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Best Senior Care in Texas

Reviewed by
Last updated
May 2026
We analyzed
1,325 homes in Texas

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

Compare Senior Care around Texas

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

Click column headers to sort
Parkwood Assisted Living
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).

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.

Bedford
84
Facility 84
TX AVG 80
Rank #463 / 987
Yes
34
Facility 34
TX AVG 41
Rank #865 / 1392
--Lcs-Phc LLC
3
Facility 3
TX AVG 6
Rank #198 / 709
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 #472 / 987
Yes
11
Facility 11
TX AVG 41
Rank #1215 / 1392
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Esc IV, L.p.
7
Facility 7
TX AVG 6
Rank #473 / 709
-7Suite
Veranda Rehabilitation and Healthcare
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).

Harlingen
100
Facility 100
TX AVG 80
Rank #363 / 987
No
33
Facility 33
TX AVG 41
Rank #884 / 1392
54
Facility 54
TX AVG 22
Rank #1 / 583
--22--
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 #458 / 987
No
26
Facility 26
TX AVG 41
Rank #1005 / 1392
35
Facility 35
TX AVG 22
Rank #132 / 583
-Bishop Lake Wellington Lessee LLC
20
Facility 20
TX AVG 6
Rank #692 / 709
146Studio / 1 Bed / 2 Bed
Rosewood
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.

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).

Flower Mound
86
Facility 86
TX AVG 80
Rank #450 / 987
No
18
Facility 18
TX AVG 41
Rank #1125 / 1392
--Flower Mound Alf, LLC
2
Facility 2
TX AVG 6
Rank #119 / 709
2-Studio / 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.

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).

Coppell
86
Facility 86
TX AVG 80
Rank #450 / 987
No
25
Facility 25
TX AVG 41
Rank #1020 / 1392
--Coppell Alf, LLC
6
Facility 6
TX AVG 6
Rank #410 / 709
15Studio / 1 Bed / 2 Bed
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.

Katy
78
Facility 78
TX AVG 80
Rank #484 / 987
No
67
Facility 67
TX AVG 41
Rank #175 / 1392
16
Facility 16
TX AVG 22
Rank #294 / 583
-Arhc Soktytx01 Trs LLC
3
Facility 3
TX AVG 6
Rank #198 / 709
-3Studio / Suite / 1 Bed / 2 Bed
The Bradford Memory Care
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.

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.

Humble (Kengwood Glen)
76
Facility 76
TX AVG 80
Rank #489 / 987
No
50
Facility 50
TX AVG 41
Rank #515 / 1392
--The Bradford Memory Care, LLC---Private / Semi-Private Suite
The Auberge at Vintage Lake
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
90
Facility 90
TX AVG 80
Rank #419 / 987
No
63
Facility 63
TX AVG 41
Rank #235 / 1392
11
Facility 11
TX AVG 22
Rank #390 / 583
-Welltower Tenant Group LLC
4
Facility 4
TX AVG 6
Rank #284 / 709
22Studio / Semi-Private
Shavano Park Senior Living
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.

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.

Shavano Park (Sonterra)
90
Facility 90
TX AVG 80
Rank #419 / 987
No
16
Facility 16
TX AVG 41
Rank #1153 / 1392
11
Facility 11
TX AVG 22
Rank #390 / 583
A+Meridian Shavano Park Al/Alz Oe LP
8
Facility 8
TX AVG 6
Rank #522 / 709
44Studio / 1 Bed / 2 Bed
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 #497 / 987
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1392
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Emeritus Corporation
4
Facility 4
TX AVG 6
Rank #284 / 709
13Studio / 1 Bed / 2 Bed
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.

Tyler
80
Facility 80
TX AVG 80
Rank #472 / 987
No
30
Facility 30
TX AVG 41
Rank #929 / 1392
29
Facility 29
TX AVG 22
Rank #149 / 583
-Wg Copeland Sh LLC
1
Facility 1
TX AVG 6
Rank #24 / 709
1-Studio / 1 Bed / 2 Bed / Cottage
Silverado Hermann Park Memory Care Community
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 / 1392
6
Facility 6
TX AVG 22
Rank #514 / 583
-Silverado Hermann Park LLC
7
Facility 7
TX AVG 6
Rank #473 / 709
25Private Rooms
Autumn Leaves
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).

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.

