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 Brookdale San Marcos South

Brookdale San Marcos South is a licensed assisted living community in San Marcos, Texas, providing personal care. The community is operated by ESC III LP, functioning as a Type B community in Hays County. With a 60-bed capacity, the community is intended to help older adults who require care with routine tasks in a friendly, organized setting.

This community holds a strong record of compliance, accumulating a total of four deficiencies. These include two health code deficiencies and two life safety code violations, specifically related to illumination standards, a commercial kitchen hood, and an employee workspace issue. Significantly, there were no administrative penalties recorded, and no enforcement actions were found. With a total of only four citations compared to the Texas state mean of six, this community performs considerably better than many other communities throughout the state.

A dedicated suite of support options includes 24-hour staffing and temporary relief stays. Safety features and an alert system are integrated throughout the property, which is wheelchair-accessible. Cleaning, laundry, and basic utilities are also covered by the monthly cost. A diverse social calendar is also conducted to foster connection and active participation. Meals are prepared with health in mind, which is also included in the base rate.

Brookdale San Marcos South is a good option for older adults looking for a supportive environment in a moderately sized neighborhood that combines individual care with communal features. The consistent regulatory history and the all-inclusive nature of daily services, ranging from meals to linens, also provide families with clear expectations for long-term planning.

Contact Brookdale San Marcos South

Overview of Avanti Senior Living at Flower Mound

Avanti Senior Living at Flower Mound is a licensed Type B assisted living and memory care community in Flower Mound, Texas, providing assisted living and memory care services. The community is operated by VOP AVT Flower Mound, LLC under the ownership of IP Avanti Flower Mound Opco LLC in Denton County.

Inspection records show that the most recent comprehensive review, conducted on August 19, 2022, resulted in three health-related citations, with cited concerns involving resident protection standards related to abuse, neglect, and exploitation, along with staffing requirements for activity leadership. All identified issues were corrected by December 31, 2022. The community’s three citations are well below the Texas average of six citations per inspection cycle. Additionally, no enforcement actions or Life Safety Code deficiencies were reported, which compares favorably to statewide averages.

The community focuses on a wellness-centered and lifestyle-driven approach to care, offering support for older adults across varying levels of need. With an Alzheimer’s certification, specialized memory care services are also provided for residents living with dementia or other cognitive conditions. Through its Mind, Body, and Strength program, the community focuses on residents’ holistic wellness, which encourages physical activity, cognitive stimulation, and social engagement as part of daily life.

Through the Green Kitchen Taste Restaurant, dining is positioned as a central part of the resident experience, which aims to provide a more upscale and restaurant-style atmosphere compared to traditional communal dining programs. A broad calendar of activities and events is also available to encourage participation, connection, and continued engagement with the community.

Branded engagement programs, scheduled events, and resident-centered lifestyle offerings also promote an active and socially connected environment. Visitor and administrative service hours are available Monday through Friday from 8:00 a.m. to 7:30 p.m., supporting accessibility for residents and families alike.

Providing specialized memory care services in a larger community, Avanti Senior Living at Flower Mound is a compelling option for older adults seeking assisted living or memory care within a modern, lifestyle-oriented setting in the Dallas-Fort Worth area, particularly those who value wellness programming, elevated dining experiences, and specialized memory care services.

Contact Avanti Senior Living at Flower Mound

Overview of Apex Oaks at Clear Lake Assisted Living

Offering assisted living, memory care, and respite care, Apex Oaks at Clear Lake Assisted Living is a licensed Type B assisted living community in Houston, Texas. Managed by 12410 Space Center, LLC in Harris County, the community specializes in delivering dedicated support for older adults living with Alzheimer’s disease, dementia, and other forms of cognitive decline. With a 44-bed capacity, its mid-sized design is intended to encourage personal attention while still providing shared amenities and social opportunities.

The community maintains an active license from the Texas Health and Human Services Commission (HHSC). Regulatory data reported zero enforcement actions, no civil money penalties, or payment denials have been documented over the previous three years, which places this community well below the Texas state averages. While formal evaluation records do not provide specific deficiency counts or citation details, the lack of any enforcement history is a positive indicator for families reviewing compliance and safety performance.

