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Best Assisted Living in Texas

Reviewed by
Last updated
Jun 2026
We analyzed
927 homes in Texas

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

Other senior care options in Texas:

Video Tour: Top-rated Assisted Living facilities in Texas.

Watch this Video to see Texas's Top-rated Senior Communities

Compare Assisted Living around Texas

The information below is reported by the Texas Health and Human Services Commission.

Parkwood Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bedford
84
Facility 84
TX AVG 80
Rank #465 / 988
Yes
34
Facility 34
TX AVG 41
Rank #865 / 1391
--Lcs-Phc LLC
3
Facility 3
TX AVG 6
Rank #320 / 834
21Studio / Suite / 1 Bed
Brookdale Henderson
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Henderson
80
Facility 80
TX AVG 80
Rank #473 / 988
Yes
11
Facility 11
TX AVG 41
Rank #1215 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Esc IV, L.p.
7
Facility 7
TX AVG 6
Rank #595 / 834
-7Suite
Atria Cinco Ranch
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Katy
78
Facility 78
TX AVG 80
Rank #483 / 988
No
67
Facility 67
TX AVG 41
Rank #175 / 1391
16
Facility 16
TX AVG 22
Rank #294 / 583
-Arhc Soktytx01 Trs LLC
3
Facility 3
TX AVG 6
Rank #320 / 834
-3Studio / Suite / 1 Bed / 2 Bed
River Oaks
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Coppell
86
Facility 86
TX AVG 80
Rank #453 / 988
No
25
Facility 25
TX AVG 41
Rank #1020 / 1391
--Coppell Alf, LLC
6
Facility 6
TX AVG 6
Rank #529 / 834
15Studio / 1 Bed / 2 Bed
Rosewood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Flower Mound
86
Facility 86
TX AVG 80
Rank #453 / 988
No
18
Facility 18
TX AVG 41
Rank #1125 / 1391
--Flower Mound Alf, LLC
2
Facility 2
TX AVG 6
Rank #244 / 834
2-Studio / 1 Bed / 2 Bed
Elison Assisted Living of Lake Wellington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Wichita Falls (Kell West Boulevard)
85
Facility 85
TX AVG 80
Rank #461 / 988
No
26
Facility 26
TX AVG 41
Rank #1005 / 1391
35
Facility 35
TX AVG 22
Rank #132 / 583
-Bishop Lake Wellington Lessee LLC
20
Facility 20
TX AVG 6
Rank #815 / 834
146Studio / 1 Bed / 2 Bed
Autumn Leaves
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Dallas
124
Facility 124
TX AVG 80
Rank #178 / 988
No
58
Facility 58
TX AVG 41
Rank #328 / 1391
17
Facility 17
TX AVG 22
Rank #283 / 583
B-Lcs-Al LLC
12
Facility 12
TX AVG 6
Rank #733 / 834
111-
Silverado Hermann Park Memory Care Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Houston (Houston Museum District)
-Yes
76
Facility 76
TX AVG 41
Rank #57 / 1391
6
Facility 6
TX AVG 22
Rank #514 / 583
-Silverado Hermann Park LLC
7
Facility 7
TX AVG 6
Rank #595 / 834
25Private Rooms
Atria Copeland
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Tyler
80
Facility 80
TX AVG 80
Rank #473 / 988
No
30
Facility 30
TX AVG 41
Rank #929 / 1391
29
Facility 29
TX AVG 22
Rank #150 / 583
-Wg Copeland Sh LLC
1
Facility 1
TX AVG 6
Rank #150 / 834
1-Studio / 1 Bed / 2 Bed / Cottage
Brookdale Willows Sherman
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Sherman (Post Oak Crossing)
75
Facility 75
TX AVG 80
Rank #496 / 988
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Emeritus Corporation
4
Facility 4
TX AVG 6
Rank #403 / 834
13Studio / 1 Bed / 2 Bed
Shavano Park Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Shavano Park (Sonterra)
90
Facility 90
TX AVG 80
Rank #419 / 988
No
16
Facility 16
TX AVG 41
Rank #1153 / 1391
11
Facility 11
TX AVG 22
Rank #390 / 583
A+Meridian Shavano Park Al/Alz Oe LP
8
Facility 8
TX AVG 6
Rank #644 / 834
44Studio / 1 Bed / 2 Bed
The Bradford Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Humble (Kengwood Glen)
76
Facility 76
TX AVG 80
Rank #487 / 988
No
50
Facility 50
TX AVG 41
Rank #515 / 1391
--The Bradford Memory Care, LLC
0
Facility 0
TX AVG 6
Rank #1 / 834
--Private / Semi-Private Suite
Treemont Health Care Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Houston (Mid West)
54
Facility 54
TX AVG 80
Rank #657 / 988
No
58
Facility 58
TX AVG 41
Rank #328 / 1391
--Treemont Care, LLC
5
Facility 5
TX AVG 6
Rank #470 / 834
-5-
Caruth Haven Court
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dallas (Park Cities)
95
Facility 95
TX AVG 80
Rank #395 / 988
Yes
75
Facility 75
TX AVG 41
Rank #67 / 1391
11
Facility 11
TX AVG 22
Rank #390 / 583
A+5585 Caruth Haven Opco LLC
5
Facility 5
TX AVG 6
Rank #470 / 834
14Studio / 1 Bed / 2 Bed
Ledgestone Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Austin
92
Facility 92
TX AVG 80
Rank #410 / 988
Yes
38
Facility 38
TX AVG 41
Rank #784 / 1391
--W-C Ledgestone Owner Ix, L.p.
4
Facility 4
TX AVG 6
Rank #403 / 834
-4Studio / 1 Bed / 2 Bed
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Overview of Marbridge Village

