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Assisted Living in Texas

Reviewed by BoomersHub Senior Living AdvisorsUpdated

Compare communities across 415 cities and 43 counties. Vetted communities across Texas, and BoomersHub advisors help you shortlist, confirm pricing, and book tours for free.

Why families choose Texas

Texas has a warm, sunny climate and draws retirees for a rich culture, deep community supply across five major metros, and easy access to top-tier medical centers. Communities cluster across Houston, Dallas, Austin, and San Antonio, from small residential care homes to full-campus senior-living properties. This guide walks through what assisted living in Texas costs, how families pay for it, the state's licensing rules, and how to shortlist communities without doing the legwork alone.

Find the best assisted living facilities in Texas

Start with a major metro, or jump straight to your town in the A–Z directory. Every link opens that city's assisted living options.

415 cities · 43 counties

Browse assisted living by county

Texas compares to the states around it

The average cost of assisted living in Texas is $5,163 per month. Your actual rate depends on the city, apartment size, and level of care, which is what our advisors confirm for you before you tour.

Average monthly cost of assisted living

  • Louisiana$5,163
  • Arkansas$4,637
  • New Mexico$5,950
  • Oklahoma$6,150

State averages. Individual community rates vary by city, floor plan, and care level.

How assisted living compares to other senior care

Average monthly cost in Texas by care type. Tap any card to explore that care type across the state.

Texas state averages. Bars are scaled to the highest cost shown.

How to pay for assisted living in Texas

Most Texas families combine two or three of these. An advisor walks through which apply to your situation.

  • Option 1

    Private pay

    Many families pay for care with private funds: personal savings, pension payments, retirement accounts, or a combination of these and family contributions.

  • Option 2

    Selling your home

    Selling a parent's home can help finance assisted living, especially once the home is no longer occupied. Proceeds often fund several years of care.

  • Option 3

    Reverse mortgage

    Homeowners aged 62+ can convert part of their home equity into cash while retaining ownership, with no loan payments due while living in the home. A spouse may remain in the home while proceeds help pay for a partner's care.

  • Option 4

    Long-term care insurance

    LTC policies typically begin paying out when the policyholder needs help with two or more activities of daily living, such as bathing, dressing, or eating. Check the policy's elimination period and daily benefit before counting on it.

  • Option 5

    Veteran's programs

    Veterans with at least 90 days of active duty (including one day during wartime) may qualify for VA benefits such as Aid & Attendance, which can add a monthly amount on top of a VA pension.

  • State program

    Medicaid in Texas

    Texas Medicaid's Veterans Administration (VA) Centers in Texas program helps eligible lower-income seniors with assisted living costs in participating communities. Waivers typically do not cover room and board.

Free assisted living resources in Texas

What you should know about Texas

The Texas median for assisted living sits near the national average, driven by competitive metro markets, strong workforce supply, and a cost of living near the US average. Where a state lands depends on labour costs, cost of living, and the mix of urban vs rural communities. Your actual rate depends on the city, apartment size, and level of care — an advisor confirms current pricing for any community you're considering, free.

A Texas expert in your corner, at no cost

Searching Texas alone is overwhelming. Our advisors know the assisted living communities, the real pricing, and the availability across Texas, and they do the legwork for you.

  • A shortlist matched to your care needs, budget, and preferred Texas cities
  • Confirmed pricing and availability before you ever tour
  • Tours scheduled and move-in arrangements handled with your family
(877) 409-0666
  • 458Texas cities and counties covered on BoomersHub
  • 1,000+Families guided to the right community since 2019
  • $0Cost to you. Our service is completely free for families

Important resources about assisted living

Guides written for families starting the search, from first conversations to moving day.

FAQs related to assisted living

How can I get my parents into Assisted Living in Texas?

Start with an honest family conversation and a needs assessment from their physician. Tour two or three Texas communities together, ask about care levels and pricing, then complete the community's health assessment and residency agreement. A BoomersHub advisor can shortlist communities, confirm pricing, and schedule tours for free.

