Assisted Living in Texas

Get the insights you need to find the right city.

Families looking for assisted living in Texas (TX) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 1,097 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 12.3 percent of the population. A resident in an assisted living community in Texas will pay $3,500 per month on average.

Average Monthly Costs

States near Texas

$4,146.00 Texas
$4,000.00 US
$3,879.00 Louisiana
$3,633.00 Oklahoma
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Texas as $4,146. This places Texas on the higher end of the scale at about $100 over the national average, and about $200 higher than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in Texas

$5,671.00 Austin, Round Rock
$5,032.00 Odessa
$4,862.00 San Angelo
$4,775.00 Victoria
$4,753.00 Dallas, Fort Worth, Arlington
$4,570.00 Midland
$4,428.00 Killeen, Temple
$4,425.00 Mc Allen, Edinburg, Mission
$4,365.00 College Station, Bryan
$4,343.00 San Antonio, New Braunfels
$4,261.00 Beaumont, Port Arthur
$4,226.00 Abilene
$4,221.00 Houston, The Woodlands, Sugar Land
$4,152.00 Tyler
$4,043.00 Amarillo
$4,037.00 Waco
$4,036.00 Sherman, Denison
$3,793.00 Brownsville, Harlingen
$3,619.00 Wichita Falls
$3,496.00 Rest Of State
$3,496.00 Lubbock
$3,387.00 Longview
$3,250.00 Corpus Christi
$2,475.00 Texarkana
$2,458.00 El Paso
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Texas. For example, assisted living rates in areas such as San Angelo are at least $700 more than the state average of $4,146, but in areas like Longview, you're saving on average $800. The most affordable region in Texas for assisted living is El Paso at $2,458.

What You Should Know About Assisted Living in Texas

Assisted living communities in Texas are called assisted living facilities (ALF) and are categorized by two licensing options:

  • Type A facilities refer to communities that house residents who do not require routine care while sleeping and are capable of following emergency directions.
  • Type B facilities attend to residents who do require routine care at night, have difficulty following emergency directions and require evacuation assistance.

In Texas, assisted living care is referred to as assisted living and residential care (ALRC), which includes residency in a 24-hour care facility, supervision of medication administration with assistance if needed and help with daily tasks such as transportation and personal care.

Financial Assistance for Assisted Living in Texas


The STAR+PLUS waiver is a statewide Texas program that offers a variety of assistance services to keep seniors in their homes or assisted living communities. Financial assistance is provided to lower the cost to Medicaid by reducing the use of nursing homes. STAR+PLUS services are provided through managed care organizations (MCO), and waivers are limited, so there is the possibility of being wait-listed.

Who Is Eligible?

Eligible seniors must be Texas residents, must be 65 years or older, and must require a nursing facility level of care. Applicants must also fall below the monthly income limit of $2,250 and asset limit of $2,000 for individuals.

How to Apply

Applications for the STAR+PLUS waiver must be submitted online.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Texas

Texas seniors can also take advantage of the many non-profit and government-funded organizations available to assist them:

Texas Area Agencies on Aging

There are 28 Area Agencies on Aging (AAA) offices in the state of Texas who offer support and information to seniors over the age of 60. Low-income seniors are the main focus for the AAA, which provides a variety of services, including:

  • Legal assistance and information
  • Care coordination
  • In-home support services
  • Service referrals
  • Nutrition services
  • Caregiver support services

