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The 10 Best Assisted Living Facilities in Houston, TX

Houston Certification Seal

Retirees love Houston because of its hot, temperate climate, its wealth of parks, ponds, and other natural features, and wide range of cultural opportunities. With many family-friendly attractions such as the world-famous Houston Zoo, Houston Museum of Natural History, the Museum of Fine arts, and the Houston Space Center, there is a ton of things to do with vacationing relatives as well as numerous ways to fill a busy day. Plus, many cultural centers offer discounts to residents above age 65 and military veterans and assisted living facilities routinely schedule visits to these places to keep residents culturally and socially engaged.  This city is also home to state-of-the-art eldercare researchers from the University of Houston’s Consortium on Aging

The cost of living in Houston is slightly less than the U.S. median and assisted living facilities typically cost around $200 less on average than in the rest of the country. This guide was created to help Houston residents and those interested in moving to the area find assisted living facilities that provide excellent health and personal care services, as well as many opportunities,  to help them live a full and gratifying life.

St. Dominic Village

St. Dominic’s Village provides high-quality, faith-based elder care to those with memory problems, or who are able to live in moderate independence. This facility offers short-term rehab, long-term care, skilled nursing, assisted living, and independent living. Residents spend time together with various planned activities, or at services held in the Catholic chapel. The ever-growing calendar of events is available in the facility’s quarterly newsletter as well as its website, making it easy for prospective residents to get a feel for the activities offered.

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  • Faith-based facility
  • Memory care, short-term rehab, and skilled nursing available

Copperfield Estates

Residents of Copperfield Estates enjoy a variety of social activities on the beautiful grounds and have many opportunities to enjoy their days on campus or on an outing. Busy seniors are free to utilize the computer room and Wi-Fi as well as the activities rooms, games and billiards rooms, and on-site gym. There is also a salon and barber that provide quality beautician services to residents for a small fee. This pet-friendly community also has a wide network of walking paths, a patio, four dining rooms, a library, and a handsome community fireplace.

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Holly Hall Retirement Community

This Christian retirement community features assisted as well as independent living in spacious private apartments, complete with large living rooms, full baths, closets, and access to 24-hour maintenance and personal care services.  Holly Hall provides a constantly shifting calendar of activities, including resident favorites such as twice weekly dominoes and bridge groups, tai-chi and other exercise programs, ice cream socials, and weekly shopping trips. Residents are welcome to join the group for a monthly dinner outing, and there is also a men's group that meets once a month. Catholic and Christian services are offered that include weekly worship and Bible study and Catholic mass.

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  • Private apartments with 24 hr personal care services
  • Catholic & Christian services incl. weekly worship, Bible study, and Catholic mass

The Village of River Oaks

The Village of River Oaks provides all-inclusive assisted living services including medication management, customized levels of assistance, weekly housekeeping and laundry services, and access to highly-trained medical staff including physical, occupational, and speech therapists. Scheduled transportation provides weekly and monthly outing opportunities to social butterflies, and there is a myriad of fitness and activities programs for those who prefer to have fun within the village. The roomy apartments include fine design details and large walk-in closets, and the facility has a front desk concierge service happy to help residents with handling package deliveries or arranging outings.

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The Abbey at Westminster Plaza

The Abbey at Westminster Plaza is a three-story building set on a lavish eight-acre campus, complete with a home theatre, sunrooms, a  courtyard with walking paths, and various lounges. Each floor has its own country kitchen, and various activity spaces and exercise rooms are peppered throughout the facility. This privately owned, family-run community has provided top-tier assisted living services to Houston’s aging population for over 60 years. The comfortably sized apartments are equipped with state-of-the-art technology that helps residents maintain wireless contact with health and security staff, and all apartments have individual security systems.