Marbridge Village is a 92-bed non-profit nursing home operated by Marbridge Foundation in Manchaca, Texas. Dedicated to adults with intellectual and developmental disabilities, the facility is located in Travis County and accepts Medicaid, Medicare, and private pay. It provides individualized nursing care alongside vocational training, education, and socialization programming. Medicaid residents make up roughly 86 percent of the current census, and the typical Medicaid length of stay exceeds 17 years, reflecting the facility’s long-term mission.
CMS rates Marbridge Village 5 stars, 66 percent above the Texas average, with above-average scores across health inspection, staffing, and quality measures. Nursing hours reach 4 hours and 38 minutes per resident daily, ranking 41st of 289 Texas skilled nursing facilities and 23 percent above the state average of 3 hours and 47 minutes. Occupancy sits at 90.5 percent, ranked 15th of 297 Texas facilities and well above the 63.5 percent state average. State inspection records document a 2021 inspection that produced 2 Health Code deficiencies: inadequate water system maintenance and improper storage and handling of hazardous materials. A 2018 inspection cited one Life Safety Code deficiency related to sprinkler system maintenance, corrected the next day. No enforcement actions were recorded for those violations. CMS penalty data shows 7 civil money penalties assessed between October 2023 and February 2024, totaling $46,000, below the Texas average of $80,000 for penalized facilities. No payment denials were issued. The most recent CMS health inspection in May 2025 found no critical or serious citations; 14 moderate citations were recorded across three inspections since 2023, against a Texas average of 25.9 total citations, with infection control and life quality having the largest share.
Marbridge Village is built for adults with intellectual and developmental disabilities seeking a structured, long-term residence in Travis County. Families evaluating the community will find strong staffing here.

Contact Marbridge Village

Kingwood Memory & Assisted Living

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

Kingwood Memory & Assisted Living is an assisted living and memory care community in Kingwood, TX, offering personal care and specialized care for those with Alzheimer’s and dementia. Promoting a warm and home-like atmosphere, the community ensures older adults are well-cared for. With 24-hour care, nutritious meals, housekeeping, and transportation, residents can maintain their independence with ease. Dedicated to residents’ holistic well-being, the community strives to provide the best possible care tailored to their unique needs and habits.

Educational classes, cultural events, and sensory-stimulating activities help enhance residents’ cognition and encourage them to stay active. With top-notch safety features like grab bars and wheelchair ramps, as well as cozy rooms, residents can relax and stay safe. Restaurants and shops are also available in the peaceful residential area of Kingwood, ensuring a convenient and laid-back lifestyle. As one of the trusted options for senior living in Texas, this nursing home ensures older adults can live comfortably in retirement.

Overview of Juniper Village at Lincoln Heights

Under owner Tiffany Weiser, Juniper Village at Lincoln Heights is a skilled nursing home operated by S-h Opco Lincoln Heights, LLC, on East Basse Road in San Antonio. The 97-bed community stands in a really walkable neighborhood where most errands and essentials are within a short walk. This is a plus for visiting family and residents who cherish walkable surroundings. Accepted are Medicare and private pay, providing flexible coverage options for short-term rehabilitation and longer-term skilled nursing care. Averaging a stay of just 36 days, the community draws primarily those recovering from surgery, hospitalization, or other acute episodes who need post-acute rehabilitation before returning home or moving to a lower tier of care.

Clinical offerings span rehabilitation services, respite care, and short-term rehab programs tailored to help residents regain function. The home also operates Wellspring Memory Care and longer-term skilled care tracks for residents needing active nursing support. Total nursing care averages approximately 4 hours and 47 minutes per resident daily, distributed across registered nurses, nurse aides, and licensed practical nurses. This ensures consistent hands-on support all day. Currently operating at 59 percent occupancy with 57 residents in the 97-bed census, the home has available capacity.

State inspections have generally focused on compliance and documentation matters, including fire-drill records and resident disclosure procedures. The home hasn’t reported Life Safety Code violations or enforcement actions, implying sound operational practices in such critical areas.

The location on a well-traveled corridor in north-central San Antonio places the home within convenient reach of regional medical centers. It’s then accessible by public transit, which is an asset for families coordinating care and visits.