Combining 24-hour support, help with daily living activities, medication management, and three daily meals into one stable cost, the community offers an all-inclusive pricing model. Temporary relief stays are also available for families through respite care. Notably, a Montessori-inspired activities curriculum is conducted, which is a structured and evidence-informed method that promotes meaningful participation and mental stimulation for residents with dementia. Mobility and transfer aid, housekeeping, laundry services, Wi-Fi, and utilities are also available.

Apex Oaks at Clear Lake Assisted Living appeals to older adults experiencing mild to advanced stages of Alzheimer’s disease, dementia, or other cognitive changes who require steady and organized support throughout the day, especially with its dedicated memory care environment, a comprehensive pricing structure, and a therapeutic activities program. Its position in the Clear Lake region of southeast Houston also offers suburban convenience while providing convenient access to the wider Houston metropolitan area.

Contact Apex Oaks at Clear Lake Assisted Living

Overview of Autumn Wind Mineola

Autumn Wind Mineola is a licensed assisted living community in Mineola, Texas, providing support services, rehabilitation, and respite care. The community is operated by Mineola Senior Living LLC with a Type B license in Wood County. With a 90-bed capacity, it is a larger residential setting that offers shared gathering areas, organized programming, and a wide selection of support services designed to encourage comfort, engagement, and daily structure.

The community is equipped to support residents with varying care needs, including those living with Alzheimer’s disease or other forms of dementia. 24-hour staffing and emergency response systems also help provide a secure and supervised environment, while wheelchair-accessible spaces support residents with mobility challenges. Rehabilitation services and short-term respite stays are also available for individuals recovering from illness or for families needing temporary care support.

Regulatory records show that the most recent comprehensive inspection, completed on July 23, 2024, identified no state standard violations. However, the community does have a prior enforcement history that includes a $2,350 administrative penalty issued in May 2023 related to resident protection requirements related to abuse, neglect, and exploitation regulations under Texas Administrative Code Section 553.267. Interested families are suggested to consider both the clean 2024 inspection and the earlier enforcement action when reviewing the community’s overall compliance history.

Meals and snacks, housekeeping, laundry assistance, medication administration, transportation to medical appointments, and access to on-site medical support through a doctor affiliated with the community are among the services provided. Personal care services such as bathing, dressing, and grooming assistance are also available depending on individual needs. Exercise programs, recreational activities, and social events also help promote engagement and interaction among residents. Additional conveniences include a beauty salon and barbershop, private mailboxes, and 24-hour supervision and security measures that promote resident safety and peace of mind.

With comprehensive care services, organized activities, and consistent staffing, Autumn Wind Mineola is a practical option for older adults who require assisted living support, memory care services, or a structured daily routine within a larger community environment in Mineola and Wood County.

Contact Autumn Wind Mineola

Overview of Celebration Senior Living

Celebration Senior Living is a faith-based residential community in Denison, Texas, offering assisted living and memory care services. With a Type B license in Grayson County, the community is operated by Celebration Ministries Inc., following a philosophy of faithful and dignified life. This 94-bed community has a single-story design that emphasizes effortless movement and accessibility for all residents.

This community maintains a clear regulatory history, with the latest evaluation cycle in July 2024 that concluded with one finding, which was a Life Safety Code deficiency concerning property safety and emergency readiness. There were no Health Code deficiencies reported, which is significantly lower than the Texas state average of six findings per review. No enforcement actions are reported, and a violation regarding emergency generator standards from 2019 was resolved within 24 hours. Generally, the compliance history shows a community that addresses necessary improvements as soon as possible.

24-hour staffing is provided, along with a range of support from traditional assisted living to specialized memory care. An on-site chaplain works with local congregations and directs Bible studies, chapel gatherings, and musical events, which is a prominent feature for families who value spiritual life. Dining is prepared daily by an Executive Chef, with additional food choices available at various times. Surveillance cameras and continuous oversight are utilized to maintain a secure atmosphere.

With its intimate, single-level layout, Celebration Senior Living is ideal for older adults who appreciate a faith-based daily routine alongside organized support.