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Bedford Residence Assisted Living

Bedford Residence provides all-inclusive assisted living services, facilitated in spacious private and semi-private suites, for a low flat rate dependent on the level of care needed. Health and personal care services are administered to residents in need of all levels of care, including hospice, and the customized meal and activities programs are designed for a variety of lifestyle needs. There are exercise and walking groups, gaming get-togethers, and a variety of religious activities like choir and prayer meets. The gardening program is available to residents of all capabilities, offering opportunities from simply walking through the gardens with a friendly aide to helping grow and harvest flowers and vegetables.

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Embark at Willowbrook Park

Embark at Willowbrook Park maintains a philosophy providing the highest quality lifestyles for residents that want to remain active and enjoy their later years in their chosen communities. The activities here are expertly crafted to incorporate mind, body, and spirit into the creative process and provide residents the opportunity to thrive through their favorite hobbies. Restaurant-style dining is offered, and the gourmet menu is customizable for residents with special dietary needs. The facility features an exercise center with an outdoor heated pool and a jacuzzi spa. Another reason we included Embark at Willowbrook Park in our rankings is its gorgeous campus, complete with several walking paths that wind around manicured grounds, community gardens, a putting green, and a waterfall pond.

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  • Restaurant-style gourmet dining
  • On-site amenities incl. heated pool, jacuzzi, and putting green

Rosemont Personal Care Home

The caring staff at Rosemont Personal Care Home provides aging residents with high-quality assisted living services up through the end of life. This is a smaller residential home, or micro-community, with a close-knit lifestyle that offers a more family-like experience than larger facilities. Residents are treated to three home-cooked meals a day, a rotating calendar of activities, and regularly scheduled outings to attractions around Houston. This facility accepts private pay residents as well as many types of health insurance to help pay for personal care services.

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Atria Cy-Fair

The Atria at Cy-Fair has a wide selection of floor plans for its private apartments, all of which include all-inclusive personal care services in addition to weekly housekeeping and linen services. The 24-hour maintenance and healthcare staff is always available to help residents with any needs that may arise, and transportation is provided for those that enjoy shopping trips and other outings, as well as to take residents to scheduled appointments. We featured Atria at Cy-Fair in our rankings because of the superb dining choices, featuring in-house gourmet chefs and local produce, as well as a changing menu that may be customized for residents with dietary restrictions. The full activities calendar keeps residents busy with a shifting selection of hobbies and social events throughout the year.

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  • Transportation provided for appointments & outings
  • Wide selection of private apartment floor plans

The Gardens at Spring Shadows

The Gardens at Spring Shadows stands out for its amenities. Residents enjoy a luxurious lifestyle in the heart of Houston, complete with landscaped courtyards to walk, gym rooms and pools, and a gorgeous putting green. There are two large dining rooms with a rotating gourmet menu. The community room is available for resident meetings and impromptu activities, and there are numerous scheduled activities and groups available for residents to connect with others who share their interests. The multi-level facility has roomy elevators, beauty salons, a library, and many entertainment areas. Residents also have access to a handy on-site post office with US and community mailboxes.

See Full Description
  • Extensive entertainment areas and activities
  • Luxurious amenities incl. Pool, landscaped courtyard and putting green

The Cost of Senior Living and Care in Houston

In Houston, senior care costs slightly more than the state average. The cost of day services for elders is over $500 a month in Houston, but home care and assisted living only cost $100 more than the state average. According to the Genworth 2018 Cost of Care Survey, the average monthly cost of nursing home care is considerably less affordable, at over $1,200 more a month than assisted living.

How much does Assisted Living Cost in Houston?

In Houston, assisted living costs an average of $3,863 a month, which is close to the state average. Other large cities like Dallas and Austin cost much more on average, at $4,350 and $5,190 a month, respectively. Costs vary widely across Texas, with the lowest averages occurring in Texarkana at $2,265 and El Paso at $2,250. In most areas around Houston, assisted living costs are within $500 of the state average.

How much does Home Care Cost in Houston?

