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Best Senior Care in Texas

Reviewed by Dr. Jordan Weiss
Updated Mar 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated senior care facilities in Texas.

Watch this Video to see Texas's Top-rated Senior Communities

Compare Senior Care around Texas The information below is reported by the Texas Health and Human Services Commission.

Click column headers to sort
The Plaza of Paris, Inc
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Paris
75No--
The Whitestone
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Comanche
36No--
The Westmark Senior Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio
95No--
Village on the Park Stonebridge Ranch
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mckinney
132No--
The Park at Bay Area
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Pasadena
70No--
Everspring Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Houston
115No--
Village on the Park McKinney
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mckinney
73No--
Tribute Senior Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Prosper
84No--
The Villages of Dallas
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Dallas
71No--
The Sycamore
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Amarillo
56No--
Volante of Sage Spring
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Marcos
106No--
The Pavilion at Great Hills
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Austin
35No--
The Lodge Assisted Living and Memory Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gun Barrel City
60No--
The Legacy at Oak Hill
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Austin
122No--
The Harbor Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Pearland
30No--
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Overview of Koinonia Homes INC

Beautifully situated near Oleander Point at Cole Park in Corpus Christi, TX, Koinonia Homes INC. is a trusted community that offers independent living. The community is dedicated to improving residents’ well-being, providing exceptional care tailored to their unique needs. Residents ease their worries with the community helping with daily activities and chores.

A thoughtfully curated calendar of fun recreational activities and enriching programs is conducted to keep residents active and socially connected. Mealtimes foster comfort and satisfy dietary needs and preferences. The community is ideal for those looking to live comfortably in retirement, especially with its exceptional services and state-of-the-art amenities.

What does this home offer?

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Building Type: 2-story

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Overview of Grandview of Westover Hills

Conveniently located in the harmonious neighborhood of San Antonio, TX, Grandview of Westover Hills is a trusted community that offers assisted living and memory care. Residents, including those with cognitive conditions, enjoy the highest quality of care for their unique needs with a respectful and highly trained team available around the clock. The community strives to meet residents’ needs with a registered nurse on site.

Here, residents will not feel lonely with plenty of fun recreational activities and engaging programs for their leisure and wellness. Delightful and healthy meals are also served for residents to have the finest dining experience that caters to their dietary needs and preferences. Amenities include a barber shop, a fitness center, a theater, and a beauty parlor, creating the perfect setting for residents to live a worry-free retirement.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed / Semi-Private Rooms

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Building Type: Single-story

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Dining Services

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Beauty Services

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Exercise Programs

Contact Grandview of Westover Hills

FirstLight Home Care of Austin

3930 Bee Caves Rd Bldg 2, Suite H, Austin, TX 78746
Overview of Firstlight Home Care of Austin

Spend your later years with Firstlight Home Care of Austin, an outstanding community in Austin, TX, that offers home care. Providing comprehensive care options, including personal care, dementia care, respite care, and travel companion services, the community ensures older adults receive the highest quality of care and assistance tailored to their unique needs. Older adults keep peace of mind and live their lives to the fullest, accompanied by a compassionate and highly trained team available 24/7.

Ageing can be lonely, so to avoid loneliness, the community provides genuine companionship, alongside enriching activities for older adults to remain happy. Honoring Veterans’ service to the country, a dedicated veteran care that aims to provide them with top-notch care. The community strives to provide top-notch care for older adults, depending on their needs and preferences, ensuring their comfort and convenience.

Contact FirstLight Home Care of Austin

Sonder Hospice

223 W Anderson Ln. suite b700, Austin, TX 78752
Overview of Sonder Hospice

Based in Austin, TX, Sonder Hospice is an outstanding community that offers hospice care. Older adults do not have to leave their comfort zone to receive the highest quality of care with the community’s dedication to delivering top-notch care and assistance available 24/7. With a trusted and highly qualified team, older adults and their families keep peace of mind and gain meaningful moments together.

Medicare covers the costs of hospice care, easing older adults’ and their families’ financial burdens. The community also helps them come to terms with end-of-life care by providing awareness and helping them optimize their resources. With trusted healthcare providers, the community strives to meet older adults’ special needs. Older adults live out their best years without worries, accompanied by the community’s holistic care.

