2nd
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
This memory care facility delivers consistent, compassionate care. Staff take time to connect with residents and families alike. It’s reassuring to know my Aunt is in good hands. The consistency here truly...
My Mother passed at Highlands Village after living there For 3 years. I referred a good friend for her father that now lives there. I went with her to tour, her father did move-in, the community is just as...
I'd say it's a wonderful place. The staff is attentive to the residents. I would recommend the Broadmoor to others. I enjoy going there to be with my mom and watch her in the many activities they have.
Watching someone you love navigate memory loss is heartbreaking, but this community has made the journey gentler. I was worried about the transition from home to this memory care home but it was easy. My...
What I found true with Avalon is that most of the staff there genuinely cares about the family and residents. The meals are balanced and healthy and it's very clean. They handled my mom's end of life care...
My MIL lived at Brookdale Lake Highlands for right at 2 years and her care was exceptional. We originally placed her in the assisted living side, but it became apparently quickly that she needed memory...
Friendly staff overall - he likes the food- they actively work to engage him in activities which he enjoys and it's great he can have his cat and they help him care for him when needed (during short...
At Cinco Ranch, all caregivers treat each resident with dignity and respect, no matter where they are with their dementia. The care team displays such tenderness and compassion. They are truly wonderful.
Apartment is perfect size- small with a kitchenette and mini fridge. Great walk in shower with chair. The building is always clean and tidy- I've never seen bugs. The staff is a 10/10. They are wonderful,...
It's really pretty. Lots of activities and I like the way they get the residents involved. Food is very good. She is still living independently and is loving it. Yes I would recommend them.
My Mother moved in to assisted living after a fall. The staff at Carriage Inn made my mother feel at home and did everything they could to simplify our move it. The management understood my mothers needs and...
Friendly staff, amenities that are on site, the various outings and events that the community has for its residents. I'd recommend them to others. I think they were considering a facility for your loved one...
They were all wonderful everyone treated the residents with dignity, respect, and an incredible amount of patience!!! I highly recommend Tanglewood Oaks to anyone who needs to have loved ones taken care.
My mother, who has dementia, lives in this facility. Overall I have a good feeling about where she is at. I feel like she is safe, well-fed. These are my frustrations: - While I realize that there are many...
I would give 5s to all of them. I was so glad to see Mom actually eating and enjoying the company. What we like the most about the community is the way the caregivers really care for the people. They are...
The average monthly cost of assisted living in Texas is $4,846, which is $58,152 per year, according to A Place for Mom’s proprietary data. This is slightly higher than the national average of $4,752 per month.[01] This rate includes room and board and is based on information we receive from our partner communities. Some factors that affect the total cost of assisted living include location, floor plans and the size of resident dwellings, specialty gourmet meals, and luxury features and amenities.
Assisted living communities in Texas generally cost more than those in neighboring states. Seniors and their families can find savings in Oklahoma, Arkansas, Louisiana, and New Mexico. Within the state, communities in Houston and Dallas charge more than those in smaller cities and towns. The home of the Alamo, San Antonio, offers some savings with a big city feel. The central Texas town of Lubbock or the west Texas town of El Paso also offer savings over the state average.
Seniors who can live on their own can find some savings in independent living in Texas. Independent living is for seniors who don’t need help with activities of daily living (ADLs) and are seeking a low maintenance, highly social living situation.
Read more:Assisted Living vs. Independent Living: What’s the Difference?
Average monthly costs
Texas
US National average
Average monthly costs
Average monthly costs
Average monthly costs
| Community type | Texas | U.S. | Cost difference |
|---|---|---|---|
| Assisted Living | $4,851/mo | $4,756/mo | 2.0% above national median |
| Memory Care | $5,029/mo | $5,020/mo | 0.2% above national median |
| Independent Living | $4,332/mo | $4,216/mo | 2.8% above national median |
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
In Texas, most families use a combination of private funds and public programs to cover the costs associated with assisted living. Because costs and eligibility can vary widely, it’s best to plan early to understand which options apply to your loved one’s situation. For an in-depth look at different payment options, visit our complete guide to paying for long-term care.
Private pay options may include money from a savings account, pension payments, or retirement accounts. Other sources include the proceeds from selling a home and health savings accounts (HSAs). Additionally, Social Security benefits are considered personal funds. 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 offset the costs of assisted living so it’s vital to understand the details and how to apply. The Texas Veterans Commission offers multiple sources of help:
Medicaid is a health insurance program for people who have low-incomes and certain conditions or disabilities. In Texas, the Medicaid program for elderly people is called STAR+PLUS . Seniors in Texas may also qualify for the STAR+PLUS Medicaid home and community based services 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:[02]
If you need assistance understanding Medicaid options in Texas, call 855-937-2372 or visit a local Aging and Disability Resource Center (ADRC), which serves as a one-stop access to information for people who need assistance finding long-term services and supports.
Medicare is federal health insurance for seniors 65 or older and younger people who have certain conditions. Medicare doesn’t cover room and board expenses for assisted living communities, but it can be used to cover medically necessary services such as wound care, medication management, physical, occupational, and speech therapy, and more.[03]
The Texas Health and Human Services Department offers seniors and caregivers free assistance through its Health Information Counseling and Advocacy Program (HICAP). Volunteers can help with Medicare eligibility and enrollment, Medigap information, long-term care insurance, and prevention of health care fraud. Call 800-252-9240 or find a local office.
The Texas Department of Health and Human Services (HHS) oversees two types of licenses for assisted living facilities (ALFs):[04]
Both types of communities are inspected at least once every two years.[04]
Use the Texas Unified Licensure Information Portal (TULIP) to understand a community’s licensure status and view their recent inspection reports.
State regulations — and a community’s track record with inspections and licensing — offer important insights into safety and quality of care in senior living communities.
Download the Guide to Senior Living Licensure and Inspection Reports to learn what to look for in inspection reports and what questions to ask when touring communities. This resource explains how to use state licensure and inspection information to evaluate a community’s compliance, care standards, and responsiveness to issues.
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
A Place for Mom. (2026). A Place for Mom proprietary data.
A Place for Mom. (2026). A Place for Mom proprietary data.
U.S. Centers for Medicare and Medicaid Services. Get started with Medicare. Medicare.gov.
Texas Constitution and Statutes. (2021). Assisted Living Facility Licensing Act.
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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