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 Angel‘s Haven and Angeles Del Cielo

Angel’s Haven and Angeles del Cielo, located in El Paso, TX, are adult foster homes and senior living communities dedicated to providing quality residential and healthcare services to its senior residents. This senior living community offers private furnished rooms for accommodation, and provides assistance with daily living activities such as bathing, dressing, grooming, and toileting. Additionally they also help with medication management and administration.

The residents of these two adult foster homes are also provided meal provisions and dining assistance if needed, therapy services, regular wellness checks, and personal care. Recreational activities as well as outings and entertainment programs on the other hand, provides residents with opportunities to socialize as well as stay physically and mentally active.

Contact Angel‘s Haven and Angeles del Cielo

Overview of Nexion Midwestern Healthcare Center

Nexion Midwestern Healthcare Center is a facility in Wichita Falls, TX, that offers long-term care and skilled nursing services, as well as rehabilitation services. Dedicated to providing quality skilled nursing, their long term residents are provided round-the-clock nursing care, medication management, and assistance with daily activities, as well as coordination with other health care providers for special medical treatments.

Their spacious private apartments are pet friendly with some restrictions, and are available for short-term residency. Throughout the month, activities are regularly scheduled aimed to provide engagement opportunities as well as entertainment.

Contact Nexion Midwestern Healthcare Center

Overview of Prime Care Hospice

Prime Care Hospice, located at 707 Hollybrook Drive in Longview, Texas (Gregg County), operates a 115-bed nursing home focused on hospice care and short-term Medicare rehabilitation. The facility holds a 1-star overall CMS rating.

Health inspection performance is a primary driver of that rating, as is staffing adequacy. Both categories carry 1-star designations, placing Prime Care significantly below state benchmarks.

The facility has incurred substantial federal penalties over recent years. In February and March 2024 alone, CMS imposed $190,000 and $73,000 in civil money penalties, contributing to a total penalty history of $291,000, which is more than three times the Texas average of $80,000 for facilities with fines. Five separate penalty actions have been taken, compared to a state average of 2.5.

Nursing staff provides 3 hours 26 minutes of care per resident daily; +slightly below the Texas average. The staffing model relies heavily on contractor licensed practical nurses; 78 of the facility’s 97 LPNs are contractors rather than employees. Direct staff-to-resident ratio is 1.6:1, marginally above state average, but this conceals the structural reliance on temporary labor.

Long-stay residents experience urinary tract infections at 4.9%, more than six times the Texas rate. Pressure ulcers in high-risk residents reach 9.5%, double the state average. Functional decline in walking ability occurs in 20.5% of residents, 26 percent worse than the state average. Antipsychotic medication use runs 54 percent higher than the Texas average.

The facility accepts Medicare and private pay; occupancy is 55.2%, below the state average. Walk score is 33.

Prime Care serves patients and families seeking hospice and end-of-life care in a short-term model, with current admissions split between Medicare rehabilitation patients and private-pay residents.

Contact Prime Care Hospice

Overview of West Oaks Nursing and Rehabilitation Center

West Oaks Nursing and Rehabilitation Center is a leading community in Austin, TX, offering skilled nursing services and rehabilitation to residents recovering from hospitalization or living with an illness. Their kind and talented care team creates a comprehensive care and treatment plan to ensure residents receive the appropriate services to quickly recover their overall functioning and get back on their feet. Here, they make sure residents are treated with loving care and respect while receiving round-the-clock care and assistance with their daily living activities and medical needs.

Those living with the challenges of memory conditions can also relax and live full lives in the community with access to the Integrated Cognitive Program which incorporates residents’ daily routine in their care plans. Residents’ calendars are also packed with enriching activities that help them stay active, connected, and engaged. At West Oaks Nursing and Rehabilitation Center, they make sure residents are well-equipped to maintain their well-being and continue doing the things they enjoy.

Contact West Oaks Nursing and Rehabilitation Center

Overview of Westover Hills Rehabilitation and Healthcare Center

Conveniently nestled in San Antonio, TX, Westover Hills Rehabilitation and Healthcare Center is a warm and dependable community designed to support residents with their recovery. They collaborate closely with residents, their families, and healthcare providers in creating an effective care plan tailored to their needs. The community also features an in-house therapy team that uses advanced therapeutic approaches to help residents regain their strength and overall functionality.