Alamo & Bexar Area Agencies on Aging

8700 Tesoro Dr. Suite 160, San Antonio, TX 78217
(210) 477-3275; (866) 231-4922

AAA Ark-Tex Region

4808 Elizabeth St, Texarkana, TX 75503
(903) 832-8636

Brazos Valley Area Agency on Aging

3991 E. 29th, Bryan, TX 77802
(979) 595-2800

Capital AAA

6800 Burleson Road, Building 310, Suite 165, Austin, TX 78744
(512) 916-6000

Central Texas AAA

2180 N. Main St., Belton, TX 76513
(855) 937-2372; (800) 447-7169

Coastal Bend AAA

2910 Leopard Street, Corpus Christi, TX 78408-3614
(361) 883-3935; (800) 252-9240

Area Agency on Aging of the Concho Valley

2801 W. Loop 306, Suite A, San Angelo, TX 76904
(325) 223-5704; (877) 944-9666

Dallas County AAA

1341 W. Mockingbird Lane, Suite 1000W, Dallas, TX 75247
(214) 871-5065

Deep East Texas AAA

(800) 256-6848 ext. 5305
(409) 384-5704 ext. 5305

East Texas AAA

(800) 442-8845
(903) 984-8641

Golden Crescent AAA

1908 N. Laurent, Suite 600, Victoria, TX 77901
(361) 578-1587

Harris County AAA

8000 N Stadium Drive 3rd floor, Houston, TX 77054
(832) 393-4301

Heart of Texas Council of Governments

1514 S. New Road, Waco, TX 76711
(254) 292-1800

Houston-Galveston AAA

3555 Timmons, Suite 120, Houston, TX 77027
(800) 437-7396; (713) 627-3200

Lower Rio Grande Valley AAA

301 W Railroad - Building D, Weslaco, TX 78596
(956) 682-3481; (800) 365-6131

Middle Rio Grande AAA

307 W. Nopal, Carrizo Springs, TX 78834
(830) 876-3533

North Central Texas AAA

616 Six Flags Drive, Arlington, TX 76011
(800) 272-3921

Panhandle AAA

415 Southwest Eighth Avenue, Amarillo, TX 79105
(806) 372-3381

Permian Basin AAA

2910 LaForce Blvd., Midland International Air & Space Port, Midland, TX 79711-0660
(432) 563-1061; (800) 491-4636

Rio Grande AAA

8037 Lockheed, Suite 100, El Paso, TX 79925
(915) 533-0998

Southeast Texas AAA

2210 Eastex Freeway, Beaumont, TX 77703
(409) 924-3391; (855) 937-2372

South Plains AAA

1323 58th Street, Lubbock, TX 79412
(806) 762-8721; (800) 858-1809

South Texas AAA

1002 Dicky Lane, Laredo, TX 78043
(800) 292-5426; (956) 722-3995

Tarrant County AAA

1500 N. Main, Ste. 200, Fort Worth, TX 76164-0448
(817) 258-8000

Texoma AAA

(903) 813-3505

West Central Texas AAA

3702 Loop 322, Abilene, TX 79602
(800) 928-2262; (325) 793-8417

Assisted Living Laws and Regulations in Texas

The state of Texas has established several laws and regulations to ensure the assisted living communities within the state are providing adequate care to senior residents. Some of these regulations include the following:

Assisted Living Service Plan Requirements

Every assisted living community is required to perform an extensive assessment of each resident within 14 days of admission and fill-out an individualized service plan (ISP). The assessment must be performed by qualified staff, and the findings must be recorded on community documentation. Each resident’s ISP should outline individual requirements, likes and dislikes, and strengths and weaknesses to help the resident maintain a healthy degree of function.

Assisted Living Admission Requirements

Texas state regulations outline some common qualities of residents in assisted living communities, including the need for assistance with daily living tasks, assistance with medication administration, reminders for toileting and exhibiting mild emotional or behavioral difficulties.

If a resident’s need cannot be met by the services provided at an assisted living community or secured through an outside provider, the community is not permitted to admit or retain the resident. If a resident’s status changes and is no longer an appropriate fit for the community, the community is not obligated to retain them.

Assisted Living Scope of Care

Assisted living communities in Texas provide broad supervision of residents’ mental, emotional and physical health, deliver aid in daily living tasks, handle or oversee personal care and supervise or directly administer medications. Communities are also required to arrange a social activity or event for residents at least once per week.

Skilled nursing services may be provided when deemed appropriate, for situations including medication administration, resident assessments to establish further services and administering short-term skilled care for mild illness or injury.

Residents are permitted to arrange or hire private health care services from community agencies or licensed home aids.