Contact Celebration Senior Living

Overview of Vintage Assisted Living of Denton

Vintage Assisted Living of Denton is an assisted living community in Denton, Texas, offering assisted living, memory care, and respite care. With a Type A license in Denton County, the community is managed by Denton IV Enterprises, LLC. This 88-bed community is also a prominent choice for care in the local area, as it has a wide range of care provided in one setting.

This community underwent an evaluation by the Texas Health and Human Services Commission (HHSC) on July 9, 2020, which concluded with two Health Code findings. The issues concerned the lack of a locked area for medication storage and a failure to meet Texas Food Establishment standards, which were addressed between September and October 2019, meaning they were already fixed before the formal report was issued. Additionally, no Life Safety Code deficiencies were found, and no enforcement actions are documented. The community has faced zero federal fines over the previous three years. With a citation count that matches the Texas average and no history of penalties, the regulatory standing here is in line with state expectations. Since the most recent public inspection took place in July 2020, families are encouraged to inquire about the latest reports with the community or from the Texas HHSC. Specific details regarding occupancy, CMS ratings, and staffing levels are not available, so families are encouraged to request them from the management team.

Dedicated 24-hour staffing, memory support, and short-term rehabilitative stays are available for older adults. High-quality daily meals are also prepared by a chef and provided as part of the service agreement. Clinical help is accessible on-site, and all emergency alert systems are verified as functional. Hair and barber services, housekeeping, laundry, and waste removal are among the lifestyle services, while transit assistance is also provided to help residents remain mobile. Its central location also provides easy access to nearby medical centers, shopping, and the various resources throughout North Texas.

Vintage Assisted Living of Denton is a compelling choice for older adults in the Denton region who need daily assistance, memory support, or temporary recovery services within a larger setting. Diverse group activities and shared features are also provided, along with individual care in an established environment with a clean penalty history and a central location.

Contact Vintage Assisted Living of Denton

Overview of Brookdale Pearland

Brookdale Pearland is a licensed senior living community in Pearland, Texas, providing assisted living and memory support services. This Type A licensed community is managed by Arc Pearland LP in Brazoria County. Recognized for its vacation-style approach, this 84-bed community blends customized assistance with high-end features. Monthly rates for assisted living begin at around $3,865, while memory care is offered at approximately $7,640.

The most recent thorough evaluation on April 2, 2024, identified three health findings related to life safety standards for fire protection and property upkeep, including matters involving sprinkler systems, smoke sensors, and the setup of emergency generators. All issues were addressed between January and March 2020. The community documented zero enforcement actions, which is better than the Texas state mean of one. Moreover, no federal financial fines were reported over the previous three years. With a clean record of zero citations per inspection in comparative datasets, the community performs better than many of its Texas counterparts.

A vast array of features is available at the community, such as a workout center, concierge assistance, a hair salon, and a courtyard with a garden. The grounds also include manicured strolling trails, a screened porch, and a piano lounge. The community is also wheelchair-accessible and includes protected boundaries and emergency notification systems. Additionally, the Clare Bridge, a widely respected memory support initiative, provides extra branded services through specialized home care and social schedules for older adults. Fresh, health-centric meals are also part of the residency plan. 24-hour staffing and temporary relief stays are also provided.

Providing an upscale atmosphere and personalized services that cater to those who prioritize comfort and connection, Brookdale Pearland is a good option for families looking for a comprehensive, feature-heavy assisted living or memory care in the Houston region. Its Clare Bridge program is ideal for residents dealing with Alzheimer’s or dementia, while its general assisted living setting is a great match for older adults wanting a lively, social life with expert help.

Contact Brookdale Pearland

Overview of Bethesda Gardens

Bethesda Gardens operates a 75-bed community at 1103 West Arkansas Lane in Arlington, providing assisted living and memory care services under the Bethesda Foundation. The facility is located in a very walkable neighborhood (Walk Score 78), just 2.7 miles from downtown. A Type A license reflects the assisted living classification in Tarrant County.

