Page 59 of Best Memory Care in Texas

Overview of Meadowood

Part of the Legend Senior Living group, Meadowood is an assisted living and memory care community in Grapevine, Texas. The community is operated by Meadowood ALF, LLC. It is located on Merlot Avenue, about 3 miles from Baylor Scott & White Medical Center, providing convenient access to nearby hospital care.

The single-story community has 85 beds and offers studio, one-bedroom, and two-bedroom apartments. Its single-level design makes it easy for residents with mobility concerns to get around easily. Meadowood also holds an Alzheimer’s certification, reflecting its specialised memory care program alongside assisted living services.

Residents receive housekeeping and transportation services. There are also fitness programmes, recreational activities, and on-site beauty services. These amenities support an active lifestyle while reducing many of the everyday tasks of daily living. Also, residents won’t need to leave the community.

The neighbourhood has a Walk Score of 60, which is moderately walkable. Some nearby shops and services can be reached on foot, but other errands and outings require a short drive.

State inspections by the Texas Health and Human Services Commission have mainly focused on fire safety documentation, food handling, and staff background verification rather than direct resident care. Families touring Meadowood should ask how these areas are managed as part of the community’s daily operations.

Overview of Sundance Memory Care at Brushy Creek

Sundance Memory Care at Brushy Creek is a dependable community in Cedar Park, TX that takes on a Montessori approach to memory care. They aim to help residents live their best lives while encouraging them to enjoy their independence and make their own choices through person-centered and empowering care. Their team makes sure to fully understand their resident’s unique life stories, strengths, and interests before making a personalized care plan that best fits their needs and preferences.

Residents’ living environments are well-equipped with safety features, cues, and simple designs that make them easy to navigate. Their team also curates an array of fun and enriching activities that foster learning and collaborative engagement between residents. Families are also encouraged to be more involved in their loved one’s care and given transparency about their well-being. Here at Sundance Memory Care at Brushy Creek, they pay attention to small details that matter while giving every resident the care and support they deserve.

Overview of Home Care Assistance

Situated in Maple Avenue, Suite C Dallas, TX, Home Care Assistance is an extraordinary in-home care provider offering a variety of care options. These include respite care, 24-hour home care, dementia care, stroke care, Alzheimer’s care, Parkinson’s care, hospice support, and post-hospital care. Home Care Assistance provides flexible schedules and live-in care to ensure that seniors receive high-quality care. Moreover, the agency provides caregivers with training programs to ensure they deliver top-tier care and assistance.

Home Care Assistance offers an exclusive Balanced Care Method which focuses on the overall welfare of the seniors through a holistic and evidence-based approach; and the Cognitive Therapeutics Method, a science-based approach designed to slow down the mental decline of individuals with memory-related needs. 

Proving its excellence, Home Care Assistance was awarded the Leader in Excellence Award for its passion and dedication to in-home care services. 

Surrounded by convenient local amenities and recreation sites in North McDonald St, McKinney, TX, Golden Grace Assisted Living and Adult Day Activity is an outstanding community that features a range of care options. These include assisted living, adult day services, dementia care, healthcare services, respite care, and hospice. With its dedication to improving residents’ quality of life, the community provides top-tier assistance around the clock for them to have more time to do the things they love.

Here, residents are encouraged to join fun-filled activities and enriching programs for better social engagement and to ease loneliness. Healthy and delicious meals are also served to meet nutritional needs and tastes. The community also offers nutritional counseling, gardening activities, and wellness programs to promote a vibrant retirement.

Overview of Truewood by Merrill, Georgetown

Operated by Merrill Gardens LLC, Truewood by Merrill, Georgetown is a 156-bed assisted living and memory care community in the Sun City, Texas neighborhood of Georgetown. Carissa Fawley serves as the administrator. The two-story community has studio and one-bedroom residences. It has been serving residents for 12 years.

The memory care program follows a Montessori-inspired approach that creates a familiar daily routine instead of a rigid schedule. The community includes 42 dedicated memory care units and holds an Alzheimer’s certification. Residents can transition between assisted living and memory care without moving to another community if their care needs change.

Residents have access to multiple dining areas, community rooms, outdoor patios, and a library. Transportation services and fitness and recreation programs are also available. The community welcomes pets, allowing residents to keep a companion animal. Truewood by Merrill, Georgetown received Argentum’s 2023 Best of the Best Award for its amenities and services.

The area has a Walk Score of 8 out of 100, so most errands and outings require a car. Families may want to consider this when planning visits or deciding whether a resident should keep a vehicle.

State inspections focused mainly on life safety systems, including fire alarm maintenance and testing, smoke detector inspections, sprinkler system compliance, and having a written fire alarm maintenance contract. Previous problems in these areas had been addressed prior to the community’s most recent inspection on record.

Overview of Advanced Health and Rehabilitation Center of Garland

Advanced Health and Rehabilitation Center of Garland, situated in Garland, Texas, is dedicated to providing exceptional Nursing Homes and Assisted Living services. The community’s vision centers around prioritizing patient care as the primary focus, embodying a commitment to comprehensive inpatient care. The mission is to build a premier skilled nursing and rehabilitation care center that upholds high moral and ethical standards. The values of Advanced Health & Rehab Center include excellence in nursing, therapy, activities, dietary services, and housekeeping, ensuring a holistic approach to resident well-being.