Dallas
124
Facility 124
TX AVG 80
Rank #179 / 987
No
58
Facility 58
TX AVG 41
Rank #328 / 1392
17
Facility 17
TX AVG 22
Rank #283 / 583
B-Lcs-Al LLC
12
Facility 12
TX AVG 6
Rank #610 / 709
111-
The Villages of Windcrest
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).

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.

Fredericksburg
86
Facility 86
TX AVG 80
Rank #450 / 987
No
13
Facility 13
TX AVG 41
Rank #1196 / 1392
7
Facility 7
TX AVG 22
Rank #487 / 583
A-Acron Windcrest Village LLC
4
Facility 4
TX AVG 6
Rank #284 / 709
4-Studio / 1 Bed / 2 Bed / Private Suite
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Overview of Longhorn Village

Longhorn Village is a skilled nursing facility in Austin, Texas, located in the Steiner Ranch area on Longhorn Parkway. The 60-bed community operates as part of a Continuing Care Retirement Community (CCRC). It is a nonprofit facility owned by Stacy Hibma and has been operating for 21 years. The facility accepts Medicare, Medicaid, and private pay. Services include rehabilitation, respite care, memory care, and 24-hour staffing.

CMS rates Longhorn Village at 5 stars overall, a perfect score across Health Inspection, Staffing, and Quality Measures. Nursing staffing averages 5 hours and 35 minutes per resident per day, roughly 48% above the Texas average of 3 hours and 47 minutes, placing the facility 10th out of 289 Texas SNFs. Across four Health Inspections since 2024, the facility recorded seven citations, a rate of 1.75 per inspection, compared with the Texas average of 3.67, with no fines or enforcement actions. Three abuse/neglect citations issued in late 2024 were all corrected.

Amenities include a fitness center, library, outdoor spaces, and salon services, as well as the Lifelong Learning program. With 82% of admissions covered by Medicare and an average length of stay of 64 days, the facility’s care model mainly focuses on short-term post-acute rehabilitation. The occupancy rate is 45%, well below the Texas average of 63.5%, which indicates current availability.

Longhorn Village fits Medicare-covered patients seeking short-term skilled nursing and rehabilitation in a well-staffed, nonprofit CCRC setting in northwest Austin, with immediate bed availability.

Contact Longhorn Village

Overview of Querencia at Barton Creek

Recognized by Newsweek as one of America’s Best Continuing Care Retirement Communities in 2025, Querencia at Barton Creek combines independent living, assisted living, memory care, and skilled nursing within one Austin campus. The nonprofit community, located on Barton Creek Boulevard, includes 42 skilled nursing beds and accepts Medicare and private pay, but not Medicaid.

Querencia holds a 5-star CMS overall rating, the highest available, driven by top marks in Health Inspection, Staffing, and Quality Measures. Nurse staffing averages 4 hours and 49 minutes per resident per day, about 27% above the Texas average, ranking the facility 26th among 289 Texas skilled nursing facilities. Weekend staffing averages 37% above the state benchmark.

Occupancy stands at 94%, well above the Texas average of 63.5%, reflecting consistent local demand. Since 2022, the facility has received 16 health citations across 4 inspections, 38% fewer than the Texas average of 25.9. No fines have been reported in the past three years. A September 2025 inspection resulted in one serious Quality of Care citation, which has now been corrected.

Residents have access to rehabilitation services, dining, health and wellness programming, clubs and social groups, and organized resident and family engagement through an active Resident Council.

Querencia at Barton Creek’s continuum of care, above-average staffing, and short-term rehabilitation capacity fit residents seeking post-acute recovery or a planned transition across care levels in southwest Austin.

Contact Querencia at Barton Creek

Overview of The Village at Incarnate Word

The Village at Incarnate Word is a 60-bed nursing and rehabilitation community in San Antonio, Texas. It is operated by Incarnate Word Retirement Community, Inc., a voluntary nonprofit founded by the Sisters of Charity of the Incarnate Word. The facility offers nursing and rehabilitation, assisted living, independent living, memory care, and respite care. It accepts Medicare, Medicaid, and private pay.

The facility holds a 5-star CMS overall rating, placing it among the top performers in the state. Across three inspections since 2023, the facility recorded 13 citations, roughly half the Texas average of 25.9, with zero critical or serious findings and no federal penalties in that period. Total nurse staffing averages 4 hours and 23 minutes per resident per day, 16% above the Texas average, with certified nurse aide staffing 36% above the state benchmark, ranking the facility 49th out of 289 Texas SNFs for total adjusted nursing hours.

