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Texas Senior Living Options & Resources

Senior Living in Texas: What You Need to Know

Texas is home to 3,905,545 seniors aged 65 and older, representing 13.2% of the state's total population of nearly 30 million. As one of the fastest-growing states in the nation, Texas has developed a robust senior living infrastructure with 267 communities spread across 59 cities, offering a diverse range of care options from independent living to skilled nursing care. The state's relatively young median age of 35.5 years reflects its dynamic growth, yet its senior population continues to expand as retirees are drawn to Texas's no-state-income-tax policy, affordable living costs, and vibrant urban centers.

The geographic distribution of senior living communities in Texas heavily favors major metropolitan areas. Houston leads with 23 communities, followed by Dallas with 18, San Antonio with 16, and Austin with 14. Suburban areas like Plano, Arlington, Katy, and Conroe each host between 6 and 10 communities, demonstrating the state's commitment to providing accessible senior care across both urban and suburban settings. This distribution aligns with the concentration of world-class healthcare systems, including the Texas Medical Center in Houston, UT Southwestern in Dallas, and major hospitals in San Antonio and Austin.

Texas offers significant cost advantages for senior living compared to national averages. Assisted living in Texas averages $5,310 per month, well below the national average of $5,900, while nursing home care costs $8,349 for a semi-private room versus the national average of $9,277. These savings, combined with the state's median household income of $76,292, make Texas an attractive option for seniors seeking quality care without the premium price tags found in coastal states. The state's warm climate, diverse cultural attractions, and strong sense of community further enhance its appeal.

Texas provides several Medicaid waiver programs to help eligible seniors access home and community-based services, though coverage can be more limited than in some other states. The state's healthcare infrastructure is robust, with major research hospitals, specialty care centers, and extensive networks of senior-focused medical services. Whether drawn by family connections, lower costs, or the promise of warm weather and cultural diversity, seniors find Texas offers a compelling combination of affordability, quality care, and lifestyle options across its varied regions.

Types of Senior Living Care in Texas

Average Cost of Senior Care in Texas

Texas offers substantial savings on senior care compared to national averages, making it one of the most affordable states for retirement living. Assisted living costs average $5,310 monthly—about 10% below the national average of $5,900—while nursing home care averages $8,349 for a semi-private room versus $9,277 nationally. Private nursing home rooms average $9,581 monthly, and home health aide services cost approximately $5,625 per month. Regional variations exist within Texas, with major metros like Austin and Dallas commanding slightly higher rates, while cities like San Antonio and smaller communities offer more affordable options. Texas's lack of state income tax and Medicaid waiver programs provide additional financial relief for eligible seniors, though families should budget carefully as the state's Medicaid coverage for assisted living is more limited than some other states.

Assisted Living

Community-based residential care

$5,250

per month

$63,000/yr

17% below national avg

Nursing Home (Private Room)

24/7 skilled nursing care

$7,087

per month

$85,045/yr

40% below national avg

Nursing Home (Semi-Private)

