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 Methodist Retirement Communities – Creekside Retirement Community

Methodist Retirement Communities – Creekside Retirement Community is a nonprofit nursing home in Huntsville, Texas, operated by Methodist Retirement Communities. The 56-bed facility serves older adults across Walker County and provides assisted living, memory support, long-term care, and short-term rehabilitation. The community accepts Medicare, Medicaid, and private pay.
Creekside holds a 5-star overall CMS rating, placing it 66% above the Texas average across all four CMS sub-categories. Staffing is the facility’s most defining strength. Nurse staffing averages 5 hours and 29 minutes per resident per day, ranking the facility 12th among 289 Texas skilled nursing facilities and approximately 45% above the state average of 3 hours and 47 minutes. Weekend nurse staffing averages 4 hours and 24 minutes per resident per day, 48% above the Texas norm, which means the gap between weekday and weekend staffing is narrow relative to most Texas peers.

One inspection appears on record. A June 2023 visit resulted in nine citations, all related to Life Safety Code issues, such as fire alarm documentation, lighting compliance, and NFPA 101 standards. No Health Code deficiencies were cited, and no enforcement actions followed. The facility’s occupancy rate is 84.4%, well above the Texas average of 63.5%, and its average length of stay is 69 days.

The community holds Alzheimer’s certification and provides 24-hour staffing. Pets are permitted on-site.

Creekside is best suited for residents who prioritize high nursing coverage and dementia-capable care in a mid-sized, faith-affiliated community — including those in memory support or transitioning from a hospital stay into short-term rehabilitation.

Contact Methodist Retirement Communities – Creekside Retirement Community

Overview of Crestview Retirement Community

Located in Bryan, Texas, Crestview Retirement Community is a nonprofit Continuing Care Retirement Community operated by Jesse Brannen. The 48-bed community offers independent living, assisted living, memory support, long-term care, and short-term rehabilitation on one campus at 2505 E Villa Maria Road in Brazos County. The facility accepts Medicare, Medicaid, and private pay, giving residents access to multiple levels of care within the same community.

CMS rates Crestview with an overall 5-star designation, placing it 66% above the Texas average. Health Inspection drives that result in the facility scoring 73% above the state average in that category. An April 2023 inspection produced a single citation for a fire alarm and smoke detection system issue; no enforcement actions were taken. A clean compliance record by any measure.

Staffing is a strength. Total nurse staffing averages 4 hours and 38 minutes per resident per day, ranking Crestview 41st out of 289 Texas skilled nursing facilities and roughly 23% above the Texas average of 3 hours and 47 minutes. The facility maintains 24-hour staffing.

A rehabilitation team that includes physical therapists, occupational therapists, and a respiratory therapy technician supports short- and long-term residents. Dining centers on made-from-scratch cooking served in a formal dining room, with a Bistro for casual meals.

The facility’s occupancy rate is 94%, with 45 of 48 beds filled. It is well above Texas’s average of 63.5%, which signals consistent demand for the community’s model.

The continuum of care at Crestview, from independent living through memory support and skilled nursing, serves residents and families planning for multiple levels of care under one roof in the Bryan–College Station area.

Contact Crestview Retirement Community

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

Operated by Corsicana III Enterprises, The Village at Heritage Oaks is a nursing home in Corsicana, Texas, and is owned by Ronald R. The 107-bed facility currently serves 58 residents. Its location on West 2nd Avenue has a Walk Score of 70. The walkable neighborhood can be easily visited by family members who are nearby.

Medicaid, Medicare, and private pay are accepted, giving families several options to arrange care. Residents stay an average of about 119 days. The population includes both post-acute rehabilitation residents and those who remain longer.

Daily nurse staffing averages 4 hours and 21 minutes per resident. Residents are supported by registered nurses, nurse aides, and licensed practical nurses, who make up the staffing team. Staff support residents throughout the day through clinical care and hands-on assistance.

Rehabilitation services and respite care are available. Licensed clinical staff conduct health assessments and monitor wellness constantly. Residents get assistance with bathing, dressing, and grooming when needed. The facility also coordinates communication with physicians and outside providers. There are emergency call boxes and pull cords installed in the rooms, so residents can get prompt access to help.