Compared to other cities in the area, Houston falls on the higher end of the price range for home care in Texas, averaging at over $200 more expensive than the state average. Texarkana is the most affordable city near Houston for home care costs at $3,222 monthly, followed by Beaumont at only $3,432 a month.

The state average cost for homemaker services is the same as a home health aide. However, in Houston, the home-health aide is paid $1 more an hour on average. In cities like Killeen, Corpus Christi, and Sherman, the home-health aides can cost several more dollars an hour than a homemaker.

How much does Adult Day Care Cost in Houston?

Adult day health care costs vary greatly across Texas, from $693 in Corpus Christi to $1,408 a month on average in Dallas and Austin. Houston costs much more than the rest of the state, at an average of $1,300 a month. The state average is $758, and several cities near Houston offer adult day care programs in that price range, such as Texarkana, Beaumont, and San Antonio.

How much does Nursing Home Care Cost in Houston?

Nursing home care is about $1,000 more a month on average than other types of care in Texas. In more populated areas like Houston, which averages $5,095 a month for nursing home care, the costs are $1,000 or more a month more than other areas. Cities like Tyler and Texarkana are around $700 a month less for nursing home care than in Houston.

Usually, nursing home costs are more than assisted living. However, in San Angelo, nursing home care is $4,365 a month on average, which is $85 less than assisted living. In Odesa, nursing home care is only $79 more a month on average than assisted living.

Financial Assistance Programs in Houston

Houston STAR+PLUS Medicaid Waiver Program

The Medicaid waiver for seniors in Texas, called STAR+PLUS, helps low-income adults over age 65 with the costs of senior care by paying for medical services through the provider of their choice. This program’s managed care organizations (MCO) depend on the area in which you’re located – in Houston, the MCOs are United and Cigna-Health Springs.

These programs have some differences, like approved doctors and value-added programs. The state provides a chart to compare plans for those who qualify for Medicaid. Molina joins these plans in providing the STAR+PLUS program to those who are eligible for both Medicaid and Medicare, and there are charts to compare the plans available to those with dual-eligibility.

Medicaid in Texas is an entitlement program, meaning that anyone who qualifies based on age and income will qualify for medical services. Texas Medicaid does not currently provide guaranteed medical coverage for low-income adults without children. To qualify for Medicaid services for elders in Texas, one must:

  • Be age 65 and older, or disabled
  • Have income no greater than $2,250 in 2018 for single adults or $4,500 for a couple
  • Own assets of no more than $2,000 for single adults or $3,000 for a couple
  • Not currently be receiving a Medicaid waiver or frail elderly services

Houston is in the public health region 6/5 South, and the Medicaid office for this region is located at 5425 Polk St, Suite J, Houston, Texas, 77023. You can reach the Harris County Area Agency on Aging at 1-800-213-8471 to apply for medical assistance programs.

Medicaid Buy-In Program

For adults over than 65 that work but need help paying for medical services, there is a Medicaid Buy-In Program. Participants in this program make monthly payments to receive regular Medicaid services like health care and access to waiver programs.

To qualify for this program, monthly income is limited to $2,453 a month, but there are differences in countable income; the first $1,471 of earned income is disregarded, and unearned income is counted only after the first $733. There is also a countable asset cap of $2,000. To apply for the Medicaid Buy-In program, call 1-877-541-7905.

Other Financial Assistance Programs in Houston

Community Care for Aged and Disabled (CCAD)

The Community Care for the Aged and Disabled program provides personal care services for those not living in a nursing home, as well as assistance paying for licensed assisted living facilities. Medicaid income limits apply; individuals may not earn more than $2,250 a month. Applicants may not hold more than $5,000 in liquid assets, or $6,000 for a couple.

Community First Choice (CFC)

The Community First Choice program provides habilitation and personal care services for individuals who require an institutional level of care but choose to remain in their homes. This is a Medicaid entitlement program and so anyone who qualifies for medical services for elders will be able to access this program. Individuals may be enrolled in the STAR+PLUS waiver program and also receive CFC services.

