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Assisted Living in Texas

9th

OVERALL STATE RANK

Overview of assisted living in Texas

Assisted living facilities in Texas offer room and board and personal care services. Facilities are classified as large when they serve 17 or more residents and are classified as small when they serve 16 or fewer residents.[01] The median cost of assisted living in Texas is $4,700 per month or $56,400 annually, according to A Place for Mom’s internal data on assisted living facilities.[02]
A PLACE FOR MOM

Assisted living state rankings report

9th

Overall state ranking out of 50

State scorecard

How we determine rankings

Our 2023 state ranking for assisted living uses A Place for Mom’s proprietary data collected from our community partners. First, we sorted through our metrics and grouped them into three pillars that are key in a quality assisted living experience. We weighted these pillars differently based on insights from our senior living experts. Then, we used these categories and their weighting to determine how each state ranks. 

Read our full methodology

Top ranked Texas cities for assisted living overall

Cost of assisted living in Texas

The median monthly cost of assisted living in Texas is $4,700 per month, according to A Place for Mom’s proprietary data. This falls in the middle of costs for A Place for Mom’s partner communities in Texas, which range from $3,400 to $6,300 monthly.[02]

The cost of an assisted living community depends on the type of care a resident needs. Round-the-clock supervision and monitoring along with general care needs are typically covered in the monthly cost and may include:

  • Assistance with activities of daily living (ADLs), such as bathing and dressing
  • Meals and snacks
  • Medication management
  • Social activities and events

A specialty care community for individuals living with dementia will usually cost more. While memory care facilities usually provide the same general care services as a standard assisted living community, they also include additional services and safety features specific to dementia care.

In Texas, there may be other factors that affect the cost of assisted living including:

  • Location
  • Floorplans and the size of resident dwellings
  • Specialty gourmet meals
  • Luxury features and amenities

Many qualified seniors use Medicare, Medicaid, private health insurance, and/or veteran’s benefits to help reduce the costs of medically necessary care in assisted living.

Compare costs of Texas vs. the national average

Average monthly costs

Texas

$4,754/mo

US National average

$4,792/mo

Compare costs of assisted living vs. nearby states

Average monthly costs

Texas

$4,754/mo

Oklahoma

$4,390/mo

Louisiana

$3,950/mo

Arkansas

$4,120/mo

Mississippi

$3,531/mo

Compare costs of assisted living in Texas vs. nearby cities

Average monthly costs

Texas

$4,754/mo

Dallas, TX

$5,076/mo

Austin, TX

$5,112/mo

Compare costs of assisted living vs. other senior care types in Texas

Average monthly costs

Let our care assessment guide you

Our free tool provides options, advice, and next steps based on your unique situation.

Paying for assisted living in Texas

Every family’s financial situation is unique, so the earlier you assess your aging loved one’s finances and set a budget, the more choices you’re likely to have. Additionally, if you’re planning to use Medicare or Medicaid to cover medical expenses while living at an assisted living community, understand that applications and spend-down periods may take some time, making planning ahead essential.

Numerous families blend private and public funds to cover the expenses of assisted living. For a comprehensive look at how to long-term care, refer to our complete guide to paying for long-term care.

Private pay options may include money from a savings account, pension payments, or retirement accounts. Many families use a combination of private pay options to pay for assisted living.

Assisted living requirements and regulations in Texas

The Texas Department of Health and Human Services (HHS) categorizes assisted living facilities, referred to as ALFs in Texas, as a Type A or Type B facility. Residents of Type A facilities are able to follow directions in an emergency and don’t require overnight assistance. Type B facility residents require assistance with emergency evacuations and supervision overnight.[01]

Assisted living facilities in Texas are inspected at least once every two years and inspection reports can be viewed using the Long-term Care Provider Search. To use the search tool follow these steps:

  • Chose location or provider name at top of search box
  • Enter city, county or zip code
  • Choose type of assisted living facility type from type of care drop down menu
  • Scroll to find desired facility

In addition to inspecting the building to ensure that the facility is physically safe for residents, HHS also checks the facility complies with state laws and regulations which include the following:[01]

  • Staff qualifications and compliance with background checks
  • Management of the facility
  • Records of resident health assessments
  • Facility is providing proper care and services
  • Room capacity
  • Medication management and administration procedures

Let our care assessment guide you

Our free tool provides options, advice, and next steps based on your unique situation.