Residents’ schedules are packed with an array of fun and enriching activities tailored to their preferences and skills for an active lifestyle. In addition to nutritionally balanced meals, the community provides the convenience of housekeeping services for residents’ comfort. Here, residents are guaranteed to maintain their highest functionality to continue enjoying life.

Contact Westover Hills Rehabilitation and Healthcare Center

Overview of Estates Healthcare & Rehab Center

Receive top-tier care from Estates Healthcare and Rehab Center, a dedicated community located in the serene neighborhood of Sycamore School Road, Fort Worth, TX, that focuses on skilled nursing, memory care, and therapy services. Surgery recovery, wound care, respite care, podiatry, and care for cardiac-related illnesses are provided for residents’ complex healthcare needs. With its cozy and specially designed accommodations, residents will surely enjoy a comfortable and safe retirement.

The community also provides dentistry, optometry, transportation services, medication management, and hospice among others for residents’ everchanging needs. Here, residents enjoy healthy and delightful meals that cater to their dietary needs and preferences. Find all the care you need in one place with the community’s comprehensive care and carefully designed amenities.

Contact Estates Healthcare & Rehab Center

Overview of Pebble Creek Nursing Center

Pebble Creek Nursing Center is a skilled nursing home and rehabilitation facility located in El PAso, TX. They provide their residents with 24/7 skilled nursing care, assistance with daily living activities such as bathing and toileting, nursing restorative programs, and therapy services. As part of their healthcare services, residents are also provided medication management and administration assistance.
To ensure that the residents live their best life, they also offer a rich array of non-medical related services and amenities. This includes meal provisions, beauty and barber services, laundry and housekeeping, and transportation services. Furthermore, the facility also offers respite and hospice care, for residents in their late stages of life. 

Contact Pebble Creek Nursing Center

Overview of Park Place Care Center

Park Place Care Center is a skilled nursing facility dedicated to providing comprehensive and compassionate services to residents in need, ensuring their well-being and comfort are the top priorities. Located in Georgetown, TX, this facility focuses on holistic healing and personalized attention, and offers a wide range of amenities and programs tailored to meet the diverse needs of its patients and residents. Some of the specialized services such as rehab-to-Home programs, nursing restorative programs, and respite Care, helps facilitate smooth transitions and enhance recovery of its residents.

Park Place Care Center is equipped with expert staff and resources for wound care, surgery recovery, diabetes management, and podiatry experts, ensuring residents receive top-notch medical attention. Additionally, the facility provides physical, occupational, and speech therapy to support residents in regaining their independence and mobility. With services like hospice care and medication management, this facility aims to enhance the quality of life for residents with advanced medical needs. The facility also offers a range of holistic amenities, including nutritional services, grooming services, as well as laundry & housekeeping assistance. Engaging Activities are also incorporated into the daily routine, fostering a vibrant community where residents can participate in enriching experiences and maintain a fulfilling lifestyle.

Contact Park Place Care Center

Overview of Capstone Healthcare Estates on Orem

At Capstone Healthcare Estates on Orem, they believe in providing an engaging and welcoming environment for their senior residents. Their life enrichment program offers a variety of social activities, including movie nights, spiritual groups, art therapy, book clubs, and bingo, to encourage personal connections and social engagement. Capstone on Orem is dedicated to a person-centered approach to healthcare and wellness, ensuring exceptional standards of care that enhance their residents’ quality of life.

Their compassionate care, innovative programming, and community engagement allow them to offer a therapeutic program that prioritizes choice, purpose, and connection in every aspect of their residents’ daily lives.

Contact Capstone Healthcare Estates on Orem

Overview of Glory Road Living Facilities, Inc. – Sheer Water

Spend a blissful retirement at Glory Road Living Facilities, Inc. – Sheer Water, a blissful retreat in Houston, TX, offering assisted living and respite care. With a compassionate and well-trained team available 24/7, residents can keep their peace of mind and receive top-tier care for their unique needs. The community has specially designed and cozy accommodations, creating the ideal setting for residents to live comfortably in their golden years.

For residents’ leisure and wellness, a jam-packed calendar of fun recreational activities and stimulating programs is conducted according to their interests and capabilities. Three delectable and healthy dining options are also served to satisfy residents’ dietary needs and preferences. The community also provides medication management, mobility, and transfer assistance to meet residents’ healthcare needs. With its top-tier services and nurturing environment, residents experience the best of their golden years without worries.

Contact Glory Road Living Facilities, Inc. – Sheer Water

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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