9th
OVERALL STATE RANK
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.
Top ranked Texas cities for assisted living overall
Key findings
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
Texas vs. the national monthly median cost of assisted living
Top ranked Texas cities - Affordability
Key findings
Top ranked Texas cities - Ratings
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...
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...
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.
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...
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...
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.
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...
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.
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...
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...
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...
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...
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...
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...
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...
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:
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:
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.
Average monthly costs
Texas
US National average
Average monthly costs
Average monthly costs
Average monthly costs
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
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]
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:
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]
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:
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]
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
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.
Public access to assisted living records and reports for the state of Texas is high. Key findings that informed this rating include:
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
Assisted Living Facility Licensing Act. (2021). Health Facilities § 247.001
A Place for Mom. (2023). A Place for Mom proprietary data.
Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.
Texas Health and Human Services. (2023, June 1). Appendix IX, Medicare savings program information.
Texas Health and Human Services. (2023). Medicare.
Overview of assisted living in TX
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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