Ease of access to Texas assisted living records

We developed a system to rate each state on how easy – or difficult – it is to find important assisted living records and reports, and compiled tips to help you in your search.

States with the most transparent records allow you to look up important information about each assisted living facility online, including inspections, complaints, survey results, violations, capacity, and whether the facility accepts Medicaid.

Access to Texas assisted living records: High

Public access to assisted living records and reports for the state of Texas is high. Key findings that informed this rating include:

  • Texas has a robust database that is searchable by city, county, and zip code.
  • Texas’ state website lists the number of substantiated complaints dating back three years, and provides access to specifics of investigations and inspections occurring within the last year.
  • Texas has fallen recently in ranking due to the database not receiving an update in some time.

How we arrived at our Texas rating

We developed a standard methodology for state data collection and evaluation, and we based our rating primarily on the objective, state-specific accessibility criteria outlined in these questions:

1.   Are licensed assisted living communities listed online in any form? Yes

2.   If Yes to #1, is the information updated frequently? Yes

3.   If Yes to #1, is the list of licensed communities searchable? No

4.   Does the state post inspections, complaints, survey results, or violations online? Yes

5.   If Yes to #4, is the information updated frequently (within 90 days)? No

6.   If Yes to #2 and #4, is the enforcement information included in the same place as licensed communities? No

7.   If Yes to #4 and No to #6, are violations and inspections searchable at all? No

8.   Is information about special licensing for care shown? No or N/A

9.   Is capacity shown? Yes

10. Are payment types shown (e.g., Medicaid, private pay)? Yes

11. Is the administrator/contact name shown? Yes

12. Can the state fine a facility? Yes

13. What is the frequency of inspections? [Every 24 months]

14. Does the website include pricing of facilities? No

Top-rated Assisted Living facilities in Texas

17
17 Photos available

Serenity Oaks Assisted Living and Memory Care

6684 Randolph Blvd, Live Oak, TX 78233
10
Review Score
32 reviews
Starting at
$X,XXX/mo
Gina Shakir - I'm a loved one of a resident or client

I began a journey to find the right facility for my 109 year old GOD-Aunt; not due to convenience but out of necessity. We literally ran out of money for 24 hour around the clock care. Thankfully, my...

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5
5 Photos available

Gemstone at Bulverde

1396 Bulverde Rd, Bulverde, TX 78163
10
Review Score
46 reviews
Starting at
$X,XXX/mo
J R - I'm a current/former resident or client

Caring and on top of it. Someone is always checking on my mom and there for her needs. They respond promptly when alerted. Staff is always letter her know what activities are going and seeing if she wants...

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24
24 Photos available
6
6 Floor plans available

Landing at Watermere - Frisco

4300 Cotton Gin Rd, Frisco, TX 75034
10
Review Score
53 reviews
Starting at
$X,XXX/mo
Karen P - I'm a loved one of a resident or client

The comprehensive care and attention at Landing at Watermere Frisco have made a significant difference in our aunt's life. The personalized approach to her needs and well-being is truly commendable.

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Top-rated Assisted Living facilities in Dallas

See top facilities
9
9 Photos available
3
3 Floor plans available
1
1 Video available

Brookdale Lake Highlands

9715 Plano Road, Dallas, TX 75238
9.9
Review Score
68 reviews
Starting at
$X,XXX/mo
Lisa R - I'm a loved one of a resident or client

The facility is always clean when I visit on random days. Staff is friendly and staff retention is high. My spouse has thrived within his little community. They have also helped me when I reach out for...

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19
19 Photos available

River Oaks Assisted Living and Memory Care

1530 E Sandy Lake Rd, Coppell, TX 75019
9.8
Review Score
129 reviews
Starting at
$X,XXX/mo
Rebecca D - I'm a loved one of a resident or client

Thank you and your staff for taking precautions to keep all residents safe from any type of virus. This made me and my family feel especially grateful to you and the team at River Oaks.

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12
12 Photos available
3
3 Floor plans available

Brookdale Farmers Branch

13505 Webb Chapel Road, Farmers Branch, TX 75234
9.7
Review Score
40 reviews
Starting at
$X,XXX/mo
Naomi S - I'm a current/former resident or client

When I started my search for a place for my mom. I went to the oldest place. I didn't have to look any further. The people at Brookdale Farmers Branch were so friendly, understanding, and knowledgeable, I...