Community Attendant Services (CAS)

For adults aged 60 and over or disabled, there is financial assistance available in paying for personal care services while living at home. The Community Attendant Services program is available to residents who meet age and income requirements for Medicaid, SSI, or other government assistance programs. Applicants must be able to verify their citizenship to qualify.

To apply for any of the Medicaid waivers call the Harris County Area Agency on Aging at 1-800-213-8471.


More Senior Living Resources in Houston


Phone Number


Christian Community Service Center

(713) 871-9741

This organization provides referrals and emergency utility, medical, and food assistance to low-income residents of Houston.

Magnolia Estates

(713) 455-3333

Magnolia Estates is subsidized housing in NE Houston with a range of services for those over the age of 55, including a golf course and a salon.

Cornerstone Village

(281) 580-8004

Cornerstone Village provides 156 HUD subsidized apartments to seniors age 62 and older. There is a waiting list, but they are accepting applications online.

Creekbend Gardens

(713) 272-7717

Creekbend Garden provides 80 subsidized apartments to qualified seniors over age 62. There are elevators, laundry rooms, and you TXn bring your pets if you pay an additional security deposit.

Northvale Village

(281) 880-6144

Northvale Village has subsidized housing for adults over age 62. The rent requirement for subsidized senior apartments is 30% of the resident’s income.

Sagetree Terrace

(281) 440-7000

This property provides subsidized housing to adults over 62 through HUD. Sagetree Terrace will open soon and is currently accepting applications online.

Evening Star Villa

(281) 498-7758

Evening star villa is a low-income seniors apartment complex and a national church residency. They offer activities, a library, have elevators, and central air conditioning.

Primrose at Heritage Park

(832) 249-6290

This senior apartment complex is for those aged 55 and older. There are income requirements and possibly a waiting list.

Cypress Wood Estates

(281) 580-5333

The complex has 88 one and two-bedroom units, a pool, and many other amenities, including a playground for the grandkids. It is Houston’s first “green” building and has won many awards. Applicants must be low income and 55 or older.

Houston Heights Towers

(713) 862-8058

For seniors aged 62 and older with low-income, Houston Heights Towers offers apartments, planned activities, exercise classes, and more.

Villas at Winkler

(713) 910-7774

Villas at Winkler is a Houston-funded public housing project. The Villas provides 234 apartments to low-income seniors over age 55.

2100 Memorial

(713) 587-5000

This is a high-rise public housing apartment for seniors with 196 apartments. This property features a pool, a fitness center, theatre, library, games room, and dining facilities.

Bellerive Apartments

(713) 789-5000

The Bellerive complex has 210 apartments for low-income elders in Houston. The complex features a nurse-call system and security TXmeras. It is close to shopping and provides bi-weekly trips.

Lyerly Apartments

(713) 694-6681

Lyerly apartments in north Houston provide low-income seniors with one and two bedroom units. There are scheduled activities, and games.

Telephone Road

(713) 645-2131

Telephone Road apartments is a public housing complex for seniors with 200 rooms. Each room is equipped with a nurse-call system.

Independence Heights

(713) 699-2846

Managed by the Non-profit Housing Corporation of Greater Houston, this is a complex for very low-income seniors. Residents must be age 62 or older. This house does not provide personal TXre.

Heights House

(713) 880-1441

For low-income elders age 62 or more, Heights House provides activities, exercise, clubs, and a library. Personal TXre services are not provided.

Fulton Gardens

(713) 526-9470

The original Fulton Gardens is for very low-income seniors over age 62. This complex offers an exercise room, computer lab, gated community, coin-op laundry, and scheduled activities.

Fulton Gardens II

(713) 526-9470

Fulton Gardens II features a gated community, coin-op laundry, and scheduled activities. There are no personal TXre services provided. Eligible residents are very low-income and 62 or older.

For additional information and planning, please read our comprehensive guide to paying for senior care in Texas.