Assisted Living in Texas
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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.
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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.
Community First Choice is a Medicaid entitlement program that is available to everyone who is eligible with no waiting list. This is a self-directed program that provides care to elderly Texans by a personal care assistant of their choice. Although this program does not pay for room and board, it can help offset other costs to make assisted living a more affordable option.
Who is Eligible?
Applicants must require help with daily tasks that meet the level of care provided at a nursing home. As CFC is a Medicaid program, applicants must also qualify for Medicaid.
How to Apply
Applications 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
8700 Tesoro Dr. Suite 160, San Antonio, TX 78217
(210) 477-3275; (866) 231-4922
4808 Elizabeth St, Texarkana, TX 75503
3991 E. 29th, Bryan, TX 77802
6800 Burleson Road, Building 310, Suite 165, Austin, TX 78744
2180 N. Main St., Belton, TX 76513
(855) 937-2372; (800) 447-7169
2910 Leopard Street, Corpus Christi, TX 78408-3614
(361) 883-3935; (800) 252-9240
2801 W. Loop 306, Suite A, San Angelo, TX 76904
(325) 223-5704; (877) 944-9666
1341 W. Mockingbird Lane, Suite 1000W, Dallas, TX 75247
Deep East Texas AAA
(800) 256-6848 ext. 5305
(409) 384-5704 ext. 5305
East Texas AAA
1908 N. Laurent, Suite 600, Victoria, TX 77901
8000 N Stadium Drive 3rd floor, Houston, TX 77054
1514 S. New Road, Waco, TX 76711
3555 Timmons, Suite 120, Houston, TX 77027
(800) 437-7396; (713) 627-3200
301 W Railroad - Building D, Weslaco, TX 78596
(956) 682-3481; (800) 365-6131
307 W. Nopal, Carrizo Springs, TX 78834
616 Six Flags Drive, Arlington, TX 76011
415 Southwest Eighth Avenue, Amarillo, TX 79105
2910 LaForce Blvd., Midland International Air & Space Port, Midland, TX 79711-0660
(432) 563-1061; (800) 491-4636
8037 Lockheed, Suite 100, El Paso, TX 79925
2210 Eastex Freeway, Beaumont, TX 77703
(409) 924-3391; (855) 937-2372
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
1500 N. Main, Ste. 200, Fort Worth, TX 76164-0448
3702 Loop 322, Abilene, TX 79602
(800) 928-2262; (325) 793-8417
Elderly veterans have access to local VA centers that can provide them with resources to aid in the search and financing of senior care. Case managers assess eligibility and help seniors and their families navigate the government programs available for those who have served in the armed forces.
A full list of Texas VA offices along with their contact information can be found on the Texas Veteran's Commission’s website.
3564 N. 6th St., Abilene, TX 79603
3414 Olsen Blvd. Suite E, Amarillo, TX 79109
2015 S. I.H. 35, Southcliff Bldg, Suite 101, Austin, TX 78741
990 IH10 North, Suite 180, Beaumont, TX 77702
4646 Corona Suite 250, Corpus Christi, TX 78411
8610 Greenville Ave., Suite 125, Dallas, TX 75243
4500 S. Lancaster Rd. Building 69, Dallas, TX 75216
1155 Westmoreland Suite 121, El Paso, TX 79925
302 Millers Crossing, Suite #4, Harker Heights, TX 76548
(254) 953-7100; (877) 927-8387
10103 Fondren Road, Suite 470, Houston, TX 77096
14300 Cornerstone Village Dr., Suite 110, Houston, TX 77014
701 N. Post Oak Road Suite 102, Houston, TX 77024
6999 McPherson Road Suite 102, Laredo, TX 78041
3106 50th St, Suite 400, Lubbock, TX 79413
2108 S M Street, MedPoint Plaza, Unit 2, McAllen, TX 78503
502 West Kearney, Suite 300, Mesquite, TX 75149
4400 N. Midland Drive, Suite 540, Midland, TX 79707
3337 West Pioneer Parkway, Pantego, TX 76013
9504 IH 35 N, Suite 214, San Antonio, TX 78233
(210) 6650-0422; (877) 927-8387
9910 W Loop 1604 N, Suite 126, San Antonio, TX 78254
(210) 688-0606; (877) 927-8387
6620 Hawk Creek Avenue, Westworth Village, TX 76114
(817) 921-9095; (877) 927-8387
The Social Security Administration is another government program designed to assist the elderly in accessing federal resources. Seniors can visit their local Social Security office to get an explanation of their benefits and information about Social Security programs they may be eligible for.
