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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

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

Key findings

78%
of communities are pet friendly
73%
of communities host off-site activities
73%
of communities have restaurant-style dining
85%
offer memory care services
90%
have medication management services
80%
offer respite care

State highlights

In Texas, assisted living communities offer a variety of amenities and services to create comfortable living environments. At 83% of our affiliated communities, residents relish the joy of marking birthdays and holidays alongside their friends and neighbors. And activities at 88% of Texas assisted living communities offer intergenerational programming, giving residents the chance to interact with people of varying ages.[02]

Top ranked Texas cities - Services & Amenities

Key findings

63%
of communities cost less than the national monthly median

Texas vs. the national monthly median cost of assisted living

Key findings

92%
of communities are rated 4 out of 5 for cleanliness
79%
of communities are rated 4 out of 5 for meals
80%
of communities are rated 4 out of 5 for care services
76%
of communities are rated 4 out of 5 for value for cost

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
9.8
Review Score
54 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

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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
75 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

Very nice facility. The staff is very friendly, they care a lot about the residents and they take care of them really well. They're very knowledgeable when it comes to the needs of residents and if families...

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12
12 Photos available
3
3 Floor plans available

Brookdale Farmers Branch

13505 Webb Chapel Road, Farmers Branch, TX 75234
9.9
Review Score
46 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a current/former resident or client

I'm so grateful that we found Brookdale Assisted Living. The people here are so caring and sweet. We felt welcome from the very start of my moms time here. Mom walks a lot more than before she moved in the...

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19
19 Photos available

River Oaks Assisted Living and Memory Care

1530 E Sandy Lake Rd, Coppell, TX 75019
9.3
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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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
9.9
Review Score
105 reviews
Starting at
$X,XXX/mo
Timothy K - I'm a loved one of a resident or client

I will review Atria in 3 areas: the staff, the facility and the food. The staff has been wonderful. They are attentive and professional. They knew my wife's name on the first day. She was in need of more...

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14
14 Photos available
2
2 Floor plans available

Cinco Ranch Alzheimer's Special Care Center

3206 S. Fry Rd, Katy, TX 77450
10
Review Score
41 reviews
Starting at
$X,XXX/mo
Doug M - I'm a loved one of a resident or client

Cinco ranch has been a blessing in helping my mother. To be active and interacting with others. We have found that the staff is kind and caring. Quick to notify us of any incidents.

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19
19 Photos available

Ella Springs Senior Living Community

16700 Ella Blvd, Houston, TX 77090
9.7
Review Score
113 reviews
Starting at
$X,XXX/mo
Judy M - I'm a loved one of a resident or client

Response time to my mom's needs was #1 along with cleanliness. Their goal is responding within 5min. They track that daily. Activities are plentiful and my mom at 94.5 yrs does it all. Staff and...

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Top-rated Assisted Living facilities in Katy

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10
10 Photos available
27
27 Floor plans available

Atria Cinco Ranch

24001 Cinco Village Center Blvd, Katy, TX 77494
9.5
Review Score
83 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

I had to move my Dad back to our house a few months ago due to lack of funds. I called the business office to give them notice and emailed the staff I was told to, but it was crickets and they almost didn't...

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16
16 Photos available
7
7 Floor plans available

Carriage Inn at Katy

1400 Katy Flewellen Rd, Katy, TX 77494
9.2
Review Score
89 reviews
Starting at
$X,XXX/mo
Gloria W - I live or lived in this community

I am still living here and love it. Have to rate them a 5 in all the categories. The Activity Director is outstanding and so is the dining room staff. Negativity is frowned upon, it is a very pleasant...

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24
24 Photos available
5
5 Floor plans available

Caydance Assisted Living and Memory Care

24802 Kingsland Blvd, Katy, TX 77494
9.1
Review Score
51 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

The thing we like most about Caydance Assisted Living and Memory Care is the staff. They are friendly and attentive, from the workers & nurses to management. Everyone knows my parents by name, and greet...