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Top-rated Assisted Living facilities in Houston

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12
12 Photos available
8
8 Floor plans available

Atria Westchase

11424 Richmond Avenue, Houston, TX 77082
9.8
Review Score
104 reviews
Starting at
$X,XXX/mo
Cindy - I'm a loved one of a resident or client

We are very happy with Atria Westchase. I would rate them a five in all categories. The Atria is always spotless. The nursing staff is responsive and very kind. The administration is professional and keeps...

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9
9 Photos available
6
6 Floor plans available

Novellus Kingwood Assisted Living and Memory Care

2401 Green Oak Drive, Kingwood, TX 77339
9.8
Review Score
94 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

The family night dinner was outstanding! I've never seen assisted living done so well before. The food was delicious and the musician was amazing. I enjoyed the harpist player. The picture back drop was...

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19
19 Photos available

Ella Springs Senior Living Community

16700 Ella Blvd, Houston, TX 77090
9.7
Review Score
112 reviews
Starting at
$X,XXX/mo
Roger K - I'm a current/former resident or client

They have been real good to me here and I get taken care of very good too. They do a lot of activities every week here too. The activity guy [name removed] keeps everyone busy. We eat very well and they do a...

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Top-rated Assisted Living facilities in Katy

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16
16 Photos available
7
7 Floor plans available

Carriage Inn at Katy

1400 Katy Flewellen Rd, Katy, TX 77494
9.6
Review Score
87 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

I believe that the staff at Carriage Inn make sure the patient's needs are being met. They seem to be genuinely concerned about the residents' happiness and keep an agenda of activities to stimulate and...

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10
10 Photos available
27
27 Floor plans available

Atria Cinco Ranch

24001 Cinco Village Center Blvd, Katy, TX 77494
9.6
Review Score
82 reviews
Starting at
$X,XXX/mo
Lisa - I'm a loved one of a resident or client

It was a very pleasant experience. I picked this community because I was able to get a one bedroom apartment with a small backyard.

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9
9 Photos available

WoodCreek Bend Memory Care

1820 Woodcreek Bend Ln, Katy, TX 77494
9.1
Review Score
45 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

A smaller facility so attention from caregivers is pretty good. Food could be better. Disinfection could be more frequent. Staff is helpful. Cost is reasonable. My loved one seems ok with everything. Overall...

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Top-rated Assisted Living facilities in San Antonio

See top facilities
17
17 Photos available

Serenity Oaks Assisted Living and Memory Care

6684 Randolph Blvd, Live Oak, TX 78233
10
Review Score
32 reviews
Starting at
$X,XXX/mo
Gina Shakir - I'm a loved one of a resident or client

I began a journey to find the right facility for my 109 year old GOD-Aunt; not due to convenience but out of necessity. We literally ran out of money for 24 hour around the clock care. Thankfully, my...

Get Pricing
20
20 Photos available
4
4 Floor plans available

The Waterford at Westover Hills

4315 Rogers Rd, San Antonio, TX 78251
9.9
Review Score
40 reviews
Starting at
$X,XXX/mo
Ann C - I'm a current/former resident or client

I have lived at this community since 2019. I like when we get to take trips to Walmart on the bus. I try to stay update on the latest activity. The food I would say does need improvement. Overall the staff...

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19
19 Photos available

Arden Courts A ProMedica Memory Care Community in San Antonio

15290 Huebner Rd., San Antonio, TX 78231
9.8
Review Score
70 reviews
Starting at
$X,XXX/mo
James - I'm a loved one of a resident or client

What we like the most about Arden Courts is the staff. The staff always keeps me updated on what she needs and are always telling me things she says We would recommend this community to other families who...

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References

  1. Assisted Living Facility Licensing Act. (2021). Health Facilities § 247.001

  2. A Place for Mom. (2023). A Place for Mom proprietary data.

  3. Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.

  4. Texas Health and Human Services. (2023, June 1). Appendix IX, Medicare savings program information.

  5. Texas Health and Human Services. (2023). Medicare.

Top cities in Texas for assisted living

8.8
Austin, TX
47 facilities
8.6
San Antonio, TX
93 facilities
8.3
Fort Worth, TX
40 facilities
8.2
Katy, TX
23 facilities
8.1
Dallas, TX
77 facilities
7.4
Houston, TX
103 facilities

Find assisted living in other states

Find Assisted Living in Texas cities

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.

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