Best Senior Care in Texas

Why trust this guide? Our editorial team analyzed 1,381 senior care communities in Texas using Texas Health and Human Services (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank senior care in TX
Reviewed by
Last updated
Jun 2026
We analyzed
1,381 homes
Avg Walk Score: 41/ 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: 80The average licensed bed capacity across facilities in Texas. Individual facilities can vary widely from this average.
National Average: 90

Compare Senior Care around Texas

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

Parkwood Assisted Living
SC
AL
IL
MC
NH
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
SC
AL
MC
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
Veranda Rehabilitation and Healthcare
SC
NH
Harlingen
100
Facility 100
TX AVG 80
Rank #363 / 988
No
33
Facility 33
TX AVG 41
Rank #884 / 1391
54
Facility 54
TX AVG 22
Rank #1 / 583
--22--
Elison Assisted Living of Lake Wellington
SC
AL
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
Rosewood
SC
AL
MC
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
River Oaks
SC
AL
MC
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
Atria Cinco Ranch
SC
AL
IL
MC
RC
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
The Bradford Memory Care
SC
AL
MC
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
The Auberge at Vintage Lake
SC
MC
RC
Houston
90
Facility 90
TX AVG 80
Rank #419 / 988
No
63
Facility 63
TX AVG 41
Rank #235 / 1391
12
Facility 12
TX AVG 22
Rank #390 / 583
-Welltower Tenant Group LLC
4
Facility 4
TX AVG 6
Rank #403 / 834
22Studio / Semi-Private
Shavano Park Senior Living
SC
AL
MC
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
Brookdale Willows Sherman
SC
AL
MC
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
Atria Copeland
SC
AL
IL
RC
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
Silverado Hermann Park Memory Care Community
SC
AL
MC
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
Autumn Leaves
SC
NH
AL
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-
The Villages of Windcrest
SC
NH
AL
MC
Fredericksburg
86
Facility 86
TX AVG 80
Rank #453 / 988
No
13
Facility 13
TX AVG 41
Rank #1196 / 1391
7
Facility 7
TX AVG 22
Rank #488 / 583
A-Acron Windcrest Village LLC
4
Facility 4
TX AVG 6
Rank #403 / 834
4-Studio / 1 Bed / 2 Bed / Private Suite
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Overview of The Grandview of Chisholm Trail Senior Living

Overlooking the beautiful community of Fort Worth, TX, The Grandview of Chisholm Trail Senior Living is a tranquil and comfortable senior living community offering assisted living and memory care. Residents can choose from studios, one- or two-bedroom floor plans, each thoughtfully designed with kitchenettes, walk-in closets, private bathrooms, and plenty of living space to relax and feel at home. Committed to quality, high-level senior care, The Grandview of Chisholm Trail Senior Living provides peace of mind and a dedicated team offering round-the-clock comfort and security.

Beyond the topnotch amenities, The Grandview of Chisholm Trail Senior Living extends its care to include housekeeping and providing elders and their families with a warm and cozy environment. With top-quality amenities and services, The Grandview of Chisholm Trail Senior Living residents can enjoy an exceptional lifestyle.

Contact The Grandview of Chisholm Trail Senior Living

Overview of Arabella of Red Oak Senior Living

Enjoy a delectable retirement living experience with Arabella of Red Oak Senior Living, a blissful senior living in Red Oak, TX offering independent living, assisted living, and memory care. Residents enjoy their freedom and independence to the fullest with no chores to worry about, thanks to a dependable team that handles most of their chores and needs. Beautiful accommodations in variations of studio, one-bedroom, and two-bedroom apartments are provided to give residents a cozy and inviting space for relaxation or hosting family and friends over.

The community helps its residents develop better living routines by offering various life-enhancing activities, convenient amenities, and helpful services. A delectable dining experience is also available to fuel residents’ days with their needed energy and nourishment. Here, residents have ample opportunity and time to fill their days with purpose, thanks to the convenience of having maintenance, housekeeping, transportation, and other supportive services.