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Top-rated Assisted Living facilities in Fort Worth

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11
11 Photos available
3
3 Floor plans available
1
1 Video available

Avalon Memory Care - Fort Worth

4551 Boat Club Road, Fort Worth, TX 76135
10
Review Score
52 reviews
Starting at
$X,XXX/mo
Wendy B - I'm a loved one of a resident or client

Our experience with Avalon Memory Care has been wonderful. Every care giver has been so kind and gentle with my husband. They have cared for him and for me as well. They keep up with the laundry which is no...

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8
8 Photos available
4
4 Floor plans available

Sunrise of Fort Worth

6151 Bryant Irvin, Fort Worth, TX 76132
10
Review Score
89 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

So far Sunrise has been a good fit for my friend. Not perfect but so far it's working for us. My friend has made several reliable and dependable friends with staff. They periodically come to check on her and...

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4
4 Photos available

Christian Care Communities and Services Fort Worth

5100 Randol Mill Road, Fort Worth, TX 76112
9.9
Review Score
16 reviews
Anonymous - I'm a loved one of a resident or client

My loved one is currently a resident at Christian Care Communities and Services Fort Worth and the experience has been great for him. He is loving it there, it is just what he needed. Based on our...

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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

$4,671/mo

US National average

$4,515/mo

Compare costs of assisted living vs. nearby states

Average monthly costs

Texas

$4,671/mo

Oklahoma

$4,303/mo

Louisiana

$3,913/mo

Arkansas

$4,054/mo

Mississippi

$3,465/mo

Compare costs of assisted living in Texas vs. nearby cities

Average monthly costs

Texas

$4,671/mo

Dallas, TX

$5,063/mo

Austin, TX

$5,086/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.

Veterans and their spouses in Texas are often eligible to take advantage of several benefits offered through the U.S. Department of Veterans Affairs (VA). These benefits can help pay for or offset the costs of assisted living so it’s vital to understand the details and how to apply. The Texas Veterans Commission and veterans service organizations (VSOs) are good resources for veterans. These resources provide counseling that includes helping veterans learn about the benefits they qualify for and assistance navigating the application process.

VSOs are located throughout the state in small towns and big cities and include organizations such as Veterans of Foreign Wars (VFW), American Legion, and Disabled American Veterans. To find a VSO in your area that can provide benefits assistance these state based offices are a good place to start:

STAR+PLUS is the name of the Texas Medicaid program for low-income individuals, those living with disabilities, and seniors 65 and over. Seniors in Texas may also qualify for the STAR+PLUS Medicaid waiver program. Both programs may offer seniors the opportunity to live in their own community — which may include assisted living — by covering certain long-term care services and supplies such as:[03]

  • Personal care
  • Physical, occupational, and speech therapies
  • Medical supplies
  • Adaptive aids
  • Skilled nursing services

Even if a loved one qualifies for these Medicaid programs in Texas, it’s likely that families will still have some out of pocket costs. While Medicaid covers several services, it usually will not cover room and board costs for assisted living.

Medicare is federal health insurance for all seniors 65 or older. Medicare doesn’t cover room and board expenses for assisted living communities, but it can be used to cover medically necessary services, including the following:

  • Wound care
  • Medical supplies
  • Medication management
  • Physical, occupational, and speech therapy
  • Diabetes care

Medicare in Texas offers four Medicare Savings Programs each with different coverage features and eligibility requirements. These programs are designed to help participants pay certain Medicare out of pocket costs such as premiums, coinsurance, copayments and deductibles.[04]

The Texas Health and Human Services Department offers seniors and caregivers free assistance through its Health Information Counseling and Advocacy program (HICA). Volunteers can help with Medicare eligibility and enrollment, Medigap information, long-term care insurance, and prevention of health care fraud.[05]

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

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.

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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.