Best Assisted Living in Texas

Sodalis Elder Living Stone Oak is a licensed Type B senior living community in San Antonio, TX, offering assisted living, short-term respite care, and specialized memory support. Managed by Sodalis Elder Living Stone Oak Assisted Living, LLC, this 66-bed community holds a formal Alzheimer’s certification, ensuring a dedicated standard of care for those with cognitive loss. While the Stone Oak location is fully car-dependent with a walk score of 0, essential transportation services are provided for residents to manage off-campus errands and appointments.

Daily life within this community is anchored by Texas-inspired dining, where three meals a day and snacks, customized to residents’ dietary needs, are provided. A variety of social and wellness features, including a bistro, a TV lounge, a chapel, and an on-site therapy room, are also available. For personal care, a spa-like salon and barber shop are available, while the outdoors feature a landscaped courtyard and covered patio. The community is pet-friendly and maintains a wireless emergency response system for added security. Activities are coordinated by a dedicated director to ensure older adults stay engaged across all levels of care.

The community has received eight citations throughout its current operation, with the majority of which related to Life Safety Codes, such as smoke detector maintenance and fire alarm documentation. However, a more significant administrative penalty of $6,000 was issued in May 2024. This action addressed concerns regarding medication administration and the protection of residents against abuse or neglect. While earlier safety findings were largely historical, this recent penalty focuses on core care obligations, and families are encouraged to speak directly with the leadership team about the specific improvements made since 2024.

For families in Bexar County seeking a mid-sized setting with certified memory support, Sodalis Elder Living Stone Oak offers a robust amenity package in a professional environment. Those considering this community should balance the comprehensive on-site therapy and dining programs with a focused review of recent state reports.

Hillcrest Assisted Living in San Augustine, TX, is a senior living community that provides assisted living, memory support, and short-term respite care. Located within a small-town East Texas setting, this 52-bed community fosters independence and dignity for older adults, supported by a 24-hour staffing model.

The daily experience for older adults at this community is designed to promote social connection and self-care in a manageable, mid-sized setting. While memory care is included in the service offerings, it is important to note that the community does not currently hold a formal Alzheimer’s certification. Families seeking specialized dementia care are encouraged to speak directly with the administration to confirm that the available support matches the specific needs of their loved one. With a walk score of 39, the community is largely car-dependent, so families are also encouraged to coordinate with the team regarding transportation for off-site appointments and errands.

Regulatory oversight is managed by the Texas Health and Human Services Commission, accumulating a total of 11 citations, which is notably higher than the state average. Six of these were health-related deficiencies, focusing on medication administration, employee tuberculosis screening, and the accuracy of resident records. The remaining five findings involved Life Safety Codes, including fire safety and building maintenance, some of which were noted as recurring items from 2022. No formal enforcement actions were filed.

As one of the primary assisted living options in San Augustine, Hillcrest Assisted Living fills a vital role for families in this part of the state.

Cedar Hill Assisted Living is a licensed Type B senior living community in Cedar Hill, TX, offering assisted living, memory care, and respite care. This 50-bed community, managed by Cedar Senior Living, Inc. in Dallas County, is pet-friendly and features a robust amenity package for its size, including a theater room, a library, fitness classes, and an on-site salon and barber shop.

Practical services such as laundry, housekeeping, and resident parking are included, and each unit is equipped with individual climate controls. Chef-prepared meals with the flexibility of in-room dining are also available, while the grounds offer manicured gardens and walking paths for outdoor leisure. While memory support is a core part of the service roster, families should note that the community does not currently hold a formal Alzheimer’s certification and should discuss specific cognitive care protocols directly with staff. With a walk score of 61, the location offers better-than-average access to local services on foot.

In a September 2021 review, the community received four health-related citations involving infection control policies, fire drill frequency, and fire marshal documentation, which were resolved within weeks of the inspection. An earlier 2020 inspection focused on Life Safety Codes, identifying eight infrastructure points such as lighting levels and sprinkler inspections, which were also corrected promptly. While the historical citation counts sit above the state average, no formal enforcement actions were issued, indicating that the community worked collaboratively with state officials to meet compliance standards.

Cedar Hill Assisted Living offers a well-rounded and practical choice for families in the Cedar Hill area looking for a mid-sized setting with a full range of social activities. Since its most recent comprehensive data on record is from 2021, interested families are encouraged to ask the leadership team for their most recent state inspection results.

