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
Our moms stay at arbor house has been wonderful. The staff and employees are very aware of the needs of each individual and are quick to respond to their needs. My family highly recommend this assisted ...
Broadmoor Court is just the place I was looking for! The staff is kind, courteous, approachable, and dedicated to caring for Mom and Dad. The safety and well-being of the residents are a top priority. There...
I feel this is the best place for my mom. She loves it here and calls it home. Real family feel due to staff. Cleanliness "4" due to what I believe is not enough staff for cleaning. Additional staff needed.
I have enjoyed living at Brookdale since I moved in. The employees are nice and respectful. I enjoy activities like bingo and book club. Looking forward to some field trips soon.
We have dealt with [name removed] from the beginning and she is so amazing. She’s very interested in helping and she did ans actuallY still does. She is always texting pictures of our cousin and letting us...
I am thankful for the many people of the staff who work hard at making this facility a happy & safe home for residents. Thank you all!
Have already recommended to a friend and he moved his family member to the Bradford. Staff is great and they really work at engaging residents.
My loved one is currently a resident at Atria Westchase and overall the experience at this facility has been very good for her. The cleanliness and friendliness are great. The staff is also great. The care...
The place do a good job making sure the residents are cared for. Their activities and especially the food presentation is top notch hands down! If you looking for great care, events, activities, family...
Overall I would recommend this place. They have very nice rooms, a clean facility, and the head staff are all very solid and seem to care. The food is really good. Some of the nurses are through agencies...
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...
I have made many special friends here. Everyone is so nice and helpful. There is a feeling of love here unlike other places I have been. The facilities are very warm and it feels like home. I love it here....
Sunrise has been very supportive with my mom. She doesn't like it there and complains all the time. But they are very aware of how dementia treats everyone differently. I am very happy. She is safe and can...
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 registration process was great! The staff went out of their way to stay in touch with us and guide us through the process. The nurse is very proactive with us and helped us to get all his meds set up...
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
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]
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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