Contact Sonder Hospice

Top-Tier Home Care

7000 N Mopac Expy Suite 200, 2nd Floor, Austin, TX 78731
Overview of Top-tier Home Care

Situated in Austin, TX, Top-tier Home Care is an astounding community that offers in-home care services. The community also provides specialized care, including live-in care, memory care, end-of-life care, respite care, and post-hospitality care, ensuring older adults receive the utmost care for their unique needs. Working closely with older adults and their families, the community strives to understand their condition to provide better care and comfort.

Promoting a trusting and friendly environment, the community takes pride in its cheerful and well-trained team that ensures good relationship with older adults and their families. Veteran care is also available to honor their service to the country and meet their unique needs. Spend your later years without worries, accompanied by the community’s dedicated care and top-notch services.

Contact Top-Tier Home Care

Elder Home Care

111 W Anderson Ln. Suite E350, Austin, TX 78752
Overview of Elder Home Care

Live your golden years in the comforts of your home with Elder Home Care, a trusted community in Austin, TX, that offers home care. With a wide range of care options, including live-in care, memory care, personal care, and respite care, older adults ease their worries and receive top-tier care and support whenever needed. The community is family-owned and dedicated to improving older adults’ quality of life in the safety of their homes.

To ease older adults’ loneliness, genuine companionship is provided, alongside fun activities that keep them entertained and well-engaged. Medication supervision, meal preparation, and housekeeping are also provided to ensure older adults’ convenience. Make the most of your golden years while receiving the utmost care you deserve without leaving your comfort zone.

Phone: Not Found

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Overview of Hoping Hearts Home Care

Hoping Hearts Home Care is a dedicated community located in Austin, TX, that offers home care. With its commitment to improving older adults’ quality of life, the community provides non-medical care to enjoy a worry-free lifestyle. A compassionate and highly trained team also helps with daily living activities and household responsibilities, providing more time to focus on the things they truly enjoy.

Social events are also conducted to maintain connections and gain meaningful experiences. To foster independence and dignity, the community ensures older adults have the freedom to do the things they love while helping with their day-to-day activities. Receive the highest quality of care for your special needs in the comforts of your home, with the community delivering comprehensive care for your convenience.

Contact Hoping Hearts Home Care

Homage Hospice

1836 W Virginia St #102a, McKinney, TX 75069
Overview of Homage Hospice

Spend your end-of-life with Homage Hospice, a trusted community in McKinney, TX, that offers hospice care. The community works closely with older adults and their families to provide care and support tailored to their needs and preferences, ensuring comfort and safety. Different levels of care are available, including inpatient care to ensure older adults receive the utmost care they deserve. With a compassionate and highly skilled team available whenever needed, older adults keep peace of mind and make the most out of their later years.

End-of-life is a difficult time for everyone involved, so the community ensures family members also receive the necessary support to cope, including bereavement support, chaplain services, and spiritual counseling. The community is ideal for those seeking serenity in their end-of-life journey, especially with its dedication to providing the highest quality of care in the comforts of their homes.

Contact Homage Hospice

Overview of One You Love Homecare Houston, Tx

Spend your golden years surrounded by the warmth of your home while receiving compassionate care from One You Love Homecare Houston, Tx, a dependable home care provider based in Allen, TX. They provide hourly and 24/7 live-in care to accommodate residents’ schedules and care requirements while maintaining their level of independence. Their dedicated team can assist residents with their daily living activities or provide specialized memory care to those living with Alzheimer’s or dementia.

Their attentive team also provides light housekeeping and laundry services to free residents from tedious chores while ensuring they maintain a neat living environment and change of clothes. To ensure they maintain proper nourishment and nutrition, their caregivers also provide assistance with meal preparation. With One You Love Homecare Houston, Tx, residents can comfortably maintain the lifestyle they want free from stress and worries.

Contact One You Love Homecare Houston, TX

Monarch Hospice

321 N Central Expy N STE 303, McKinney, TX 75070
Overview of Monarch Hospice

Monarch Hospice is a reliable community in McKinney, TX dedicated to offering residents compassionate hospice care services. They work hard to manage residents’ overall well-being during the final chapter of their lives with the help of their kind and reliable team of caregivers. From pain management to emotional and spiritual support, the community ensures residents and their families are given all the care and support they need during this difficult time.

Understanding that residents’ needs vary even in their end-of-life journey, Monarch Hospice works closely with residents, their families, and physicians in creating care plans that respect their wishes, needs, and preferences. They also provide bereavement care to residents’ families to help them navigate the grieving process in a healthy way. At Monarch Hospice, end-of-life can be as comfortable and beautiful as the life residents’ lived.

Contact Monarch Hospice

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

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Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.