Shared room nursing care

$5,475

per month

$65,700/yr

48% below national avg

Home Health Aide

In-home personal care

$5,720

per month

$68,640/yr

14% below national avg

Homemaker Services

In-home housekeeping & meals

$5,339

per month

$64,064/yr

17% below national avg

Adult Day Health Care

Daytime supervision & activities

$2,167

per month

$26,000/yr

22% below national avg

10% below national average

Frequently Asked Questions About Senior Living in Texas

How much does senior living cost in Texas?
Senior living in Texas costs significantly less than the national average. Assisted living averages $5,310 per month compared to the national average of $5,900, while nursing home care costs $8,349 monthly for a semi-private room versus $9,277 nationally. Home health aide services average $5,625 monthly. These costs represent approximately 10% savings compared to national averages, with additional regional variation—San Antonio and smaller cities tend to be more affordable, while Austin and upscale Dallas suburbs command premium rates.
How many senior living communities are in Texas?
Texas has 267 senior living communities spread across 59 cities throughout the state. The highest concentrations are in major metropolitan areas: Houston leads with 23 communities, Dallas has 18, San Antonio offers 16, and Austin features 14. Suburban areas like Plano (10), Arlington (9), Katy (9), and Conroe (9) also have significant options, ensuring accessible senior care across urban, suburban, and some rural regions of the state.
Does Texas Medicaid cover assisted living?
Texas Medicaid offers limited coverage for assisted living through waiver programs like Community Based Alternatives (CBA) and STAR+PLUS. Unlike some states, Texas does not provide full Medicaid reimbursement for standard assisted living facilities, instead focusing on nursing home care and home-based services. Eligibility requires meeting strict financial and functional criteria, and waiting lists can be long. Many Texas families rely on private pay, long-term care insurance, or veterans benefits to cover assisted living costs.
What are the best cities for senior living in Texas?
The best cities for senior living in Texas include Houston (23 communities) with world-class medical care at the Texas Medical Center; Dallas (18 communities) offering cultural attractions and upscale options; San Antonio (16 communities) providing affordability and rich cultural heritage; Austin (14 communities) featuring active lifestyle amenities and outdoor recreation; and Plano (10 communities) known for safety, excellent healthcare, and master-planned senior communities. Each city offers distinct advantages based on lifestyle preferences, budget, and healthcare needs.
What are the benefits of retiring in Texas?
Texas offers compelling retirement benefits including no state income tax, which helps stretch retirement savings and Social Security benefits. The state's cost of living is lower than national averages, particularly for housing and senior care. Texas boasts warm weather year-round, world-renowned healthcare systems, diverse cultural attractions, and a business-friendly environment. The state's size offers variety—from vibrant cities to quiet Hill Country towns—and its growing economy attracts family members, making it easier for seniors to stay connected with loved ones.
How is healthcare access for seniors in Texas?
Texas features exceptional healthcare access for seniors, particularly in major metropolitan areas. The state is home to the Texas Medical Center in Houston—the world's largest medical complex—along with premier systems like UT Southwestern in Dallas, UT Health San Antonio, and Dell Medical School in Austin. Texas has numerous specialty hospitals, cancer centers, and cardiac care facilities. Most senior living communities are located near major healthcare providers, and the state offers several VA medical centers for veteran care, though rural areas may have more limited access.

Major Cities with Senior Living Options in Texas

Cities ranked by number of communities.

Houston

Population 2,300,419
Seniors (65+) 11.6 %
Communities 83
Explore Houston Senior Living

San Antonio

Population 1,458,954
Seniors (65+) 12.8 %
Communities 83
Explore San Antonio Senior Living

Dallas

Population 1,299,553
Seniors (65+) 11.0 %
Communities 52
Explore Dallas Senior Living

Austin

Population 967,862
Seniors (65+) 9.8 %
Communities 44
Explore Austin Senior Living

Fort Worth

Population 941,311
Seniors (65+) 10.1 %
Communities 39
Explore Fort Worth Senior Living

El Paso

Population 677,181
Seniors (65+) 13.5 %
Communities 25
Explore El Paso Senior Living

Plano

Population 287,339
Seniors (65+) 13.7 %
Communities 22
Explore Plano Senior Living
View all 500 cities

