Senior Care Facilities in Texas

Types of senior care available in Texas

Texas families choose between five levels of care, and the right one depends on how much daily hands-on help a senior needs rather than on age.

• Nursing homes in Texas — 1,123 facilities

  Skilled nursing facilities provide round-the-clock licensed nursing, rehab therapy and full help with daily living. They are the most regulated option in Texas and the only one with federal CMS star ratings. Expect $7,900–$11,200 a month for a semi-private room.

• Assisted living in Texas — 166 communities

  Assisted living and continuing care retirement communities offer a private apartment with meals, housekeeping, activities and caregiver help with bathing, dressing and medications. Texas licenses and inspects them at the state level. Budget $4,500–$7,500 a month.

• Memory care in Texas — 2 dedicated communities

  Memory care adds secured entrances, dementia-trained staff and structured routines for residents with Alzheimer's or another dementia. Many Texas units sit inside larger assisted living communities, so ask whether the wing is separately staffed. Costs run $6,000–$9,000 a month.

• Home health and hospice in Texas — 1,124 providers

  Home health agencies bring skilled nursing and therapy into the home; hospice provides comfort-focused end-of-life care wherever the patient lives. Both are Medicare-certified in Texas and Medicare covers most or all of the cost for eligible patients.

Care homes, senior housing and 55+ communities in Texas

Families searching for care homes near them in Texas usually mean one of the 2,426 licensed providers on this page — "care home" is the everyday phrase for what regulators call a nursing home, assisted living community or personal care home. If you searched senior housing near me or 55 and older communities near me and landed here, the directory below covers the care side of that market: every Texas provider is listed with its rating, inspection record and estimated monthly cost.

The terms are not interchangeable, and the difference decides what you pay. Senior housing and 55+ communities (also called independent living, active adult or retirement communities) sell housing, not care — you get an age-restricted apartment or villa, amenities and social programming, but no licensed caregivers. Care homes, personal care homes, board and care homes, residential care homes and assisted living communities all provide licensed hands-on help with bathing, dressing and medications. Nursing care homes go further, adding round-the-clock licensed nursing.

A useful rule for Texas families: if a parent only needs less housekeeping and more company, a 55+ community or senior housing complex is enough. Once someone else needs to help with daily living, you need a licensed care home. When help is needed overnight and clinically, you need one of the 1,123 nursing care homes in Texas. Small residential care homes in a converted house often cost less than a large community and appear in this directory alongside them.

• 55+ communities and senior housing in Texas

  Age-restricted independent living with no licensed care. Rent-based, and residents typically bring in home care privately if needs grow.

• Care homes and personal care homes in Texas

  Licensed residential settings — including board and care homes and assisted living communities — providing daily help with bathing, dressing and medications. 166 are tracked statewide.

• Nursing care homes in Texas

  1,123 Medicare-certified skilled nursing facilities with 24-hour licensed nursing and federal CMS star ratings — the most transparent option in the state.

• Care at home instead of a move

  Home care and 24-hour in-home care keep a senior in their own house. See our home care guide for hourly and around-the-clock cost benchmarks.

• 24 hour home care costs and options — Hourly, live-in and around-the-clock in-home care compared.
• Senior care costs by state — Free published cost data, no email required.

How to choose a senior care facility in Texas

With 2,426 senior care facilities in Texas, families need a repeatable way to narrow the list. These six steps work in any county.

• 1. Check the government inspection reports first

  Every Clear Care Connect profile shows the real CMS inspection record — deficiencies cited, their scope and severity, and how fast they were corrected. Read that before any brochure.

• 2. Compare star ratings across a shortlist, not in isolation

  A three-star facility reads differently next to the Texas average of 2.77. Line up four or five senior care facilities side by side instead of judging one alone.

• 3. Visit at least three facilities, including one unannounced

  Tour options in Houston plus one nearby community, then drop in once outside tour hours to see normal staffing and resident engagement.

• 4. Ask about staff-to-resident ratios and turnover

  Ask for nursing hours per resident per day and annual turnover in writing. High turnover is the strongest predictor of inconsistent care in Texas facilities.

• 5. Understand exactly what the monthly price includes

  Get the base rate, care-level surcharges, medication fees and past annual increases. Two Texas communities quoting the same headline number can differ by thousands once care tiers apply.

• 6. Read the most recent inspection findings, not just the score

  One old citation matters far less than a repeated pattern. Clear Care Connect publishes the full history so you can compare Texas providers on that record in one place.

Top cities for senior care in Texas

Senior care in Texas clusters around its largest population centers. These 8 cities hold the highest concentration of senior care facilities statewide, and each links to a local directory with ratings and costs.

• Houston — 213 facilities, averaging 3.2 CMS stars.
• Houston — 199 facilities, averaging 2.3 CMS stars.
• San Antonio — 183 facilities, averaging 2.6 CMS stars.
• Dallas — 75 facilities, averaging 3.0 CMS stars.
• Austin — 41 facilities, averaging 2.6 CMS stars.
• Fort Worth — 37 facilities, averaging 3.0 CMS stars.
• El Paso — 37 facilities, averaging 1.9 CMS stars.
• Plano — 30 facilities, averaging 3.0 CMS stars.

Understanding CMS ratings in Texas

The Centers for Medicare & Medicaid Services scores certified facilities from one to five stars using three inputs: on-site health inspections, payroll-reported staffing levels, and clinical quality measures. Five stars means much above average within that state's peer group; one star means much below.

In Texas, 1,166 of the 2,426 providers we track carry a published CMS rating, and 378 — roughly 32% — hold four or five stars. The statewide average is 2.77 stars. That average is below the national midpoint, which makes checking each facility's individual inspection record especially important.

Weight the health inspection component most heavily: it is the only piece built from unannounced on-site visits by state surveyors. Staffing is the next best signal, and quality measures are partly self-reported. Clear Care Connect shows all three sub-scores, the inspection date and any penalties on every Texas profile.

Senior care costs in Texas

Senior care pricing in Texas varies more by care level than by ZIP code, but both matter. As a national benchmark, families budget $7,900–$11,200 a month for a nursing home, $4,500–$7,500 for assisted living, $6,000–$9,000 for memory care, and little to nothing out of pocket for Medicare-covered home health or hospice.

Expect quotes in Houston and other major Texas metros above those national midpoints, and rural counties below them. With 2,426 facilities competing statewide there is negotiating room, especially on move-in fees and second-person charges. Clear Care Connect shows an estimated monthly range on each Texas facility page so you can test a quote against local reality.

Frequently asked questions

Ready to find the right senior care facility in Texas?

Clear Care Connect shows real government inspection data, CMS star ratings and cost information for the 1,310 senior care facilities we publish in Texas. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.

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