Senior Care Facilities in TX
TX is home to 450 senior care facilities tracked by Clear Care Connect, making it a mid-sized senior care market with real choice in most metro areas. From nursing homes in Houston to assisted living and memory care in , families here have real choice — though options thin out quickly outside the larger metros. Choosing well means comparing 0 rated providers on inspection history, staffing and monthly cost rather than on brochures. Clear Care Connect pulls official government inspection data, CMS star ratings and cost estimates into one TX directory so families can compare facilities side by side before picking up the phone.
Cities in TX
TX Medicaid eligibility estimator · TX senior care costs
Types of senior care available in TX
TX 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 TX — 62 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 TX and the only one with federal CMS star ratings. Expect $7,900–$11,200 a month for a semi-private room.
Assisted living in TX — 232 communities
Assisted living and continuing care retirement communities offer a private apartment with meals, housekeeping, activities and caregiver help with bathing, dressing and medications. TX licenses and inspects them at the state level. Budget $4,500–$7,500 a month.
Memory care in TX — 17 dedicated communities
Memory care adds secured entrances, dementia-trained staff and structured routines for residents with Alzheimer's or another dementia. Many TX 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 TX — 100 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 TX and Medicare covers most or all of the cost for eligible patients.
Care homes, senior housing and 55+ communities in TX
Families searching for care homes near them in TX usually mean one of the 450 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 TX 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 TX 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 62 nursing care homes in TX. 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 TX
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 TX
Licensed residential settings — including board and care homes and assisted living communities — providing daily help with bathing, dressing and medications. 232 are tracked statewide.
Nursing care homes in TX
62 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 TX
With 450 senior care facilities in TX, 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 TX average of the national midpoint. 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 TX facilities.
5. Understand exactly what the monthly price includes
Get the base rate, care-level surcharges, medication fees and past annual increases. Two TX 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 TX providers on that record in one place.
Top cities for senior care in TX
Senior care in TX clusters around its largest population centers. These 1 cities hold the highest concentration of senior care facilities statewide, and each links to a local directory with ratings and costs.
- Houston — 450 facilities, inspection records published.
Understanding CMS ratings in TX
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 TX, 0 of the 450 providers we track carry a published CMS rating, and 0 — roughly 0% — hold four or five stars. The statewide average is not yet published. Federal star ratings are still being published for many providers in this state.
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 TX profile.
Senior care costs in TX
Senior care pricing in TX 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 TX metros above those national midpoints, and rural counties below them. With 450 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 TX facility page so you can test a quote against local reality.
Frequently asked questions
How many senior care facilities are in TX?
There are 450 senior care facilities in TX tracked by Clear Care Connect, ranging from 62 nursing homes to assisted living, memory care, hospice and home health providers across 1 cities and towns.
What is the average cost of a nursing home in TX?
A semi-private nursing home room in TX generally costs $7,900 to $11,200 per month, with private rooms running 15 to 25 percent higher. Assisted living averages $4,500 to $7,500 and memory care $6,000 to $9,000.
How do I find the best senior care facility in TX?
Use Clear Care Connect to compare government ratings, inspection reports, staffing levels and cost estimates for TX facilities side by side. 0 of the 0 rated facilities in the state currently hold four or five CMS stars.
Does Medicare cover nursing home care in TX?
Medicare covers up to 100 days of skilled nursing care in TX after a qualifying three-day hospital stay, and only while skilled care is still needed. It does not pay for long-term custodial care, which families fund privately, through long-term care insurance, or through TX Medicaid after a spend-down.
Where can I find care homes near me in TX?
Clear Care Connect lists every licensed care home in TX — nursing care homes, personal care homes, board and care homes and assisted living communities — across 1 cities and towns. Pick your city from the list on this page to see care homes near you with their government ratings, inspection findings and estimated monthly costs. There is no charge to see a provider's name, address or phone number.
What is the difference between senior housing, 55+ communities and assisted living in TX?
Senior housing and 55 and older communities in TX are age-restricted apartments or villas that sell housing and amenities, not care — there are no licensed caregivers on staff. Assisted living, personal care homes and other care homes are licensed to provide hands-on daily help with bathing, dressing and medications. Nursing care homes add round-the-clock licensed nursing. If your parent needs someone else's hands to get through the day, you need a licensed care home rather than senior housing.
Ready to find the right senior care facility in TX?
Clear Care Connect shows real government inspection data, CMS star ratings and cost information for the 297 senior care facilities we publish in TX. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.