Residents are served with chef-prepared gourmet meals daily as part of the dining program because nutrition is an important part of daily life within the community. Other amenities include cable television, beauty and barber services, laundry, housekeeping, and transportation when needed. Clinical services are available on site, and routine cleaning follows CDC standards.

An inspection completed in April 2024 identified concerns involving life safety code compliance and kitchen exhaust installation. Those issues were corrected quickly, and no additional violations were noted afterward. The facility has been responsive to regulatory requirements and resident care standards.

Contact The Village at Heritage Oaks – ALF

Overview of Simpson Place

Operated by Pf Sp Alf Ops Ii, LLC under owner Sp Alf Ops Co, Simpson Place is a skilled nursing and rehabilitation community in Dallas. The home is on Simpson Street, a highly walkable area with a Walk Score of 81. Families can easily visit here.

The community is designed for short-term post-acute care and rehabilitation stays, with residents staying an average of 62 days. Families can pay through Medicaid, Medicare, and private pay. The 50-bed facility currently serves 42 residents, reflecting an occupancy rate of 84%.

Rehabilitation services are at the center of the community’s care model. Short-term rehabilitation, respite care, and 24-hour staffing are all available. Total nurse staffing averages under 4 hours per resident each day. Registered nurses, nurse aides, and LPNs make up the care team. The care structure supports therapy goals and recovery needs while reflecting the home’s focus on post-hospital rehabilitation rather than longer-term residential care.

Over time, inspection findings have involved the home’s compliance with medication management and building systems. Families considering the community should ask how these areas are managed and what practices are in place.

Residents receive three chef-prepared meal options daily, made with fresh ingredients. Coordinated transportation, routine nursing evaluations, monthly blood pressure monitoring, and laundry services are also available on-site. Other amenities include life-enrichment activities, social gatherings, and exercise programs. The facility’s walkable location can benefit families visiting from other parts of Dallas.

Contact Simpson Place

Overview of Le Reve Memory Care

Owned by Mark Noel and operated by Le Reve Memory Care LLC, Le Reve Memory Care is a nursing facility on Dilido Road in Dallas, Texas. The 40-bed facility accepts Medicare, Medicaid, and private pay, providing families with coverage options for short-term rehabilitation and ongoing skilled care.

Short-term rehabilitation is the primary focus of the facility. Residents are supported by a dedicated nursing staff throughout their stay. Total nurse staffing averages 2 hours and 53 minutes per resident daily. Registered nurses provide 24 minutes of daily care. Nurse aides contribute 1 hour and 54 minutes, while licensed practical nurses and vocational nurses add another 38 minutes per resident. Supporting recovery and daily care needs, the staffing structure provides nursing oversight and hands-on assistance.

Residents stay an average of 150 days due to the mix of post-acute rehabilitation population, short-term recovery cases, and some residents under ongoing skilled care. The facility’s location has a Walk Score of 48. A few nearby services are within walking distance, but most trips require driving.

Contact Le Reve Memory Care

Overview of Coryell County Memorial Hospital Authority

Operated by owner Kara Cox, Coryell County Memorial Hospital Authority is a nursing facility in Gatesville, Texas, with 70 beds. The home serves residents who need skilled nursing care and rehabilitation. Most stay an average of approximately 415 days, including short-term post-acute patients and those requiring longer-term care. The facility’s occupancy rate is 95%.

Cardiac rehabilitation, orthopedic care, pain management, and dialysis are available on site. The facility also provides diagnostic imaging and wound care services. Residents who need oncology or infectious disease management can access coordinated clinical support. These services support the facility’s focus on complex medical care and rehabilitation needs.

Total nurse staffing averages 4 hours and 33 minutes per resident each day. Registered nurses provide 13 minutes of daily care, while nurse aides contribute approximately 2 hours of direct support. Supporting residents with daily care needs and medication management, the staffing team provides hands-on assistance throughout the facility.

The facility’s location on West Main Street has a Walk Score of 59. Some errands can be reached while walking, but other trips require driving. In this setting, family members can visit and conveniently spend time in the community.

Recent state inspections have shown a pattern of maintaining standards with minimal deficiency citations. No Life Safety Code violations or enforcement actions have been recorded.

Contact Coryell County Memorial Hospital Authority

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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