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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 23
Explore Houston Senior Living

Dallas

Population 1,299,553
Seniors (65+) 11.0 %
Communities 18
Explore Dallas Senior Living

Austin

Population 967,862
Seniors (65+) 9.8 %
Communities 16
Explore Austin Senior Living

San Antonio

Population 1,458,954
Seniors (65+) 12.8 %
Communities 16
Explore San Antonio Senior Living

Plano

Population 287,339
Seniors (65+) 13.7 %
Communities 10
Explore Plano Senior Living

Conroe

Population 96,976
Seniors (65+) 14.2 %
Communities 9
Explore Conroe Senior Living

Arlington

Population 394,769
Seniors (65+) 11.1 %
Communities 9
Explore Arlington Senior Living
View all 59 cities

Cities in Texas

Bryan
1 community
Abilene
6 communities
Allen
3 communities
Amarillo
3 communities
Arlington
9 communities
Atascocita
1 community
Austin
16 communities
Beaumont
3 communities
Bedford
4 communities
Bellaire
1 community
Boerne
1 community
Bryan
3 communities
Burleson
3 communities
Canyon
1 community
Carrollton
3 communities
Carthage
1 community
Cedar Park
5 communities
Cleburne
3 communities
College Station
2 communities
Colleyville
1 community
Conroe
9 communities
Coppell
1 community
Corpus Christi
3 communities
Corsicana
1 community
Dallas
18 communities
Deer Park
2 communities
Denison
2 communities
Denton
6 communities
Duncanville
1 community
El Paso
3 communities
Farmers Branch
1 community
Flower Mound
3 communities
Forney
1 community
Fort Worth
8 communities
Fredericksburg
2 communities
Friendswood
1 community
Frisco
2 communities
Gainesville
1 community
Garland
2 communities
Georgetown
3 communities
Graham
1 community
Granbury
4 communities
Grand Prairie
1 community
Grapevine
3 communities
Haltom City
2 communities
Houston
23 communities
Irving
2 communities
Katy
9 communities
Keene
1 community
Keller
1 community
Kingwood
1 community
Kyle
1 community
Lake Jackson
1 community
Lakeway
3 communities
League City
2 communities
Leander
1 community
Levelland
1 community
Lewisville
1 community
Longview
4 communities
Lubbock
6 communities
Lufkin
1 community
Mansfield
2 communities
Manvel
1 community
Marble Falls
1 community
McKinney
5 communities
Meadows Place
1 community
Mesquite
1 community
Midland
2 communities
Mineral Wells
1 community
Murphy
1 community
Nacogdoches
2 communities
New Braunfels
3 communities
North Richland Hills
3 communities
Orange
1 community
Palestine
1 community
Pampa
1 community
Pantego
1 community
Paris
1 community
Pearland
2 communities
Pflugerville
1 community
Plainview
1 community
Plano
10 communities
Port Arthur
1 community
Richardson
5 communities
Richmond
2 communities
Rockwall
1 community
Round Rock
2 communities
Rowlett
1 community
San Angelo
3 communities
San Antonio
16 communities
San Marcos
1 community
Schertz
1 community
Shavano Park
1 community
Sherman
2 communities
Southlake
3 communities
Spring
6 communities
Stephenville
1 community
Sugar Land
5 communities
Sulphur Springs
1 community
Sweetwater
1 community
Temple
2 communities
Texarkana
1 community
Texas City
1 community
The Woodlands
3 communities
Tomball
1 community
Tyler
5 communities
Victoria
4 communities
Waco
3 communities
Waxahachie
2 communities
Weatherford
1 community
Webster
2 communities
West Lake Hills
1 community
Westworth Village
1 community
Wharton
1 community
Wichita Falls
2 communities

All Communities in Texas

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