Cities in Texas

Bryan
1 community
1205 Santa Fe Dr
1 community
Abilene
16 communities
Alamo
1 community
Alice
3 communities
Allen
4 communities
Alvarado
1 community
Alvin
2 communities
Amarillo
18 communities
Amherst
1 community
Andrews
1 community
Angleton
2 communities
Arlington
19 communities
Aspermont
1 community
Atascocita
1 community
Athens
3 communities
Atlanta
2 communities
Austin
44 communities
Azle
1 community
Baird
1 community
Balch Springs
1 community
Ballinger
2 communities
Bandera
2 communities
Bangs
1 community
Bartlett
1 community
Bastrop
3 communities
Bay City
3 communities
Baytown
6 communities
Beaumont
13 communities
Bedford
9 communities
Bee Cave
1 community
Beeville
2 communities
Bellaire
1 community
Bellmead
1 community
Bellville
1 community
Belton
2 communities
Benbrook
1 community
Bertram
1 community
Big Lake
1 community
Big Spring
3 communities
Boerne
6 communities
Bonham
3 communities
Booker
1 community
Borger
2 communities
Bowie
1 community
Brady
1 community
Breckenridge
1 community
Bremond
1 community
Brenham
4 communities
Bridgeport
1 community
Bronte
1 community
Brookshire
1 community
Brownfield
2 communities
Brownsville
7 communities
Brownwood
6 communities
Bryan
6 communities
Bullard
1 community
Burkburnett
2 communities
Burleson
6 communities
Burnet
1 community
Caldwell
2 communities
Cameron
2 communities
Camp Wood
1 community
Canadian
1 community
Canton
1 community
Canyon
1 community
Carrizo Springs
1 community
Carrollton
8 communities
Carthage
4 communities
Castroville
1 community
Cedar Hill
2 communities
Cedar Park
8 communities
Celina
1 community
Center
3 communities
Centerville
1 community
Chandler
1 community
Childress
1 community
Cisco
1 community
Clarendon
1 community
Clarksville
2 communities
Claude
1 community
Cleburne
6 communities
Cleveland
1 community
Clifton
2 communities
Clute
1 community
Clyde
1 community
Coleman
2 communities
College Station
6 communities
Colleyville
1 community
Colorado City
1 community
Columbus
2 communities
Comanche
2 communities
Comfort
1 community
Commerce
1 community
Conroe
11 communities
Converse
1 community
Cooper
1 community
Coppell
2 communities
Copperas Cove
2 communities
Corinth
1 community
Corpus Chrisit
1 community
Corpus Christi
16 communities
Corrigan
1 community
Corsicana
6 communities
Cotulla
1 community
Crane
1 community
Crockett
3 communities
Crosbyton
1 community
Crowell
1 community
Crowley
2 communities
Cuero
2 communities
Cypress
1 community
Daingerfield
1 community
Dallas
52 communities
Dayton
1 community
De Leon
1 community
Decatur
3 communities
Deer Park
2 communities
Del Rio
3 communities
Denison
7 communities
Denton
12 communities
Denver City
1 community
Desoto
5 communities
Devine
1 community
Diboll
1 community
Dimmitt
2 communities
Dripping Springs
1 community
Dumas
2 communities
Duncanville
3 communities
Eagle Lake
1 community
Eagle Pass
3 communities
Eastland
1 community
Eden
1 community
Edinburg
4 communities
Edna
1 community
El Campo
2 communities
El Paso
25 communities
Eldorado
1 community
Electra
1 community
Elgin
1 community
Elkhart
1 community
Emory
1 community
Ennis
3 communities
Euless
1 community
Fairfield
2 communities
Falfurrias
1 community
Farmers Branch
1 community
Farmersville
2 communities
Farwell
1 community
Flatonia
1 community
Floresville
3 communities
Flower Mound
5 communities
Forney
2 communities
Fort Stockton
1 community
Fort Worth
39 communities
Franklin
1 community
Fredericksburg
6 communities
Friendswood
2 communities
Friona
1 community
Frisco
5 communities
Gainesville
5 communities
Galveston
2 communities
Ganado
1 community
Garland
8 communities
Garrison
1 community
Gatesville
2 communities
George West
1 community
Georgetown
5 communities
Giddings
2 communities
Gilmer
2 communities
Gladewater
2 communities
Glen Rose
2 communities
Goldthwaite
2 communities
Goliad
1 community
Gonzales
2 communities
Graham
3 communities
Granbury
8 communities
Grand Prairie
2 communities
Grand Saline
3 communities
Grandview
1 community
Grapevine
7 communities
Greenville
4 communities
Groesbeck
2 communities
Groves
2 communities
Groveton
1 community
Hallettsville
2 communities
Haltom City
1 community
Hamilton
2 communities
Hamlin
1 community
Harker Heights
1 community
Harlingen
7 communities
Haskell
1 community
Hearne
1 community
Hebbronville
1 community
Hemphill
2 communities
Henderson
3 communities
Henrietta
1 community
Hereford
1 community
Hewitt
1 community
Hico
1 community
Highland Village
1 community
Hillsboro
2 communities
Hollywood Park
1 community
Hondo
1 community
Honey Grove
1 community
Horseshoe Bay
1 community
Houston
83 communities
Hughes Springs
1 community
Humble
7 communities
Huntington
1 community
Huntsville
3 communities
Hurst
2 communities
Hutto
1 community
Iowa Park
1 community
Irving
9 communities
Italy
1 community
Itasca
1 community
Jacksboro
1 community
Jacksonville
3 communities
Jasper
2 communities
Jayton
1 community
Jefferson
1 community
Johnson City
1 community
Jourdanton
1 community
Justin
1 community
Karnes City
1 community
Katy
14 communities
Kaufman
2 communities
Keene
2 communities
Keller
5 communities
Kemp
2 communities
