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Assisted Living in Texas

Texas has 2021 licensed assisted living communities listed on ElderCareCosts across 500 cities. The median estimated cost statewide is $5,666/mo. Pick a city below for local pricing and provider listings, or request a personalized shortlist.

2,021 licensed assisted living communities listed · 37 with CMS star ratings.

Cost of assisted living in Texas

Median monthly price, Texas

$5,666/mo

Modeled range $5,409 – $6,158 how this range is derived

● Texas $5,666 ○ National median $6,230

Modeled estimate · 2025 data

Modeled median costs for assisted living versus Texas and a multi-state national aggregate. Figures are estimates, not quotes.

Assisted Living cost comparison (2025)
Assisted LivingTexasNational
25th percentile$5,409/mo$5,488/mo
Median$5,666/mo$6,230/mo
75th percentile$6,158/mo$7,083/mo

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Source: Modeled estimate (opens in a new tab) · Updated 2025
Methodology
Why is this number different on other websites? Most sites average "starting at" prices. Base rent, before care fees. We estimate the full monthly cost families actually pay. Budget from the all-in number. Our methodology →

Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

CMS rating distribution in Texas

CMS overall star ratings for 37 assisted living communities in Texas. We do not re-rank these scores.

CMS star ratings in Texas
CMS starsProviders
5 stars12
4 stars9
3 stars11
2 stars3
1 star2

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Texas licensing & regulation

Texas Health and Human Services Commission (HHSC) licenses and inspects assisted living communities in Texas. Before you sign anything, look up the community's license status and past complaints on the state's own site, not a marketing page.

Home and Community Support Services Agencies (in-home care) and Day Activity and Health Services (adult day) are also licensed by HHSC, searchable in the same TULIP provider-search tool.

Source: State licensing agency.GOV

Medicaid & local resources in Texas

Long-Term Care Ombudsman

Texas Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in Texas resolve concerns about care and rights. Call 1-800-252-2412.

Official Ombudsman locator / program page

Source: State LTC Ombudsman.GOV

Medicaid HCBS / LTSS programs

Named programs below are from official state Medicaid agency pages. We do not list eligibility dollar amounts or wait lists unless a primary source is cited in a later pass.

  • STAR+PLUS. Texas Medicaid managed care for adults with disabilities and adults 65+.
Source: State Medicaid program.GOV

Free national starting points. Official sites only; we do not scrape these directories.

Cities in Texas

Showing 500 of 1863 tracked cities.

Counties in Texas

County pages carry the local Area Agency on Aging, the state Medicaid waiver contacts and, for nursing homes, what federal inspectors recorded. Ordered by how many assisted living providers each county holds.

All 74 Texas counties

Assisted Living providers in Texas

Sample of licensed assisted living communities listed for Texas. City pages show fuller local inventories.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare communities you choose
Check Compare on cards above, then continue. Selection before consent.

Your number goes only to communities you choose. No call blitz. Ever.

Choose communities →

How we rank these

Frequently asked questions

How many assisted living communities are listed in Texas?

We currently list 2021 licensed assisted living communities across Texas.

Which cities in Texas have assisted living listings?

We track 500 Texas cities for assisted living. See the city list on this page for options near you.

Past 60 days in Texas: 2,021 added · 4,401 updated. Most recent change Sep 2. Counts come from our ingestion diffs, not confirmed licensing actions.

How to cite this page

Cite this: According to ElderCareCosts' 2026 index, assisted living in Texas costs $5,666/month (median).

APA: ElderCareCosts Research. (2026). Assisted Living in Texas. ElderCareCosts. Retrieved September 16, 2026, from https://www.eldercarecosts.com/assisted-living/texas/

Chicago: ElderCareCosts Research. "Assisted Living in Texas." ElderCareCosts. Last modified August 10, 2026. Accessed September 16, 2026. https://www.eldercarecosts.com/assisted-living/texas/.

These figures may be quoted and reproduced with attribution and a link back to this page. No permission needed. Methodology · Data sources · Who produces this · Corrections

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