Contact Arabella of Red Oak Senior Living

Overview of Conroe Health Care Center

Conroe Health Care Center is a trusted nursing home in Conroe, TX, offering a wide range of care options, including skilled nursing, outpatient care, respite care, and hospice care. Fostering comfort and healing, the community features specially designed rooms in a clean and welcoming setting. Residents also have a maintenance-free lifestyle, with weekly housekeeping, well-balanced meals, and wellness programs. Alongside a well-trained team of healthcare professionals, the community also works closely with residents to develop care plans tailored to their needs and preferences.

Fitness classes, art workshops, and game nights are just some of the activities that aim to provide residents with emotional support and opportunities for engagement. A beauty and barber shop. a multimedia room, and a secure outdoor area, also ensure residents have plenty of spaces for relaxation and wellness. Located in the thriving neighborhood of Conroe, near restaurants and shops, the community ensures older adults have a convenient lifestyle. As one of the highly rated options for senior living in Texas, this nursing home provides high standards of care for older adults’ welfare.

Contact Conroe Health Care Center

Overview of The Heights of Alamo

Settled in the quiet neighborhood of Alamo, TX, The Heights of Alamo is an idyllic senior living community that offers short-term care, post-hospital recovery, skilled nursing, long-term care, rehabilitation therapy, and dementia support or respite care services. A wide array of large and cozy accommodations are available for its residents based on their preferences. With a highly trained and compassionate team, the community ensures individualized care and support for its residents that they deserve.

The community is committed to delivering exceptional amenities and services including tasty and healthy home-cooked meals, internet services, on-site beauty salon and barber services, Come and visit its beautiful outdoor garden, pergola, and covered patios. Engage in various social activities and community events that are essential in nourishing your physical, mental, social, and spiritual well-being. At The Heights of Alamo, seniors are guaranteed an empowering and secure stay.

Contact The Heights of Alamo

Overview of The Buckingham

The Buckingham occupies a 130-bed facility at 8580 Woodway Dr in Houston’s Mid West neighborhood, 11.4 miles from downtown Harris County. Operated by Greystone Management Services Company LLC and administered by Elise Green, the facility opened in August 2006. The license designates it a long-term care facility offering independent, assisted, and memory care alongside nursing home services.

Current occupancy sits at 51% (66 of 130 beds), trailing the Texas average of 63.5%. The community operates on a Medicare-and-private-pay model: 69% of new residents are Medicare-funded short-stay rehabilitation patients (averaging 18 days), while 31% are private-pay residents with typical stays of 1–2 years. Medicaid is not accepted.

Daily nursing hours/resident total 5 hours 5 minutes; 34% above the Texas average of 3 hours 47 minutes, positioning The Buckingham 18th among 289 state nursing homes.

The RN component, at 1 hour 31 minutes daily, surpasses the average by 250%, delivering markedly stronger clinical oversight than peer facilities. LPNs contribute 1 hour 18 minutes (37% above average), and certified nursing aides 2 hours 56 minutes (45% above average). Weekend nursing sustains 4 hours 13 minutes/resident, 41% above state benchmark; with weekend RN hours at 1 hour 6 minutes, 230% above average. Physical therapy hours run 7 minutes/day, 75% above average.

Personnel comprise 22 registered nurses, 18 licensed practical nurses, 47 certified nursing aides, seven speech language pathologists, four clinical nurse specialists, and auxiliary therapy staff.

Health inspection ratings stand at 2 stars, 30.8% below Texas average.

Three-year citation totals reach 25, including 2 critical and 23 moderate violations, with quality-of-life-and-care deficiencies comprising 36%.

Federal penalties imposed over 2023–2025 total $138,000 across nine assessments; 71% above the Texas average and 866% above the typical fine count.

An administrative penalty in January 2025 ($2,250) specifically addressed inadequate staffing for resident supervision.

Pressure ulcer prevalence in high-risk long-stay residents registers at 34.8%, drastically, 687%; above state benchmark of 4.4%. Urinary tract infections affect 4.6% of residents, 467% worse than the 0.8% average. High-risk clinical events score 13.2, 53% worse than Texas average. Functional decline metrics, conversely, run 39% better.

Short-stay rehabilitation outcomes show 60% of residents successfully discharged to home or community, 19% better than average.

