Crutcher Crossing, Mckinney, TX 75072
Overview of Legend of McKinney

Located in the quiet neighborhood of South Crutcher Crossing, McKinney, TX, Legend of McKinney is a prominent senior living community offering assisted living and memory care. Featuring cozy and elegant accommodations including studio, one-bedroom, and two-bedroom apartments, seniors maximize comfort and safety. Legend of McKinney takes pride in a team of reliable, compassionate, and highly trained professionals, who deliver exceptional care and assistance around the clock. Live a worry-free retirement and experience freedom like no other with Legend of McKinney.

The community focuses on the individuality of every resident, collaborating with them to carefully craft a care plan that best matches their special needs and aspirations. Healthy and tasty meals are served to cater to seniors’ dietary needs and preferences. Legend of McKinney is ideal for relaxation and convenience with its ethereal campus surrounded by tranquil landscapes and filled with fabulous amenities.

Contact Legend of McKinney

Overview of The Spear Home

Nestled in the tranquil community of Harlingen, TX, The Spear Home is an inviting senior living community that has provided assisted living services for elderly women since 1964. Well-appointed private accommodations with varying floor plans are available for its residents based on individual tastes. With a well-trained and dedicated team, residents can receive the utmost care and support catering to their immediate needs and interests.

Dedicated to providing the highest level of care and living options for residents and their families, the community offers top-notch amenities and services including fresh and healthy home-cooked meals based on dietary needs. Meet new friends and participate in diverse social activities and life enrichment programs. At The Spear Home, seniors are assured of a wondrous retirement.

Contact The Spear Home

Overview of Seasons Assisted Living

A 55-bed assisted living and independent living community administered by Jessica Sherman in Mountain View Estates’ neighborhood of Lewisburg, West Virginia, is Seasons Place. The facility operated by Lewisburg Aid Ii Opco stands a half mile from downtown Lewisburg and offers assisted living, independent living, and respite care services for occupants of varying care needs. With 39 residents in a 55-bed community, occupancy is at 71 percent, so there’s capacity for new residents seeking residential senior care.

The car-dependent neighborhood bears a Walk Score of 24, so most errands demand transportation. This setting fits families who can plan regular visits by car and residents wanting a more serene and residential area outside a walkable urban center. Visitors will find the surrounding area tranquil and residential in character.

Since 2008, the facility has been regulated with a steady inspectional record dating back nearly two decades. Recent inspections have highlighted operational and facility maintenance matters.

Families contemplating Seasons Place should personally visit to know the available care levels, rooms and housing options, amenities, dining, activities, and daily operations.

Contact Seasons Assisted Living

Overview of 4 Seasons Senior Living

Ideally situated across the tranquil lands of Dallas, TX, 4 Seasons Senior Living is an extraordinary senior living community providing a wide array of care options including long-term care, memory care, respite care, stroke recovery, wheelchair care, private care, and hospice assistance. Delivering the highest standard of care since 2008, the community boasts a team of responsible and highly skilled team available around the clock. Keep peace of mind with housekeeping, maintenance, medication management, and daily living activities handled by 4 Seasons Senior Living.

Seniors do not run out of things to explore with a variety of fun activities and enriching programs that aim to keep seniors happy and well-connected. Have the finest dining experience with healthy and delicious meals catering to dietary needs and preferences. 4 Seasons Senior Living is committed to enhancing seniors’ quality of life by providing exceptional services and specially designed amenities.

Contact 4 Seasons Senior Living

EternaCare Living

5667 Treaschwig Rd, Spring, TX 77373
Overview of EternaCare Living

Live a worry-free lifestyle with EternaCare Living, a purposely built community in Spring, TX, offering independent living. Featuring beautifully furnished and spacious accommodations in a nurturing and welcoming environment, the community strives to maintain residents’ independence. Household chores and laundry services are also available, so residents can have more time for the things they love.

Engaging activities and fun recreational programs are also conducted, encouraging residents to live actively and vibrantly. There’s no need to worry about meal preparation with delicious and healthy dining options to satisfy residents’ dietary needs and preferences. Case management and transportation assistance are also provided for residents’ convenience. The community is ideal for those seeking comfort and safety in retirement, especially with its dedicated care and cozy amenities.

Contact EternaCare Living

Overview of Avir at Woodlands Villas

Operated by 125 Inspiration Blvd Alf Opco Llc, Avir at Woodlands Villas is a 76-bed skilled nursing home under owner Woodland Nursing Operations LLC on Inspiration Boulevard in Eastland, Texas. It takes Medicaid, Medicare, and private pay, so families have flexibility in how they cover care. The moderate-size facility runs at about 59 percent occupancy, with most residents staying for extended periods, averaging roughly 297 days.

The home leans toward short-term rehabilitation and respite care alongside ongoing nursing. Total nursing care averages about 3 hours 40 minutes per resident day, with registered nurses, nurse aides, and licensed practical nurses on staff 24/7. That staffing level supports residents recuperating from surgery, hospitalization, or other acute events, plus those needing longer-term skilled care. Therapy and rehabilitation are core services. The facility has a dedicated therapy gym alongside typical amenities like a salon and library, with several common areas and a recreation room to bolster daily activities. Pet visits are available, and religious service spaces are provided. To support a sense of community and engagement, the home organizes daily entertainment and holiday events. The neighborhood scores 49 for walkability, meaning some errands are walkable, while most trips demand transportation. Families visiting from out of town may find the quieter setting appropriate for their time with occupants.

Over the past two years, state inspections have focused on safety systems and building maintenance, with prior-year deficiencies addressed. As part of ongoing operations, the home has maintained attention to fire safety and infrastructure protocols.

Contact Avir at Woodlands Villas

Overview of Grandmother’s House

Grandmother’s House provides assisted living, memory care, and short-term respite stays from its facility in the West Arlington neighborhood of Arlington, Texas. Located near Lake Arlington, the property sits about 4.63 miles from Medical City Arlington, keeping hospital services within driving distance. The layout supports changing needs by integrating home health and hospice services alongside regular residential care.

The surrounding neighborhood has a walk score of 55 out of 100, meaning the area is moderately walkable with some local shops and errands accessible on foot.

Daily routines at the home include planned exercise sessions, scheduled meals and snacks, and an on-site beauty salon and barbershop. These services are structured to help residents maintain a consistent daily rhythm while providing the necessary physical help with daily living tasks.

Families can call the community directly to find out about open rooms and monthly pricing.

Contact Grandmother’s House

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.