How many assisted living facilities are there in Texas?

Our Texas directory lists 1,975 licensed assisted living facilities across 335 cities. The largest concentrations are in Harris County, Collin County, Tarrant County.

What is an assisted living facility in Texas?

"Assisted Living Facility" is the Texas licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Type A and Type B licenses cover settings from small group homes of 16 or fewer residents up to large communities.

How much does assisted living cost in Texas?

The median assisted living rate in Texas is $5,666 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.

Who licenses assisted living facilities in Texas?

Texas Health and Human Services Commission (HHSC) licenses and inspects every assisted living facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay for assisted living facilities in Texas?

STAR+PLUS can pay for assisted living services in Medicaid-contracted facilities. The program to ask about by name is STAR+PLUS HCBS. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Assisted Living Facilities in Texas

Texas Assisted Living Facilities Directory

1,975 licensed assisted living facilities across 335 cities.

Texas licenses Assisted Living Facilities through the Health and Human Services Commission (HHSC). The state has nearly 2,000 licensed facilities, with the largest concentrations in Houston, San Antonio, Dallas, and Austin. Texas classifies ALFs by type: Type A (large), Type B (16 or fewer residents), and Type C (emergency shelters).

See what care costs here, or learn how assisted living facilities work.

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Cities in Texas

335 cities

Texas care costs at a glance

Median monthly figures for Texas. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care	Median per month
Assisted living Monthly median, one resident	$5,666
In-home care Non-medical caregiver, 44 hours a week	$5,720
Nursing home Semi-private room	$5,627

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for Texas assisted living facilities →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

Connect with a senior living advisor at no cost to you →

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What small care homes are called in Texas

Licensing term: assisted living facility (ALF)
Size and capacity: Type A and Type B licenses cover settings from small group homes of 16 or fewer residents up to large communities.
Licensed and inspected by: Texas Health and Human Services Commission (HHSC)

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Search the Texas license database → What "Assisted living facility" means →

Does Medicaid pay in Texas?

STAR+PLUS can pay for assisted living services in Medicaid-contracted facilities. The program to ask about by name is STAR+PLUS HCBS.

How Medicaid covers residential care →

Common questions about assisted living facilities in Texas

How many assisted living facilities are there in Texas?: Our Texas directory lists 1,975 licensed assisted living facilities across 335 cities. The largest concentrations are in Harris County, Collin County, Tarrant County.
What is an assisted living facility in Texas?: "Assisted Living Facility" is the Texas licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Type A and Type B licenses cover settings from small group homes of 16 or fewer residents up to large communities.
How much does assisted living cost in Texas?: The median assisted living rate in Texas is $5,666 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses assisted living facilities in Texas?: Texas Health and Human Services Commission (HHSC) licenses and inspects every assisted living facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for assisted living facilities in Texas?: STAR+PLUS can pay for assisted living services in Medicaid-contracted facilities. The program to ask about by name is STAR+PLUS HCBS. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

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Estimate monthly costs → What assisted living facilities are → All state directories →