Financially, The Buckingham reports gross revenue of $32.2 million but carries a net operating loss of $12.7 million. Payroll comprises 48.1% of revenue, ranked 123rd of 297 Texas facilities; below the typical 51–63% investment.

Occupancy declined 12.5%age points between 2022 (63.4%) and 2023 (50.8%).

The Buckingham accommodates Medicare-funded short-term rehabilitation and private-pay long-term residents, supported by high nursing staffing levels yet marked by clinical risks and regulatory penalties.

Contact The Buckingham

Overview of Cambridge Court Senior Living

Located in Mesquite, TX, Cambridge Court Senior Living prioritizes a comprehensive range of health services, including assisted living, independent living, and memory care services. The community is conveniently situated in Matador Lane where a peaceful environment and idyllic atmosphere is ensured. It includes The Cottage where a comprehensive and intimate approach to memory care is available with the assistance of a skilled and compassionate team that provides specialized services for all phases of dementia. Here, residents can choose from well-appointed and cozy accommodations, including a variety of floor plans tailored to their preferences.

Cambridge Court Senior Living ensures enhanced lifestyle through providing enriching activities, fostering new friendships, and making avenues for its residents to confidently enjoy their freedom with chef-prepared food. In Cambridge Court Senior Living, with its nurturing top-quality care, opportunity to fill days with wonderment is available.

Contact Cambridge Court Senior Living

Overview of The Hacienda at Georgetown

The Hacienda offers affordable senior housing for individuals in Georgetown seeking a nurturing and home-like atmosphere. The luxurious senior living community provides a warm, welcoming environment where residents are treated like family. Management and staff are committed to delivering tailored care to each individual, ensuring holistic needs are met. The community perfectly blends an opulent lifestyle and world-class hospitality for a vibrant senior living experience. 

The Hacienda’s accommodations include comprehensive services such as scheduled housekeeping and transportation, resident-centered enrichment programs, an on-site nurse available 24/7, well-balanced daily meals, and ADLs. amenities include wheelchair-accessible features, parking spaces, elevators, and a recreational room. 

Contact The Hacienda at Georgetown

Overview of Avir at Granbury

Located in Granbury, Texas, Avir at Granbury is a nursing home that offers skilled nursing and rehabilitation. Currently, the community has 42.1% occupancy, with an average stay of 363 days, indicating a focus on long-term care. Housekeeping services, on-site medical care, and beauty services are also offered to support residents’ daily living. Licensed practical nurses, certified nursing assistants, and registered nurses are part of the care team.

Social events and recreational activities foster socialization. Private rooms are also provided in a single-story setting for residents’ comfort and privacy. Notably, the community was issued a federal penalty for violating regulatory standards. Avir at Granbury also accepts Medicare, Medicaid, and private pay, providing a variety of payment options.

Contact Avir at Granbury

Overview of Gracy Woods I Nursing Center

Conveniently located in the serene neighborhood of Metric Boulevard, Austin, TX, Gracy Woods – Nursing Center is a distinguished community that offers nursing care. With 118 cozy and specially designed accommodations, the community strives to provide the highest quality of care and assistance tailored to residents’ needs and preferences. Medicare and Medicaid are also accepted by the community, easing residents’ financial burdens.

To keep residents active and socially engaged, the community also conducts fun activities and engaging programs. With the community’s comprehensive care and purposely designed amenities, residents can rest assured of living their golden years without worries. Spend your golden years in the community’s nurturing and welcoming environment.

Contact Gracy Woods I Nursing Center

Overview of Carriage Inn Lake Jackson

Take in the warmth of the charming senior living community of Carriage Inn Lake Jackson in Lake Road, Lake Jackson, TX, that offers assisted living, independent living, and memory care. The community features carefully designed and sophisticated studio, one-bedroom, and two-bedroom residences, ensuring seniors keep their peace of mind and privacy within its premises. Moreover, residents receive round-the-clock care and support tailored to their needs and preferences from a dedicated and highly trained team.

Awaken your creativity through various art classes and social events; and mingle with people from diverse backgrounds to learn new things. Chat with friends and indulge in healthy and delicious for an unforgettable dining experience. Carriage Inn Lake Jackson is ideal for seniors who want to optimize their independence without worries.

Contact Carriage Inn Lake Jackson

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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