Page 87 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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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
Overview of Lilywest Homes – Freeport

Lillywest Homes – Freeport in Freeport, TX, is an assisted living community that offers personal care and memory care. Here, older adults can ease their worries, accompanied by its secure and home-like setting. With three delicious home-cooked meals, housekeeping services, and medication management, residents have a maintenance-free living. The community is dedicated to enriching residents’ living experiences, creating care plans tailored to their ever-changing needs and preferences.

Engaging games, fun gatherings, and light exercises ensure residents can explore new hobbies and gain meaningful experiences. Residents’ comfort and safety are also prioritized, as reflected in its thoughtfully curated safety features, wheelchair-accessibility, and secure communal spaces. With its convenient location near local amenities in Freeport, residents can easily access their necessities and leisure. This assisted living community has compassionate services that aim to help older adults live to their potential in retirement, making it one of the trusted options for senior living in Texas.

Contact Lilywest Homes – Freeport

Overview of Swan Manor ALF

Swan Manor ALF is a licensed assisted living community in Baytown, Texas, offering supportive residential care and memory care. The community features a small-scale setting with 22 licensed beds, creating a more personal and relationship-focused environment than many larger communities in Harris County. Its location near central Baytown also provides convenient access for visiting families and nearby services.

A total of six standard violations have been reported, which remains below the Texas statewide average of six citations per community. These include fire separation requirements, sprinkler system maintenance, and pest control compliance. Previously identified issues from earlier inspections were corrected within the required timeframes, reflecting responsive follow-through on regulatory matters. In addition, no enforcement actions or federal civil money penalties have been reported in recent years, giving the community a comparatively favorable compliance profile.

The community also highlights specialized programming for individuals with special care needs, expanding its service offerings beyond traditional assisted living. Through its Alzheimer’s certification, it provides support for residents living with dementia and other memory-related conditions.

Due to its smaller size, the community is capable of providing more individualized attention and stronger day-to-day familiarity with staff members and fellow residents. This intimate setting can be especially meaningful for older adults who thrive in quieter environments with more personalized interaction and consistent routines.

Swan Manor ALF is a practical option in the Baytown area, especially for older adults seeking a compact, Alzheimer’s-certified assisted living environment with strong regulatory. Families looking for approachable pricing, specialized support services, and a smaller community atmosphere are likely to appreciate its personalized care model and stable compliance record.

Contact Swan Manor ALF

Overview of Juliette Fowler Communities

Juliette Fowler Communities was founded in 1982 and offers a wide range of services including assisted living, memory care, skilled nursing and rehabilitation, and affordable senior housing. It is situated in a peaceful and secluded area in east Dallas with a lush and soulful environment. Residents at Juliette Fowler Communities have many opportunities to make new connections and explore new interests, and they can enjoy the peace of mind that comes with a 24/7 emergency call system. The community offers studio, one-bedroom, and two-bedroom apartments with individual temperature controls, and residents are cared for by certified and licensed staff including RNs, LVNs, and social workers.
The home has common areas and grounds that are well-maintained and provide a comfortable and inviting atmosphere. Seniors can enjoy delicious home-cooked meals, attend worship services in the chapel, visit the salon and barber, or participate in activities like the music and memories program, the art room, or the sensory garden for memory care patients. In addition, there is a bistro kitchen and snacks available to satisfy any cravings. Juliette Fowler Communities can, in fact, make any day extraordinary.

Contact Juliette Fowler Communities

Overview of Arbor House Assisted Living and Memory Care – Llano

Arbor House Of Llano is an idyllic senior living community in Llano, TX, offering independent living, assisted living, and memory care. The community offers a perfect blend of excellent care services and vibrant living experiences with the support of well-trained, dedicated team of personnels, licensed nurses, and caregivers. Enjoy the comfort of well-designed and inviting accommodations that cater to individual preferences and styles.

Ensuring a day filled with fun and enjoyment, Arbor House Of Llano conducts an array of invigorating activities, including baking cakes, strolling in the beautiful courtyard, enjoying live entertainment, and more. Convenient services like housekeeping, laundry, transportation, massage therapy, and pet care are provided for residents’ comfort. A culinary team works with registered dieticians in crafting menus and creating meals that cater to individual dietary needs and preferences. Here, life is much easier and fun with compassionate services and plenty of enjoyable things to do.

Contact Arbor House Assisted Living and Memory Care – Llano

Overview of Breezewood Assisted Living

Breezewood is a senior living community located in Lewisville, TX, providing assisted living services to its residents. They offer residential-like, private and shared living spaces with handicap accessible features, and 24/7 monitored security. As part of their assisted living services, they also provide their residents personalized care; from assistance to daily living activities, to medication management, incontinence care, diabetes management, and memory care for residents living with Alzheimer’s and other forms of dementia.

The residents of Breezewood also enjoy a variety of amenities and programs designed to make their stay more comfortable and fulfilling. Such amenities and activities include 3 delicious home cooked meals and snacks, grooming services, personalized wellness exercises, access to board games and Wi-Fi, as well as spiritual services. And to ensure that the residents receive the right care they need, Breezewood also arranges therapists, physicians, nurses, and hospice, whenever the need arises.

