Page 85 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.
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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

Seasons Assisted Living provides assisted living in Arlington, TX, with help available for daily tasks such as dressing, bathing, and taking medication. A resident keeps their own apartment, making the community a possible fit for someone who wants support with routine activities while maintaining a private living space.

Pets are allowed, so a resident can continue living with a pet as part of daily life. In West Arlington, a Walk Score of 65 means some errands can be done on foot, giving someone who no longer drives the option to handle certain nearby errands independently.

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

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

Overview of The Reserve at Royal Oaks

Located in Houston’s Westside neighborhood, The Reserve at Royal Oaks offers assisted living and memory care in one community. Daily life is built around an individual approach to care. Transportation, meals, medication management, housekeeping, and laundry are included to help residents live a more comfortable and low-maintenance lifestyle.

Residents can take part in a variety of recreational and enrichment programs that encourage social interaction and daily engagement. The memory care program offers specialized activities for residents with Alzheimer’s disease or other forms of dementia. This promotes cognitive well-being in a safe and familiar environment.

The neighborhood has a Walk Score of 52, which is moderately walkable. Some nearby shops and services can be reached on foot, but most errands and outings require a short drive. Families considering The Reserve at Royal Oaks may want to ask about the daily activity schedule and memory care programming during a tour.

Contact The Reserve at Royal Oaks

HERE AT HOME

202 Lake Road, Belton, TX 76513
Overview of Here at Home

Experience a better quality of life with Here at Home Care, a dedicated community based in Belton, TX, that offers home care services. Older adults receive top-notch care tailored to their non-medical personal needs from a compassionate and highly trained team available around the clock. This provider ensures residents enjoy maintenance-free living, handling the housekeeping and laundry.

Older adults will not feel lonely with cheerful companions who accompany them in leisure activities and errands. There’s no need to worry about meal preparation and feeding, with delightful and healthy meals that cater to their dietary needs and preferences. With its committed services, older adults live comfortably in their golden years in the safety of their homes.

Contact HERE AT HOME

Overview of Luxe Life Senior Living

Luxe Life Senior Living offers assisted living, independent living, memory care, and respite care in El Paso, Texas. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps a private apartment; independent living offers private living with community services and no daily care. Memory care provides a supervised, secured setting for someone who may be at risk of wandering, while respite care offers a short stay when a family caregiver needs to travel or recover.

The range of care levels may suit a resident whose needs could grow over time without requiring a move to another community. Luxe Life Senior Living has 32 beds and is operated by Ignite Medical Resort El Paso. A Walk Score of 34 places the area in a setting where most errands require a car or a ride.

Restaurant style dining with chef prepared meals gives residents a prepared dining option within the community’s meal service. A wellness center, salon and spa, and newly renovated outdoor space offer places for wellness activities, personal care, and time outdoors.

Contact Luxe Life Senior Living

Overview of Livingston Manor

Conveniently nestled in Livingston, TX, Livingston Manor provides a safe and secure community for residents needing comprehensive assisted living. The community helps residents maintain their independence while benefitting from daily living assistance and household maintenance services. With physical therapists and physicians regularly visiting the community, residents have access to additional care services for their healthcare and mobility needs.

Apart from having a highly dependable team, Livingston Manor takes pride in its enrichment activities and carefully crafted meals for proper nourishment. With almost no chores to worry about, residents can freely enjoy going on their monthly outings without worries. At Livingston Manor, you can create new and lasting memories surrounded by people who truly care for your happiness and well-being.

Contact Livingston Manor

Laurelhurst Assisted Living

5683 Verbena Rd, San Antonio, TX 78240
Overview of Laurelhurst Assisted Living

Laurelhurst Assisted Living is an assisted living community in San Antonio, TX, that offers assistance with daily living activities. The community’s home-like atmosphere ensures older adults can keep their peace of mind during their stay. With 24-hour care, meal preparation, and hospice care, residents can maintain their independence with ease. Through a collaborative effort with families, doctors, and residents, the community ensures residents receive the utmost care tailored to their needs and preferences.

Pet therapy, arts and crafts, and pizza-making are among the many activities dedicated to helping residents live actively and explore new interests. Cozy living spaces and accessible communal areas ensure residents can relax and interact with friends comfortably. Residents also have a stress-free retirement, with its ideal setting in the serene neighborhood of San Antonio. This assisted living community is one of the best options for senior living in Texas, providing excellent services to help older adults live comfortably in retirement.

Contact Laurelhurst Assisted Living

Overview of Glory Road Living Facilities, Inc. – Sierra Garden

Peacefully nestled in the harmonious neighborhood of Houston, TX, alongside Sierra Grande Drive, Glory Road Living Facilities, Inc. – Sierra Grande is an exceptional community that offers assisted living and respite care. Residents can keep their peace of mind with a kind and highly skilled team attending to their needs 24/7. The community has purposely built and spacious accommodations, designed for residents’ comfort and wellness.

Stimulating programs and enriching activities are conducted to keep residents active and socially connected. With delectable and healthy meals served three times daily, residents can rest assured of meeting their dietary needs and preferences. For residents’ convenience and safety, the community provides medication management and transfer assistance. Residents enjoy the best of their golden years amidst the community’s vibrant and nurturing environment.

Contact Glory Road Living Facilities, Inc. – Sierra Garden

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.