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
Top Rated Communities in Texas
Highest rated senior living communities based on reviews.
Villa de San Antonio
North Star Senior Living
San Antonio, TX
Elison Assisted Living & Memory Care of Graham
Not provided on the website
Graham, TX
Heritage Place of Fredericksburg
Sonata Senior Living
Fredericksburg, TX
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?
How many senior living communities are in Texas?
Does Texas Medicaid cover assisted living?
What are the best cities for senior living in Texas?
What are the benefits of retiring in Texas?
How is healthcare access for seniors in Texas?
Major Cities with Senior Living Options in Texas
Cities ranked by number of communities.
San Antonio
Cities in Texas
All Communities in Texas
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