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Senior Care in Texas

Explore licensed senior care options across 534 cities in Texas. Compare 5,736 verified provider listings, review local cost benchmarks, and find comprehensive care planning guides.

Senior Care in Texas — Family Care Guide

Texas Senior Care Cost Report

Median assisted living: $5,666/mo. View statewide pricing comparisons, top 10 city benchmarks, and national medians.

View Texas Cost Report →

Key Takeaways: Senior Care in Texas

Directory Scope
5,736 Providers

Verified across 534 cities as of September 2026

Assisted Living Median
$5,666/mo

CareScout 2025 Cost of Care Survey

In-Home Care Median
$30/hr

Home health aide hourly rate

Nursing Home Median
$91,250/yr

Private room annual baseline

Licensing Authority: Texas Health and Human Services Commission regulates and inspects residential care homes and facilities.
Medicaid Assistance: Supported through the STAR+PLUS Waiver for eligible seniors.

Texas Senior Care Cost Benchmarks

Source: CareScout 2025 Cost of Care Survey (published March 2026)

Full Texas Cost Report →
Care Type Texas Median Annualized Estimate
Assisted Living Facility $5,666/mo $67,992/yr
Memory Care (Estimated) $7,083/mo $84,990/yr
In-Home Care (Home Health Aide) $30/hr $68,640/yr (44 hrs/wk)
Homemaker Services No data available No data available
Nursing Home (Private Room) $7,604/mo $91,250/yr
Adult Day Health Care $90/day $22,500/yr (5 days/wk)

Texas Medicaid & State Regulation

Check Texas Medicaid Eligibility →

Understanding state regulations and financial assistance programs helps families make informed, secure long-term care placements across Texas.

State Licensing Agency

Senior care facilities and memory care homes are licensed and inspected by the Texas Health and Human Services Commission.

Regular inspections assess staffing ratios, medication administration, sanitation, and resident safety rights.

Medicaid HCBS Waiver

Financial assistance for home care and supportive residential living is provided through the STAR+PLUS Waiver.

Medicaid waivers fund therapeutic and personal care services, though room and board costs typically require private pay.

Cities in Texas

Verified provider directory inventory as of September 2026

Frequently Asked Questions

How many licensed senior care facilities operate in Texas?

The families.care verified directory tracks 5,736 licensed senior care providers across 534 cities in Texas as of September 2026. This includes assisted living communities, dedicated memory care facilities, skilled nursing homes, and licensed home health agencies.

What is the cost of senior living in Texas?

The CareScout 2025 survey reports median assisted living in Texas is $5,666 per month. In-home care aides average $30 per hour, and nursing homes average $91,250 annually for private rooms.

Who regulates assisted living and nursing homes in Texas?

Senior living facilities in Texas are regulated and inspected by the Texas Health and Human Services Commission. Inspection reports, safety audits, and violation records are public records that families should consult prior to admission.

Can Texas Medicaid help pay for senior care?

Yes. In Texas, Medicaid covers skilled nursing home care for medically and financially qualified individuals. For seniors seeking home or community care, Texas provides Home and Community-Based Services (HCBS) waivers, such as the STAR+PLUS Waiver. These programs help cover personal care and supportive services.

Explore Senior Care in Neighboring States

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.

Editorial review by John Richie, Senior Care Research Editor.