How Much Does Assisted Living Cost in Texas? 2026 Guide
Families comparing assisted living in Texas need a realistic planning number before they can evaluate communities. The latest CareScout Cost of Care Survey reports a 2025 Texas median of $5,666 per month for an assisted living community based on a private one-bedroom unit.
That is a statewide median, not a quote from a particular community. Texas is large, and actual prices vary by metro area, apartment, care level, medication support, and additional fees.
Texas assisted living cost at a glance
| Benchmark | Monthly | Annual |
|---|---|---|
| Texas assisted living median | $5,666 | $67,992 |
| U.S. assisted living median | $6,200 | $74,400 |
CareScout collected the underlying 2025 survey data from July through November 2025. Use these figures as planning benchmarks rather than advertised starting rates.
Why Texas assisted living prices vary
- City and local real-estate and labor costs.
- Private versus shared accommodations.
- Type and size of apartment.
- Help needed with bathing, dressing, toileting, mobility, or meals.
- Medication administration or supervision.
- Memory-related supervision.
- Transportation, laundry, and other optional services.
- Move-in, community, or care-level fees.
Texas Type A and Type B facilities
Texas HHSC licenses assisted living facilities based partly on residents’ ability to evacuate and whether they need nighttime attendance. Type A facilities serve residents who do not require routine attendance during sleeping hours and can follow emergency directions. Type B facilities can serve residents who need staff assistance to evacuate, cannot follow emergency directions, or require nighttime attendance.
That distinction matters when comparing price because the right facility must be able to meet the resident’s actual needs, not merely fit the budget.
What should you ask for in a price quote?
Ask each community for a written all-in estimate after it evaluates the prospective resident. Request separate figures for base rent, care-level charges, medication fees, one-time fees, and optional services.
Also ask what would trigger a higher care tier and how rate increases are communicated.
Does Medicare pay for assisted living?
Medicare generally does not pay for long-term custodial care or the ongoing room-and-board cost of assisted living. It may still cover otherwise eligible medical services.
Can Texas Medicaid help?
Texas Medicaid’s STAR+PLUS Home and Community Based Services program can include assisted living for eligible members who meet program requirements. Texas states that assisted living members remain responsible for room and board and, when applicable, a copayment.
See our Texas Medicaid and assisted living guide for details.
How to compare Texas communities
Price should be considered together with licensure type, services, staffing, inspection history, location, and how the community would handle increasing needs. Our guide to choosing assisted living in Texas explains the selection process.
Explore assisted living in Texas
Nursing Home Placement maintains a Texas senior care directory. Directory inclusion is not an endorsement and does not guarantee current pricing, licensing status, services, Medicaid participation, or availability.
Frequently asked questions
How much does assisted living cost in Texas in 2026?
The latest CareScout survey reports a 2025 Texas median of $5,666 per month for a private one-bedroom assisted living unit. Actual 2026 community quotes vary.
Is Texas assisted living cheaper than the national median?
In CareScout’s 2025 data, Texas’s $5,666 monthly median was below the $6,200 national median.
Does Texas Medicaid pay the full assisted living bill?
No. STAR+PLUS HCBS can cover authorized assisted living services for eligible members, but Texas states members are responsible for room and board and applicable copayments.
For statewide context across Texas care settings, licensing, costs, Medicaid, and how the pieces fit together, see Senior Care in Texas: A Complete Guide for Families.
Sources and further reading
- CareScout — 2025 Cost of Care Survey
- Texas HHSC — Assisted Living Facilities
- Texas HHSC — STAR+PLUS
- Medicare — Long-term Care
Last reviewed September 2026. Cost figures are planning benchmarks, not facility quotes.