Kenedy
2 communities
Kennedale
1 community
Kerens
1 community
Kerrville
5 communities
Kilgore
2 communities
Killeen
2 communities
Kingsland
1 community
Kingsville
2 communities
Kingwood
3 communities
Kirbyville
1 community
Knox City
1 community
Kountze
1 community
Kyle
2 communities
La Grange
2 communities
La Marque
1 community
La Porte
2 communities
La Vernia
1 community
Lake Jackson
3 communities
Lake Worth
1 community
Lakeway
5 communities
Lamesa
1 community
Lampasas
3 communities
Lancaster
4 communities
Laredo
6 communities
League City
6 communities
Leander
1 community
Levelland
3 communities
Lewisville
5 communities
Liberty
2 communities
Lindale
2 communities
Linden
1 community
Littlefield
1 community
Live Oak
1 community
Livingston
3 communities
Llano
1 community
Lockhart
2 communities
Longview
12 communities
Lubbock
20 communities
Lufkin
8 communities
Luling
3 communities
Lumberton
1 community
Lytle
1 community
Mabank
1 community
Madisonville
2 communities
Magnolia
1 community
Malakoff
1 community
Manchaca
1 community
Mansfield
7 communities
Manvel
1 community
Marble Falls
2 communities
Marlin
1 community
Marshall
3 communities
Matador
1 community
Mathis
1 community
Mc Allen
1 community
Mc Gregor
1 community
Mcallen
4 communities
McAllen
3 communities
Mccamey
1 community
Mckinney
6 communities
McKinney
6 communities
Mclean
1 community
Meadows Place
1 community
Memphis
1 community
Menard
1 community
Mercedes
1 community
Meridian
1 community
Merkel
1 community
Mesquite
10 communities
Mexia
3 communities
Midland
8 communities
Midlothian
2 communities
Mineola
2 communities
Mineral Wells
3 communities
Mission
2 communities
Missouri City
4 communities
Monahans
1 community
Mont Belvieu
1 community
Moulton
1 community
Mount Pleasant
3 communities
Mount Vernon
1 community
Muleshoe
1 community
Munday
1 community
Murphy
1 community
Nacogdoches
5 communities
Navasota
2 communities
Needville
1 community
New Braunfels
9 communities
Newton
1 community
Nocona
1 community
North Richland Hills
5 communities
Odessa
7 communities
Olney
1 community
Olton
1 community
Orange
2 communities
Overton
1 community
Ozona
1 community
Palestine
6 communities
Pampa
3 communities
Pantego
1 community
Paris
6 communities
Pasadena
8 communities
Pearland
6 communities
Pearsall
1 community
Pecos
1 community
Penitas
1 community
Perryton
1 community
Pflugerville
3 communities
Pharr
1 community
Pilot Point
2 communities
Pittsburg
1 community
Plainview
3 communities
Plano
22 communities
Pleasanton
3 communities
Port Arthur
4 communities
Port Lavaca
2 communities
Porter
1 community
Portland
2 communities
Post
1 community
Princeton
1 community
Quitman
1 community
Ralls
1 community
Ranger
1 community
Raymondville
1 community
Red Oak
1 community
Refugio
1 community
Richardson
13 communities
Richland Hills
2 communities
Richmond
6 communities
Richwood
1 community
Rio Grande City
2 communities
Rising Star
1 community
Robert Lee
1 community
Robstown
1 community
Rockdale
1 community
Rockport
2 communities
Rockwall
6 communities
Rosebud
1 community
Rosenberg
2 communities
Round Rock
9 communities
Rowlett
2 communities
Royse City
1 community
Rusk
2 communities
Saginaw
1 community
San Angelo
10 communities
San Antonio
83 communities
San Augustine
3 communities
San Diego
1 community
San Juan
1 community
San Marcos
6 communities
San Saba
1 community
Savoy
1 community
Schertz
3 communities
Schulenburg
2 communities
Seagoville
1 community
Sealy
1 community
Seguin
5 communities
Selma
1 community
Seminole
1 community
Seymour
1 community
Shavano Park
2 communities
Shepherd
1 community
Sherman
7 communities
Shiner
1 community
Silsbee
3 communities
Slaton
1 community
Smithville
1 community
Snyder
1 community
Socorro
1 community
Southlake
4 communities
Spearman
1 community
Spring
7 communities
Spring Branch
1 community
Springtown
1 community
Stamford
1 community
Stephenville
5 communities
Sterling City
1 community
Stratford
1 community
Sugar Land
8 communities
Sulphur Springs
5 communities
Sweeny
1 community
Sweetwater
3 communities
Taylor
1 community
Teague
1 community
Temple
11 communities
Terrell
3 communities
Texarkana
9 communities
Texas City
6 communities
The Woodlands
6 communities
Tomball
6 communities
Trinity
2 communities
Tyler
20 communities
Uvalde
2 communities
Van
1 community
Van Alstyne
1 community
Vernon
1 community
Victoria
8 communities
Vidor
2 communities
Waco
18 communities
Watauga
2 communities
Waxahachie
6 communities
Weatherford
8 communities
Webster
5 communities
Weimar
1 community
Wellington
1 community
Wells
1 community
Weslaco
3 communities
West
1 community
West Lake Hills
1 community
Westworth Village
1 community
Wharton
3 communities
Wheeler
1 community
White Settlement
2 communities
Whitehouse
1 community
Whitesboro
1 community
Whitney
1 community
Wichita Falls
11 communities
Willis
1 community
Willow Park
1 community
Wills Point
1 community
Wimberley
1 community
Windcrest
1 community
Winnie
1 community
Winnsboro
2 communities
Woodville
2 communities
Wylie
2 communities
Yoakum
2 communities
Yorktown
1 community
Zapata
1 community

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