Contact Breezewood Assisted Living

Overview of Blue Skies East Campus

Blue Skies of Texas East is a 24-bed nursing home at 4917 Ravenswood Dr in San Antonio’s Valley High North neighborhood, Bexar County. BST Health Services Corp. operates it; Air Force Village Inc is the owner. The community has been running for 14 years, is part of a Continuing Care Retirement Community, and accepts Medicare and private pay. Bianca Cardenas serves as Executive Director, with 13 years of experience in senior living.

Five care levels are available here: nursing home, assisted living, hospice care, independent living, and memory care. Residential options spread across a Hi-Rise, Mid-Rise, Cottages, and a development called The Hills. Occupancy sits at 68%, with 16 of 24 nursing home beds currently filled, and the average stay runs 109 days.

Nursing care totals 6 hours and 31 minutes per resident per day: 46 minutes from an RN, 1 hour and 22 minutes from an LPN or LVN, and 3 hours and 1 minute from nurse aides. Rehabilitation services, respite care, and 24-hour staffing are all on offer. CMS-recognized programs include an on-site Nurse Aide Training and Competency Evaluation Program and an Active Resident Council.

The amenity footprint is large relative to the nursing home’s 24-bed size, because this is a full CCRC campus. That means a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, outdoor walking trails, a billiard and game room, a library, a Sky Lounge, a 24-hour concierge, and interdenominational chapels. Dining draws on fresh, seasonal ingredients with a made-from-scratch approach. More than 70 activity groups are on the calendar.

State inspections by the Texas Health and Human Services Commission have covered medication management, and care planning and documentation. Walk Score is 47; the neighborhood is only somewhat walkable, and most errands require a car.

For a small nursing home, Blue Skies of Texas East presents an unusually broad care and amenity profile, which reflects its position as part of a larger campus with multiple residential tiers rather than a standalone skilled nursing facility.

Contact Blue Skies East Campus

Overview of Villa South Assisted Living and Memory Care

Providing an enriched lifestyle and a better quality of life, Villa South Assisted Living and Memory Care is an exceptional senior living community in Nueces County, Corpus Christi, TX, offering compassionate assisted living and memory care services. Cherish your precious time alone in thoughtfully designed apartments with kitchenettes, individual heating and cooling units, and emergency call systems for a comfortable and safe living environment. Residents have peace of mind knowing that a dedicated team is available on-site 24/7, complemented with the availability of a licensed vocational nurse 40 hours a week.

Villa South Assisted Living is committed to enriching each resident’s lives by providing them with a full calendar of activities, a range of convenient services, and beautiful amenities. Residents are also provided with three nutritious meals, healthy snacks, and beverages each day to ensure they eat good, feel good, and energized. With weekly housekeeping, laundry services, and scheduled transportation, residents enjoy a convenient life with plenty of time for more meaningful activities.

Contact Villa South Assisted Living and Memory Care

Overview of Colonial Gardens Memory Care Community

Colonial Gardens Memory Care Community specializes in dementia and Alzheimer’s care in the River Park area of Fort Worth, Texas. The building uses a single-story design, allowing residents with cognitive conditions to transition between their private rooms and the restaurant-style dining area without the confusion of stairs.

A team of 24-hour on-site caregivers supports residents with everyday tasks like bathing, dressing, and medication management. To cut down on stress from outside travel, the facility coordinates on-site medical checkups with visiting physicians, podiatrists, and dentists, alongside an in-house hair salon. A walkability score of 31 out of 100 indicates that the immediate neighborhood is mostly car-dependent, so visitors will need a vehicle to reach the property, which sits about seven miles from downtown Fort Worth.

Interested individuals looking over local memory care options can reach out to the office to check on current room availability.

Contact Colonial Gardens Memory Care Community

Overview of Angel‘s Haven and Angeles Del Cielo

Angel’s Haven and Angeles del Cielo, located in El Paso, TX, are adult foster homes and senior living communities dedicated to providing quality residential and healthcare services to its senior residents. This senior living community offers private furnished rooms for accommodation, and provides assistance with daily living activities such as bathing, dressing, grooming, and toileting. Additionally they also help with medication management and administration.

The residents of these two adult foster homes are also provided meal provisions and dining assistance if needed, therapy services, regular wellness checks, and personal care. Recreational activities as well as outings and entertainment programs on the other hand, provides residents with opportunities to socialize as well as stay physically and mentally active.

Contact Angel‘s Haven and Angeles del Cielo

Overview of Morningside at Menger Springs

Offering independent living, assisted living, memory care, and both transitional and long-term nursing care, Morningside at Menger Springs is a senior living community in the Cottages Under the Oaks neighborhood of Boerne, Texas. The community is set on 34 acres, giving residents the option to move between levels of care without relocating to a different community.

Residents can choose between cottages and apartment homes. This gives them the option of a more private, house-style setting or a traditional apartment layout. Daily life includes chef-prepared meals, housekeeping, laundry services, professional landscaping, and a regular calendar of community activities. Residents in memory care receive individualized care plans based on their specific needs, including support for injuries, physical disabilities, or illness.

The community has a covered pool, a library, and a putting green, giving residents different ways to stay active and socialize close to home. The area has a Walk Score of 24 out of 100, which is car-dependent. Most errands and outings require a car.

Families considering Morningside at Menger Springs should take a tour of the cottages and apartment homes to see which setting best fits their needs.

Contact Morningside at Menger Springs

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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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.