Lynridge Assisted Living & Memory Care in Murphy, TX, is a senior living community that offers assisted living and memory care. This type B community serves the Murphy and East Collin County region under the Welltower TCG Ridea Tenant, LLC, a subsidiary of Welltower Inc., a major national senior housing platform. With a formal Alzheimer’s certification, the community also provides dedicated expertise and staffing for older adults living with dementia.

During a 2022 evaluation, the state recorded 13 total citations, which is higher than the state average. Ten of these findings were related to Life Safety Codes, covering areas such as fire drill compliance, gas heating maintenance, and corridor safety. Additionally, three health-related citations identified lapses in pre-employment background checks, medication storage security, and staff training documentation. All violations were resolved shortly after the inspection, and no enforcement actions were issued.

The daily experience within this community is anchored by restaurant-style dining and a robust activities calendar designed to foster social engagement. On-site features include a library, a fitness room, a professional salon, and a central outdoor courtyard for fresh air and leisure. Since memory care is a core pillar of the campus, the programming for those with cognitive decline is specialized and distinct from the standard assisted living track. 24-hour staffing and a structured environment are provided, backed by the resources of a large-scale operator. Given its location, near the city center and a walk score of 15, the setting is primarily car-dependent, so families are encouraged to coordinate with the staff regarding transportation for off-site needs.

For families in the Murphy area seeking a larger, resource-rich setting with certified memory care, Lynridge Assisted Living & Memory Care offers a professional and well-amenitized campus.

Parsons House Cypress is a licensed Type B senior living community in Cypress, TX, offering independent living and assisted living. This 66-bed community is managed by Parsons House Cypress, LLC in Harris County. Its location is notably car-dependent, making the provided on-site transportation essential for residents to reach nearby medical centers or pharmacies.

Three restaurant-style meals daily, with snacks and customized dietary options, are available. The campus features a state-of-the-art fitness center, a quarter-mile walking trail, a dedicated chapel, and a library. For those requiring higher levels of support, the community offers assistance with bathing, dressing, and medication management. Additionally, the community is pet-friendly, allowing residents to live with small animal companions.

Regulatory oversight is provided by the Texas Health and Human Services Commission, with the most recent inspection in July 2022, which achieved a significant clinical milestone by recording zero health-related deficiencies, signaling a high standard of daily resident care. Eleven citations were issued regarding Life Safety Codes, addressing infrastructure items such as door compliance, floor finishes, and ventilation standards for the commercial kitchen. While these findings sit above the state average, no formal enforcement actions were issued.

Parsons House Cypress offers a practical and compassionate option for families in the Cypress area seeking a mid-sized setting that adapts to changing needs.

Live Oak Senior Care in Montgomery, TX, is an independently owned and operated community with a Type B license. This 48-bed setting sits within the scenic Sam Houston National Forest area, offering a care philosophy centered on the dignity and personal choice of every resident. While the location holds a walk score of 53, the semi-rural lakeside setting means that most medical appointments and significant errands will require the use of the community’s 24-hour staffing and transportation support.

In a May 2022 evaluation, the community achieved a notable clinical result with zero health-related deficiencies, a strong indicator of high-quality daily resident care. Additionally, eleven citations were issued in an earlier inspection in 2019 regarding Life Safety Codes, covering technical areas such as fire alarm functionality, emergency generator requirements, and grounds maintenance.

The daily experience within this community is defined by a “healthier and happier” lifestyle model, utilizing a wide range of activity choices. Since the campus is independently managed, it avoids the standardized constraints often found in large national chains, allowing for a more personalized touch in daily interactions. While memory care is a core part of the service offerings, it is important to note that the community does not currently hold a formal Alzheimer’s certification.

For families in the Lake Conroe area seeking an intimate, mid-sized setting with a distinct regional character, Live Oak Senior Care on Lake Conroe offers a resident-focused alternative to larger institutional facilities. The combination of its lakeside location and an independent management approach makes it a compelling choice for older adults who value a sense of community and personal independence.

Morada North Richland Hills is a licensed Type A senior living community in North Richland Hills, TX, offering assisted living. Notably, this 100-bed community provides an accessible care model that includes Medicaid Waiver assistance, a financial option that distinguishes it from many similarly sized private-pay competitors in the Dallas–Fort Worth market. The campus is also fully wheelchair accessible, maintains 24-hour staffing, and includes an emergency response system to support the safety of every resident.