The community offers a warm and welcoming environment with a capacity of 139 beds, emphasizing both short-term rehab and long-term care. Advanced Health & Rehab Center of Garland is distinguished by its outstanding team, genuine care, commitment to patient well-being, and exceptional customer service. Residents can enjoy quality dinners, engaging church services, and a phenomenal cleaning crew. The positive testimonial underscores the satisfaction of residents and their families, recommending the community for its impressive facilities and dedicated staff.

Highland Park Rehabilitation & Nursing Center, located at 8861 Fulton Street in the Northside/Northline area of Houston, is a 120-bed facility operated by Winnie-Stowell Hospital District under the administration of Johnnie Richardson. Situated 6.7 miles from downtown in a moderately walkable neighborhood (Walk Score: 61), the community opened in 2014 and serves a predominantly Medicaid population (80.2% current census). Admission patterns are more balanced, at 30% Medicare, 37% private pay, and 32% Medicaid, with an average stay of 167 days reflecting a long-term care orientation.

The facility carries a 2-star CMS overall rating (33.6% below state average).

Its 1-star staffing rating stems from critical RN scarcity: 10 minutes per resident daily, 62% below state average. Conversely, certified nursing aide coverage runs 2 hours 25 minutes per day, 20% above state. This RN-aide imbalance, with minimal physician-level oversight and high aide presence, characterizes the care model.

Health inspection earns 2-star (65.4% below state), while quality measures paradoxically rate 4-star (26.6% above state).

June 2025 identified immediate jeopardy for resident #67, whose weight dropped unmonitored from 171 to 146.2 pounds (14.5% loss), and resident #43, denied ordered oxygen and nebulizer treatments despite declining oxygen saturation from 90 to 80. Earlier inspections substantiated Stage 4 pressure ulcer mismanagement for resident #16 (repeated across multiple surveys), medication error rates of 18% and 8% (versus 5% standard), shower and ADL failures, PASARR coordination lapses, and PEG tube care errors. February 2023 documented 18% medication errors including wrong strengths and crushed enteric-coated medications.

A $62K federal fine was imposed June 2025; no payment denials occurred.

Walking ability declined in 30.7% of long-stay residents (89% worse than state), and short-stay re-hospitalization reached 28.6% (10% worse than state).

Financial performance strengthened markedly, with occupancy recovering to 66.6% and profit margin at 18.7%. Payroll represents 41.9% of revenue, below the 51-63% range typical of well-resourced facilities.

The facility predominantly serves long-term Medicaid residents with mixed acuity. Recent immediate jeopardy findings for nutrition and respiratory care, combined with pressure ulcer management deficiencies and historically high medication error rates, indicate elevated clinical supervision risk.

Overview of Park View Care Center

Fifty-four years in operation and 179 beds on View Street in Fort Worth. Park View Care Center is one of those facilities that has been part of the local landscape long enough to have a real track record. It runs two programs in parallel: Skilled Nursing Short-Term Rehab for people moving through post-acute recovery, and Skilled Nursing Long-Term Care for residents who are staying. The 235-day average length of stay and 77% occupancy together suggest the long-term population carries significant weight here.

The nursing footprint is substantial. Total nursing care across all staff roles runs 4 hours 10 minutes per resident per day. Nurse aides handle 2 hours 23 minutes of that; LPNs and LVNs contribute another 54 minutes. Respite care and 24-hour staffing round out the service structure.

The amenity mix makes sense for a community hosting long-stay residents. Lounges, sunrooms, outdoor patios and gardens, a beauty salon and barber shop, scheduled transportation, and a full calendar of clubs, classes, and events give people somewhere to be and something to do. These aren’t short-stay amenities; they’re built for people who live here.

Walk Score is 28, so the location is car-dependent. State inspections have centered on infection prevention and control. Medicaid, Medicare, and private pay are all accepted.

Park View is built for the full spectrum of skilled nursing need: people recovering and people settled in for the long term, all under one roof with over five decades of institutional continuity behind it.

Wedgewood Nursing Home is a 128-bed skilled nursing community at 6621 Dan Danciger Rd in Fort Worth, Tarrant County, Texas, operating under private ownership by Michael Meisner and administered by Amy D Skiles. The facility has served the region for 53 years, accepting Medicare, Medicaid, and private-pay residents in a care model built primarily around long-term stays, with a reported average length of residence exceeding six months.

Regulatory oversight since 2022 has identified persistent deficiencies in multiple operational areas. Across 11 inspections, the facility documented 32 health citations; roughly double the state average annual rate, with substantiated failures in medication administration competency, clinical record documentation, infection control practices, admission procedures, and timely resident assistance. An Immediate Jeopardy finding in February 2024 involved a serious medication dosing error (corrected promptly by the facility). Federal penalties totaling $32,000 were issued in 2025.

Long-stay residents show better-than-average performance on functional decline measures, pressure ulcer prevention, hospital readmission rates, and infection indicators, running 26.6% above the Texas state benchmark.

The facility maintains staffing depth with nursing hours at 4 hours 5 minutes per resident per day, above state average, supplemented by strong RN presence (34 minutes daily, 31% above the state norm) and robust physical therapy services at 9 minutes per resident per day, roughly 125% above the state average.

Residents have access to physical therapy, occupational and speech therapy, wound care management, fine dining, and organized activities. Current occupancy stands at 65%, consistent with the state average. The facility holds an active license with full certification under CMS.

The facility suits long-term-care residents, particularly those needing sustained nursing oversight, therapy resources, or skilled wound and respiratory care in a Medicaid-supported setting.