1202 E South 11th St, Abilene, TX 79602
1000 Medical Ctr Blvd, Alice, TX 78332
4750 Canyon Dr, Amarillo, TX 79109
2921 N Valderas St, Angleton, TX 77515
1029 Camino La Costa, Austin, TX 78752
2300 Dunson Dr, Balch Springs, TX 75180
8455 Dishman Rd, Beaumont, TX 77713
2006 East Fm 700, Big Spring, TX 79720
2901 Victory Ln, Brenham, TX 77833
3115 Central Blvd, Brownsville, TX 78520
2120 W Briargate Dr, Bryan, TX 77802
1711 W. Henderson, Cleburne, TX 76033
600 Sgt Ed Holcomb Blvd, Conroe, TX 77304
3801 S Port Ave, Corpus Christi, TX 78415
221 S 45th Street, Corsicana, TX 75110
10824 N. Central Expwy, Dallas, TX 75231
2475 Cliff Creek Crossing, Dallas, TX 75237
2530 S Malcolm X Blvd, Dallas, TX 75215
2201 Colorado Blvd, Denton, TX 76205
406 South Texas Drive, Eagle Pass, TX 78852
300 Early Blvd, Early, TX 76802
600 Texas Ave, El Paso, TX 79901
11111 Gateway West, El Paso, TX 79935
819 Taylor St, Fort Worth, TX 76102
2901 Altamesa Blvd, Fort Worth, TX 76133
104 Parkview Dr, Georgetown, TX 78626
2010 N State Hwy 360, Grand Prairie, TX 75050
2717 Terrell Road, Greenville, TX 75402
2005 W Jefferson Ave, Harlingen, TX 78550
16200 Dillard Dr, Houston, TX 77040
5414 Aldine Mail Rd, Houston, TX 77039
8989 Lakes At 610 Dr, Houston, TX 77054
10703 Stancliff Rd, Houston, TX 77099
1060 Guadalupe St, Kerrville, TX 78028
215 Calle Del Norte, Laredo, TX 78041
2835 Gulf Frwy South, League City, TX 77573
611 Clinic Dr, Longview, TX 75605
5825 16th St, Lubbock, TX 79416
702 East Denman, Lufkin, TX 75901
1509 Sedberry St, Marshall, TX 75670
3004 N Mccoll Rd, Mcallen, TX 78501
3250 Craig Dr, Mckinney, TX 75070
2304 W Ferguson Rd, Mount Pleasant, TX 75455
2015 E 37th St, Odessa, TX 79762
215 Medical Dr, Palestine, TX 75801
2333 N Hobart, Pampa, TX 79065
2805 Pine Mill Rd, Paris, TX 75460
3300 Watters Rd, Pasadena, TX 77504
400 S Garland, Plainview, TX 79072
8208 9th Ave, Port Arthur, TX 77642
2851 Southwest Blvd, San Angelo, TX 76904
3438 E Southcross, San Antonio, TX 78223
411 Richland Hills Dr, San Antonio, TX 78238
727 E Cesar Chavez Blvd, San Antonio, TX 78206
900 E Bugg Lane, San Marcos, TX 78666
927 S St Hwy 123 Byp, Seguin, TX 78155
600 East Peyton, Sherman, TX 75090
511 North Main, Temple, TX 76501
5735 Summerhill Road, Texarkana, TX 75503
5509 S Donnybrook Ave, Tyler, TX 75703
8208 Ne Zac Lentz Pkwy, Victoria, TX 77904
1700 Lake Air Dr, Waco, TX 76710
100 Dean Box Drive, Waxahachie, TX 75165
4314 Wendover St, Wichita Falls, TX 76309
Assisted Living Laws and Regulations in Texas
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.
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 www.txabusehotline.org.
Assisted Living Facilities in Texas
Top-Rated Caring Stars Winners in Texas
Caring.com’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 $
Franklin Park Appletree
Richardson, TX $$
San Antonio, TX $$
Atria Lake Arlington
Arlington, TX $$
DaySpring Assisted Living
Plano, TX $$
Brookdale Gaines Ranch
Austin, TX $$$
Sunrise of Cinco Ranch
Katy, TX $$$
Carol Ann's Home
San Antonio, TX $$
Elmcroft of Cy-Fair
Houston, TX $$
Legacy at Bear Creek
Keller, TX $$$