Contact Juniper Village at Lincoln Heights

Overview of Luxe Life Senior Living
Luxe Life Senior Living is a purpose-driven community in Chesterton, IN. It offers a range of services including independent living, memory care, and respite care. Residents enjoy a full-service living experience with chef-prepared meals and engaging activities.

Contact Luxe Life Senior Living

Overview of Cornerstone Retirement Community
Cornerstone Retirement Community is a non-profit, faith-based senior living community in Texarkana, Texas. It offers a full continuum of services including independent living, assisted living, memory support, skilled nursing, rehabilitation, and home health. The community is dedicated to honoring and serving older adults as an expression of Christ’s love.

Contact Cornerstone Retirement Community

Overview of Continuing Care at Highland Springs
Continuing Care at Highland Springs is a senior living community located in Dallas, Texas. It offers independent living along with additional levels of on-site health care, ensuring residents can enjoy an active lifestyle while planning for future needs. The community features stylish residences, resort-style amenities, and a vibrant lifestyle for seniors aged 62 and older.

Contact Continuing Care at Highland Springs

Overview of Avir at Woodlands Villas
AVIR at Woodlands is a senior care facility located in Eastland, TX. It offers a holistic approach to senior living with services including assisted living, skilled nursing, and memory care. The facility is dedicated to enhancing the lives of residents through compassionate, personalized care.

Contact Avir at Woodlands Villas

Overview of Continuing Care at Eagle’s Trace
Eagle's Trace is a senior living community in Houston, Texas, offering a vibrant independent living lifestyle with the comfort of knowing additional care is available as needs change. Residents enjoy beautiful residences, exceptional amenities, and a friendly community atmosphere that feels like home. The community provides a supportive and engaging environment for older adults.

Contact Continuing Care at Eagle’s Trace

Overview of Brazos Tower at Bayou Manor

Part of a Continuing Care Retirement Community campus in Houston’s Braeswood neighborhood, Brazos Tower at Bayou Manor provides nursing home care, assisted living, and memory care services within a nonprofit setting. The community is operated by Brazos Presbyterian Homes, Inc. and includes 33 skilled nursing beds. The facility does not accept Medicaid but does accept Medicare and private pay.

The facility holds a 5-star CMS overall rating. Its Health Inspection record is among the strongest in the state: 5 total citations over the past three years, ranking 6th out of 292 Texas SNFs, with a per-inspection citation rate of 1.67, compared with a Texas average of 3.67. None of those citations were critical or serious, and all five were moderate. Eight civil money penalties totaling $57,000 were assessed in 2023, roughly 29% below the Texas average for penalized facilities; no payment denials have been issued.

Staffing stands out. Nurse staffing averages 5 hours and 47 minutes per resident per day, and the staff-to-resident ratio of 2.86:1 is nearly double the Texas average of 1.48:1, a meaningful figure for residents with complex care needs. Occupancy is 80.2%, about 26 points above the state average, indicating consistent demand. The payer mix is 72% Medicare and 28% private pay, with a 26-day average Medicare stay, reflecting a short-term rehabilitation orientation.

Amenities include an indoor pool, wellness and fitness center, a bistro for casual gourmet dining, and a 180-seat event and performance center. The facility does not accept Medicaid.

Brazos Tower suits residents seeking short-term post-acute rehabilitation or longer-term assisted living and memory care within a well-resourced, nonprofit CCRC campus in Houston’s Braeswood corridor.

Contact Brazos Tower at Bayou Manor

Overview of Methodist Retirement Communities – Creekside Retirement Community

Methodist Retirement Communities – Creekside Retirement Community is a nonprofit nursing home in Huntsville, Texas, operated by Methodist Retirement Communities. The 56-bed facility serves older adults across Walker County and provides assisted living, memory support, long-term care, and short-term rehabilitation. The community accepts Medicare, Medicaid, and private pay.
Creekside holds a 5-star overall CMS rating, placing it 66% above the Texas average across all four CMS sub-categories. Staffing is the facility’s most defining strength. Nurse staffing averages 5 hours and 29 minutes per resident per day, ranking the facility 12th among 289 Texas skilled nursing facilities and approximately 45% above the state average of 3 hours and 47 minutes. Weekend nurse staffing averages 4 hours and 24 minutes per resident per day, 48% above the Texas norm, which means the gap between weekday and weekend staffing is narrow relative to most Texas peers.

One inspection appears on record. A June 2023 visit resulted in nine citations, all related to Life Safety Code issues, such as fire alarm documentation, lighting compliance, and NFPA 101 standards. No Health Code deficiencies were cited, and no enforcement actions followed. The facility’s occupancy rate is 84.4%, well above the Texas average of 63.5%, and its average length of stay is 69 days.

The community holds Alzheimer’s certification and provides 24-hour staffing. Pets are permitted on-site.

Creekside is best suited for residents who prioritize high nursing coverage and dementia-capable care in a mid-sized, faith-affiliated community — including those in memory support or transitioning from a hospital stay into short-term rehabilitation.

Contact Methodist Retirement Communities – Creekside Retirement Community

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
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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 927 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.