The occupancy rate is 91%, well above the Texas average of 63.5% and ranks 15th statewide, reflecting consistent local demand. The community has been voted the #1 Best Senior Living in San Antonio for three consecutive years from 2023 to 2025 by San Antonio Express-News Readers’ Choice. Long-stay hospitalization and emergency department rates are among the clearest clinical signals for the facility. Hospitalizations are 1.02 per 1,000 resident days, 52% below the state average, and ED visits are 0.60 per 1,000 resident days, 71% below the state average.

The campus includes a Spiritual Life program, an active resident council, and a CCRC structure spanning multiple levels of care. In-home care services are also available.

The Village at Incarnate Word fits older adults seeking a nonprofit, faith-affiliated continuum of care in San Antonio, from short-term rehabilitation through long-term skilled nursing and memory care, within a community that maintains strong staffing and a low-acuity compliance record.

Contact The Village at Incarnate Word

Overview of Luxe Life Senior Living

Luxe Life Senior Living is a privately owned 34-bed nursing home in Katy, Texas, operated by Ignite Medical Resort Katy LLC. Located in Harris County, the facility provides skilled nursing, memory care, and respite care services and accepts Medicare, Medicaid, and private pay.

CMS rates the facility 4 stars overall, 33% above the Texas average, driven largely by a strong Health Inspection record. Across 5 inspections over the past seven years, the facility recorded 22 citations, roughly in line with the state per-inspection average. The most recent standard inspection, in November 2025, reflects that standing. One area warrants attention: CMS has recorded five federal civil money penalties in the past three years, totaling approximately $22,000, 141% above the Texas average for fines, but the individual amounts are modest.

Staffing is below par. Nurse staffing averages 2 hours and 51 minutes per resident per day, compared with a Texas average of 3 hours and 47 minutes, placing the facility 272nd out of 289 Texas nursing homes on that measure. Weekend coverage is better, averaging 3 hours and 15 minutes per day versus a state average of 2 hours and 58 minutes. However, the total nursing hours are a gap for residents with higher-acuity needs.

The facility is built around a hospitality-forward model, with a spa, upscale lounges, an exercise and wellness center, and landscaped courtyards with walking paths. 24-hour staffing option rounds out the care structure. Occupancy is 63.5%, below the Texas average, indicating current availability.

Luxe Life Senior Living fits residents seeking a short-term post-acute stay or memory care placement in a higher-amenity environment, where inspection performance and quality measures matter more than the volume of nursing hours.

Contact Luxe Life Senior Living

Overview of The Village at Heritage Oaks – Alf
THE VILLAGE AT HERITAGE OAKS - ALF is an assisted living community located in Corsicana, TX. It offers personalized care, nutritious meals, and engaging activities for residents. The community is dedicated to providing a vibrant and supportive environment for seniors.

Contact The Village at Heritage Oaks – ALF

Overview of Simpson Place
Simpson Place is a senior living community in Dallas, TX, offering compassionate care including assisted living, rehabilitation, and skilled nursing services. The facility provides a home-like atmosphere with a focus on well-being and independence. Residents enjoy a variety of dining options and life-enrichment activities.

Contact Simpson Place

Overview of Le Reve Memory Care
Le Rêve is a memory care facility in Dallas, Texas. It offers high-quality rehabilitative care and a family atmosphere for residents. The facility is dedicated to helping individuals transition back to independent living after hospital stays.

Contact Le Reve Memory Care

Overview of Coryell County Memorial Hospital Authority
Coryell Health is a community-owned healthcare organization located in Gatesville, Texas. It offers a wide range of health services including a licensed hospital, emergency medical services, outpatient physical therapy, skilled nursing facility, and assisted and independent living apartments. Coryell Health is committed to patient-focused care with the latest medical technology.

Contact Coryell County Memorial Hospital Authority

Overview of Hilltop Park Rehabilitation and Care Center
Hilltop Park Rehabilitation and Care Center is a skilled nursing center and rehabilitation community in Weatherford, TX. It offers personalized rehabilitation and long-term care services in a comfortable, home-like environment. The facility focuses on recovery and comfort with individualized care plans for each resident.

Contact Hilltop Park Rehabilitation and Care Center

Overview of The Village at Gleannloch Farms
The Village at Gleannloch Farms is a Life Plan Community in Spring, TX, offering a variety of residential options and a full continuum of care. Residents enjoy a maintenance-free lifestyle with access to independent living, assisted living, memory care, and skilled nursing services. The community features resort-inspired amenities and a vibrant calendar of activities.

Contact The Village at Gleannloch Farms

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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