What is pet-friendly Assisted Living?

Pet-friendly Assisted Living communities welcome residents' cats, small dogs, or other companion animals, usually with size limits, a pet deposit, and the expectation that the resident or family can care for the pet. Ask each Texas community for its written pet policy before move-in.

What is the total number of Assisted Living facilities in the US?

Over 30,000 licensed Assisted Living communities across the United States, housing more than 800,000 residents (AHCA / NCAL industry data). Ranges from large resort-style campuses to small residential care homes.

Which states have the highest number of Assisted Living facilities?

Large states lead the count: California, Florida, and Texas consistently rank among the top states for the number of licensed Assisted Living communities.

What are the cheapest states to live in as a senior?

Southern and Midwestern states consistently rank among the most affordable for Assisted Living — Mississippi, Alabama, Arkansas, North Dakota, and South Dakota all sit well below the national median. New England, the West Coast, and Alaska are the expensive end.

What is the average age of a Assisted Living resident?

The average Assisted Living resident is in their mid-80s. A typical resident needs help with 2 or 3 daily activities — bathing, dressing, medication management. Many move in after living alone became difficult rather than after a single medical event.

Can you keep pets in Assisted Living facilities?

Many Texas communities allow pets — most commonly cats and small dogs, subject to the community's pet policy. Expect size or breed limits, a pet deposit, and a check that the resident or family can handle daily pet care.

Do the total costs of Assisted Living include medical care?

Usually not. The base monthly rate typically covers housing, meals, housekeeping, activities, and help with daily activities. Medical services (doctor visits, therapy, medications) are billed separately, often through Medicare or private insurance. Ask each community exactly where its rate ends and medical billing begins.

Do Assisted Living communities allow visitors?

Yes. Family and friends are welcome at Texas Assisted Living communities, subject to reasonable visiting hours and sign-in policies. Many communities also host family dinners, holiday events, and overnight guest options.

Does Texas Medicaid pay for Assisted Living?

Partially. Texas Medicaid programs (HCBS waivers) can cover personal-care services in participating Assisted Living facilities for eligible lower-income seniors. Waivers do not pay for room and board, and not every community participates, so confirm before touring.

What families say about Texas

Assisted Living

Poor Management. No benefits low wage pay. Not true Assisted living as there are skilled cares and feeders.

Unknown · Just Like Home · Whitesboro

Assisted Living

Great staff, great care! Anyone who is looking for long-term or rehab care would be well served by The Vintage. We are grateful!

Unknown · Vintage Health Care Center · Denton

Assisted Living

Since the beginning of last year, our Mother has lived at Carriage House Assisted Living. It is hard to imagine a more caring and compassionate staff than the ones who work here. Everyone is professional from the top, making residents feel at home and keeping them safe during the pandemic. We feel at ease knowing there is such a facility.

Unknown · Carriage House Assisted Living of Denton · Denton

Assisted Living

Awesome place. Grandma loves it here.

Unknown · Willow Bend Assisted Living And Memory Care · Denton

Assisted Living

This place is amazing! Staff are so kind and helpful. Many of the staff have been with us for many years. The administrator has been with us for 26 years. This is almost unheard of in the business. Needless to mention, I was impressed and would highly recommend that you send your loved ones there for short-term rehab or long-term care.

Unknown · Vintage Health Care Center · Denton

Assisted Living

Virginia and her staff are wonderful. My mom, who is a bedridden patient with dementia, has been at ADL 1 for five years. She has received the best possible care. Her mom has had clean and comfortable care. She was not given any bedsores (the previous nursing/rehab she received caused her to get bedsores twice in four months). She is also fed healthy meals, has consistent staff, and is kept in a home-like atmosphere. It is a HOME ...... that feels like a family. Mom's condition has worsened, but her health has not been compromised .... With a visiting physician and constant communication from Virginia and her staff, Mom's care has been excellent.

Unknown · ADL Assisted Living · Baytown

Explore assisted living in nearby states

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