Assisted Living in Texas
What It Costs Across Texas
The median cost for assisted living in Texas is approximately $5,250 per month, or about $63,000 annually. This is generally lower than the national average, but prices can vary significantly depending on where you are in the state, the specific services offered, and the amenities of the community. You'll find that major metropolitan areas typically have higher costs. For instance, Austin consistently shows the highest pricing, with an estimated median around $6,200 per month, largely due to population growth and a competitive labor market. Dallas averages about $5,300 per month, while Houston is around $5,100 per month, and San Antonio comes in at roughly $4,700 per month. In contrast, more affordable options can often be found in areas like El Paso, Lubbock, and Amarillo, where estimated monthly costs hover around $4,300 to $4,400.
Will Medicaid Help Pay?
Yes, Medicaid can help, primarily through the STAR+PLUS Waiver program. This Texas Medicaid-managed care program is designed for adults aged 65 or older or those with disabilities, providing services that allow them to live at home, in adult foster care, or in assisted living facilities instead of a nursing home. The waiver covers a wide range of long-term services, including assisted living services, personal care assistance with daily activities like bathing and dressing, delivered meals, minor home modifications, nursing services, and various therapies. For eligibility, your parent must be approved for Medicaid, be 21 or older (or 65+), and meet the medical necessity criteria for nursing home care. In 2024, the monthly income limit for a single applicant was $2,829, with an asset limit typically around $2,000. It's important to know that STAR+PLUS has an "interest list," which is Texas's term for a waitlist. As of December 2025, about 15,850 people were on this list. Wait times can vary, but it's crucial to get on the list early, even if your parent doesn't need services immediately. You can contact the Texas Health and Human Services Commission at 1-877-438-5658 to get on the interest list.
How to Find a Good Facility
Texas had 2,008 licensed Assisted Living Facilities in 2023, offering a diverse range of choices. The Texas Health and Human Services Commission (HHSC) is the state agency responsible for licensing and regulating these facilities. When looking for a facility, consider these key aspects: first, observe the staff-to-resident ratio and their demeanor—you want a friendly, professional team available 24 hours a day to assist with daily living tasks. Second, check for engaging activities that align with your parent's interests, as socialization is vital. Third, assess the amenities, such as housekeeping, laundry, transportation, and dining options, and ensure the living spaces feel comfortable and private. Finally, prioritize safety: look for 24-hour emergency response systems, handicapped accessibility, clear exits, and a robust fire system. To check inspection records and verify a facility's license, use the HHSC's Long-Term Care Provider Search online tool, which provides details on inspections, enforcement actions, and quality measures. Always ensure the facility holds a current state license, as this indicates it meets Texas's regulatory standards.
Last updated: March 2026. Sources: Genworth 2024, state licensing agency.