As a Type A licensed community, the setting is designed for older adults who maintain a high degree of mobility and can follow directions independently during an emergency. The lifestyle is enriched by a well-developed amenity program, featuring restaurant-style dining prepared by an in-house culinary team, a library, a beauty salon, and a lounge with a large-screen television. Weekly housekeeping, flat linen service, on-site laundry facilities at no extra charge, and scheduled transportation are also provided. Additionally, the community offers a dedicated Military Veterans Program to honor those who have served, as well as on-site religious services and pet-friendly accommodations.

In a September 2021 inspection, the state recorded two health-related deficiencies regarding annual fire marshal inspections and fire drill frequency, both of which were resolved within weeks. Earlier records from 2020 also identified several infrastructure points, such as lighting levels and sprinkler system compliance. An administrative penalty was more recently issued in December 2025, with an amount of $3000. Families are encouraged to speak directly with the management regarding the nature of this recent penalty and the corrective actions taken to ensure ongoing compliance.

Morada North Richland Hills offers a practical and social environment for families in North Richland Hills seeking a larger campus with a robust activity calendar. Its ability to accept Medicaid Waivers, along with a specialized programming for veterans, makes it a unique resource in the local area.

Parsons House Preston Hollow Lp is a senior living community in Dallas, Texas, offering independent living, assisted living services, and memory care support. With a Type B license in Dallas County, this community is operated by Parsons House Preston Hollow Lp. Its location is also a remarkably accessible option compared to typical regional alternatives, as restaurants, shops, and services are available nearby.

Regarding regulatory oversight, the latest comprehensive evaluation by the Texas Health and Human Services Commission (HHSC) occurred on March 31, 2022. This review resulted in 13 total citations, all of which were classified strictly within the Life Safety Code category, with zero Health Code infractions recorded. The findings centered on physical infrastructure and emergency protocols, including fire drill schedules, sprinkler infrastructure upkeep, smoke barriers, emergency lighting, wall and ceiling repairs, gas heating infrastructure, and hazardous zone security. Resolution deadlines were established between April 14 and May 23, 2022, and no state enforcement penalties were issued. While the 13 violations exceed the Texas statewide average of 6, it is vital to note that these items involved structural safety rather than direct resident care or clinical outcomes. Additionally, no enforcement actions were recorded.

On-site comforts feature 24-hour staffing paired with an engaging, lifestyle-centered package. Chef-prepared dining options, specialized fitness classes, routine housekeeping, linen services, and curated social events are also available. The neighborhood is crafted with an upscale residential design intended to balance personal autonomy with daily physical assistance. Specialized cognitive support is provided on site, though the property does not maintain a standalone state Alzheimer’s certification.

Parsons House Preston Hollow Lp is an attractive option for older adults looking for a boutique, amenity-rich environment in a premier Dallas area. Its multi-tiered care model makes it a practical choice for couples or those who want to stay in place as their physical needs change.

The Chatfield Assisted Living is a 60-bed Type B senior living community in Brownwood, Texas, providing supportive residential care, with memory care, temporary respite stays, and physical rehabilitation programs. Established in November 2009 in Brown Community, this private-pay community is operated by Brownwood I Enterprises, LLC, and is affiliated with Creative Solutions in Healthcare, a prominent Texas-based long-term care organization.

Personal care support with bathing, dressing, and grooming is provided, alongside routine health assessments, medication administration, physician coordination, and professional collaboration with visiting home health agencies. 24-hour staffing, regular wellness checks, and an integrated emergency call box and pull-cord infrastructure are also available. Daily chef-prepared dining, local transportation, cable television, hair styling services, routine housekeeping, and laundry care are also provided, all supported by CDC-aligned disinfection protocols.

Out of 26 total citations, 5 are health-related infractions, and 21 are life safety findings. This total trends higher than the Texas statewide average of roughly 6 citations and 2 health findings per evaluation. The health deficiencies focused on employee record keeping and specific abuse or neglect reporting compliance protocols, with all items fully resolved by August 31, 2022. The life safety violations involved structural maintenance, fire safety, and electrical systems, citing correction dates between March and April 2022. Since these corrections predated the August inspection itself, the issues were formally resolved before the survey concluded, resulting in zero regulatory penalties or state enforcement actions.

The Chatfield Assisted Living is well-suited for older adults looking for boutique, localized care in a welcoming environment that offers reliable meal service and structured clinical coordination.

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.