Assisted Living Medicaid Policy

The state of Texas has the STAR+PLUS program, which is for a Medicaid 1115 demonstration managed care waiver. The waiver can cover services at an assisted living community that has a contract with residents’ managed care providers. If an assisted living community offers services that could be covered by Medicare, it’s the community’s responsibility to inform the residents. Communities are prohibited from charging residents more than the federal SSI benefit less a stipend for personal needs for room and board. Families may supplement for additional amenities which are not include in the room and board rate.

Assisted Living Facility Requirements

Some assisted living communities in Texas offer private units, but state licensing does not require it. Units may provide occupancy for up to four residents, however, no more than 50 percent of the beds in a community can be in rooms housing over two residents. There must be one sink and one toilet for every six residents on the property, and one shower or bathtub is required for every ten residents. For multi-level buildings, at least one sink, toilet and bathing provision is required on each sleeping floor for residents on that level.

Medication Management Regulations

Residents who self-administer their own medication should receive a counseling visit on a monthly visit to confirm that they are still capable of managing their own medications. Assisted living communities can provide supervision to residents who require assistance with their medication. Supervisory assistance includes reminders, help with opening and closing containers, dispensing the appropriate amount of medication according to a prescription and ensuring medications are returned to a safe spot.

If residents cannot or choose not to administer their own medication, the assisted living community must make sure medication is administered by a staff member who is licensed to do so, or possesses an up-to-date medication aid permit and is being supervised by a licensed nurse.

Staffing Requirements

There are no staff minimum ratios required by Texas state law. Each facility must have a manager, a designee authorized to act in the manager’s place when he or she is conducting off-site business and enough staff on every shift to meet the needs of residents as outlined in their individual service plans. In addition, adequate staffing is required to maintain the cleanliness, safety and supervision of the property and residents. In the event of an emergency, sufficient staff must be present to aid in the safe and timely evacuation of residents.

Small Type A communities must have night shift staff in the event of an emergency available, whereas night staff at large properties must be directly available and awake. Staff on the night shift at any Type B community must be awake and directly available at all times.

Staff Training Requirements

All staff must complete training and continuing education appropriate for the position they hold. Managers are required to finish a 24-hour course that includes topics such as resident evaluations, federal laws, accessibility conditions, financial management and ethics. Managers are required to complete 12 hours of continuing education each year. After 4 hours of orientation, staff may begin work at an assisted living community. Direct care staff is required to receive 16 hours of on-site training pertaining to resident care, safety procedures and techniques in managing behaviors. Additionally, 6 hours of continuing education is required annually for all direct care staff. Yearly in-service training must be provided by an assisted living community for any licensed nursing staff or aids on staff.

Background Checks for Assisted Living

Anyone seeking employment at a Texas assisted living community must submit themselves for a full background check. Any applicant with a disqualifying conviction on their criminal record will not be eligible for hire. Nurse aides must be listed in the nurse aide registry without marks of misconduct involving abuse, neglect, mistreatment, theft or fraud.

Requirements for Reporting Abuse

Anyone can file a report if they suspect neglect or abuse at an assisted living community. You can call the Texas Abuse Hotline at 800-252-5400, or use their secure website to file a complaint online at

Assisted Living Facilities in Texas



Top-Rated Caring Stars Winners in Texas’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Brookdale Club Hill

Garland, TX $

36 reviews


Franklin Park - Appletree Court

Richardson, TX $$$

54 reviews


Newforest Estates

San Antonio, TX $$

24 reviews


Morada Lake Arlington

Arlington, TX Cost Levels

17 reviews


DaySpring Assisted Living

Plano, TX $$

29 reviews


Brookdale Gaines Ranch

Austin, TX $$$

17 reviews


The Inn at Los Patios

San Antonio, TX $$$$

20 reviews


Sunrise of Cinco Ranch

Katy, TX $$$

25 reviews


Carol Ann's Home

San Antonio, TX $$

33 reviews


Villa De San Antonio

San Antonio, TX $

3 reviews