The facility’s identity centers on faith-based care. According to operational materials, the community emphasizes supporting residents’ physical well-being, emotional health, and spiritual life through personalized attention and daily engagement. Services encompass assisted living for residents needing help with daily activities and memory care with Alzheimer’s certification. Residents have a choice of housing configurations, including studios, one-bedroom, and two-bedroom units. The community accepts pets and maintains an organized activity calendar.

Private-pay only. Medicare and Medicaid are not certified.

From a compliance standpoint, Bethesda Gardens carries a favorable inspection record.

The most recent comprehensive inspection occurred on August 21, 2024. A single Health Code citation was issued for failure to maintain a locked medication storage area. The facility corrected this deficiency by September 5, 2024, within two weeks of the citation. No Life Safety Code violations were documented.

No enforcement actions were initiated. The facility’s citation total of one stands substantially below the Texas average of six per comparable facility. Federal penalties have not been assessed within the past three years.

Bethesda Gardens is positioned as a faith-centered assisted living and memory care option in a convenient Arlington location, with a compliance history showing rapid response to identified issues.

Contact Bethesda Gardens

Overview of Serenity Assisted Care Living

Serenity Assisted Care Living is a residential home for older adults in Beaumont, Texas, offering assisted living services. Managed by Roselyne Vertil under the ownership of Serenity Assisted Care Living LLC in Jefferson County, this community is categorized as a Type B community under state licensing.

Regarding state oversight, the most recent review on September 21, 2023, found one life safety code deficiency. This specific issue had been noted during the previous April 2022 evaluation and was still not resolved at the time of the latest visit. No health-related deficiencies were documented. Additionally, the community was issued a $3,000 administrative fine in December 2022 regarding the use of physical or chemical restraints without the required doctor approval, a situation that has been rectified. However, there are no federal financial penalties listed in the national database for the previous three years, and the community maintains a low citation rate in comparative reports for older adults.

This community provides assisted living, helping those needing general help with daily routines. The environment fosters a quiet, domestic feel with a concentration on emotional health and social events. While specific details on features and schedules are limited in current records, the intimate and residential nature of the setting aligns with a focus on individual care.

Serenity Assisted Care Living is an ideal choice for families in the Beaumont area seeking a community-based, domestic-style setting for older adults who need help with daily tasks. Its compact size also encourages a sense of familiarity and consistent routine. Families are also advised to consider the previous safety citation and the 2022 fine regarding restraint protocols during their review, and are encouraged to tour the property and discuss current safety improvements.

Contact Serenity Assisted Care Living

Overview of Rambling Oaks Courtyard Assisted Living Residence

With a Type B license in Denton County, Rambling Oaks Courtyard Assisted Living Residence is a senior care community in Highland Village, Texas, offering assisted living and rehabilitation services. Managed by Rambling Oaks Courtyard ALR Highland Village LLC, this 79-bed community reflects a domestic atmosphere, focusing on personalized attention and resident ease within a community-scale layout.

The most recent HHSC inspection on June 9, 2022, concluded with two findings, which included one health-related infraction and one life safety code issue, both of which are significantly lower than the Texas state averages of 6 total findings and 2 health findings. The life safety matter involved construction standards for hazardous zones and had been previously noted and partially resolved. There are no enforcement actions, and no federal financial penalties have been issued over the last three years. With a record of zero citations per evaluation in comparative data, the community maintains a generally positive regulatory history.

A remarkably thorough selection of features is available for a community of this size, such as three private courtyards, a day room, a sunroom, and a hair salon and barbershop. An ultrasound bath, a dedicated space for physical therapy and wellness, and a classic screened-in porch are among the amenities available, as well as a traditional dining area that focuses on nutritious, home-style cooking. Rehabilitative support is provided, and the memory care wing holds an official Alzheimer’s certification. While administrative offices are open during standard weekday hours, personal care is delivered around the clock.

Rambling Oaks Courtyard Assisted Living Residence is an excellent option for families in the Highland Village and North Dallas region looking for a cozy, residential-style setting that offers both daily assistance and memory care. Its unique features, specifically secured courtyards and the health room, serve older adults who appreciate outdoor access and active recovery.

Contact Rambling Oaks Courtyard Assisted Living Residence

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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