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Cost of care · Assisted living

What assisted living costs in Texas — and what the brochure won't tell you.

Assisted living in Texas runs about $5,666/month at the 2025 median. What's included, what costs extra, and the pricing questions to ask — plus free local placement help.

The published Texas numbers

Type of careTexasNationalSource
Assisted living (one-bedroom private unit)$5,666/month · $67,992/year · $186/day$6,200/month (up 5% year-over-year)CareScout 2025
Assisted living — actual amounts paid, incl. care fees (2025 move-ins)$5,458/month median$5,419/month medianA Place for Mom data, per Stacker 2026
Memory care (2025 move-ins)$6,673/month median$6,690/month medianA Place for Mom data, per Stacker 2026
Memory care — current published average~$6,223/month~$6,999/monthA Place for Mom, figures current as of 2026
Independent living (2025 move-ins)$3,550/month median—A Place for Mom data, per Stacker 2026

Medians and averages, not quotes — a community's actual rate for your parent's actual care level can sit well above or below these lines. For honest Permian Basin numbers, call Kendall free at (432) 901-6465.

The Texas number, honestly stated.

The CareScout 2025 survey puts Texas assisted living at a median of $5,666 per month for a one-bedroom private unit — $67,992 a year — ranking Texas 34th of 50 states, below the $6,200 national median (which rose 5% year over year).

A second, differently-measured source lands nearby: A Place for Mom's data reported by Stacker shows Texas families who moved in during 2025 actually paid a median of $5,458 per month, care fees included. Quoted rates and real bills rarely match to the dollar — plan with both in view.

If your parent needs a secured memory care setting, plan meaningfully higher: $6,673/month was the Texas median for 2025 move-ins per the same A Place for Mom data, and A Place for Mom's published figures, current as of 2026, show roughly $6,223/month for Texas against a ~$6,999 national average. And at the lighter end, Texas independent living — apartment life with activities, no hands-on care — ran $3,550/month in the same 2025 move-in data.

What that monthly rate usually includes.

Communities vary, but the base monthly rate typically covers the apartment and the life around it:

  • The private apartment or suite — rent, utilities, and maintenance.
  • Three meals a day plus snacks, in a shared dining room.
  • Housekeeping, laundry, and linen service.
  • Activities, outings, and a social calendar — often the most underrated line item.
  • Staff on site around the clock, and an emergency call system in the room.
  • Scheduled local transportation to appointments and errands.

What usually costs extra — and where budgets get surprised.

The number on the brochure is almost always the base rate. The all-in number your family actually pays depends on your parent's care level — and that's where the surprises live:

  • Personal care — help with bathing, dressing, grooming, and mobility is typically priced as a care level or points tier added to the base rate.
  • Medication management — having the community handle medications is usually its own added fee.
  • The community fee — a one-time move-in charge at most communities. Ask the amount, and ask if it's ever waived.
  • Memory care — a secured wing is its own, higher price point, as the numbers above show.
  • Incontinence care, escorts to meals, and second-person assists — each can add a tier at some communities.
  • Rate increases — annual increases are normal; the size and history of them varies by community and is always worth asking about.

None of this is a reason for alarm — it's a reason to ask for the all-in monthly number for your parent's assessed care level, in writing, before you fall in love with a lobby.

The pricing questions worth asking every community.

  • What's the all-in monthly cost for my parent's assessed care level — not the starting rate?
  • How is care priced — levels, points, or à la carte — and what moves my parent from one tier to the next?
  • What's the community fee, and is it refundable?
  • How often have rates increased in the last few years, and by how much?
  • What happens to the rate if my parent's needs increase — and who decides when they have?
  • What would cause my parent to be asked to move out, and how much notice is given?
  • Is a deposit required to hold an apartment, and is it refundable?
  • Are there move-in specials right now — and what's the catch, honestly?

Kendall asks these questions for a living, tours communities with families, and knows which Permian Basin communities answer them straight. Her placement guidance is free to you — we don't accept referral fees.

How assisted living compares to the alternatives.

One genuinely strange fact of the Texas market: a semi-private nursing home room — $5,627/month at the Texas median (CareScout 2025), the lowest in the nation — actually sits slightly below the Texas assisted living median. That doesn't make a nursing home the right answer; it's a medical setting for medical needs. But it tells you Texas assisted living is priced against unusually inexpensive alternatives here.

Against home care, the crossover math matters most: at the typical $25–$35/hour Texas caregiver range, roughly full-time home care hours cost about what the assisted living median costs — with everything a community includes still on top. Lighter hours at home are far cheaper; around-the-clock needs usually favor a community.

And adult day health care — daytime activities, meals, and supervision at a licensed center — ran $90/day at the Texas median in the CareScout 2025 survey ($1,950/month at five days a week), which can stretch a home-care budget considerably for a working daughter who needs the daytime covered.

Compare: what home care costs in Texas

Why you can trust these numbers — and who to call about yours.

Kendall Warren is a Board Certified Patient Advocate (BCPA) and Certified Senior Advisor (CSA) with more than ten years beside Permian Basin families — including years inside the Texas care market itself, so she knows what the surveys capture and what they miss. Her guidance is free and independent: it costs families nothing, and we don't accept referral fees.

“I walk beside families as if you were my own.” — Kendall Warren, BCPA · CSA

Averages orient you. They don't price your parent's actual situation — the honest local numbers are a free call away: (432) 901-6465.

Questions families ask about the money

Is the price on the community's website what we'll actually pay?

Usually not — websites and brochures show the base rate for rent and services, before care. The all-in number depends on your parent's assessed care level, medication management, and any one-time community fee. Always ask for the total monthly cost for your parent's actual assessment, in writing. Kendall helps families get that straight answer — free.

Does Medicare pay for assisted living?

No — Medicare is health insurance, not long-term care insurance. It doesn't pay for assisted living rent or the daily personal care a community provides. Families cover assisted living with private funds, long-term care insurance, VA benefits for those who served, and in some cases Texas Medicaid waiver programs. This is education, not advice — verify specifics with Medicare.gov, or ask Kendall to walk you through it free.

Can Medicaid help with assisted living in Texas?

Sometimes, in a specific way: Texas's STAR+PLUS waiver can help pay for care services a qualifying person receives in an assisted living setting — not the room-and-board portion — and enrollment is limited, so there can be a waitlist. Eligibility turns on income, assets, and level of need, and the rules change. Verify current details with Texas Health and Human Services (hhs.texas.gov), and see our plain-English money guide for the fuller picture.

Why does a nursing home look cheaper than assisted living in Texas?

Because Texas nursing home rates are the lowest in the nation — $5,627/month at the median for a semi-private room, ranked 50th of 50 states in the CareScout 2025 survey — while Texas assisted living sits mid-pack nationally. They're different products for different needs: a nursing home is a skilled medical setting, usually with a shared room; assisted living is a private residence with support. The right choice is about your parent's needs — and that's exactly the conversation Kendall has with families every week, free.

Where these numbers come from

Every dollar figure on this page is either the typical Texas caregiver range from our family's years in this market, or a published figure from the sources below — never our price, and never a quote.

  • CareScout Cost of Care Survey 2025 — state data tables

    Texas medians for home care, assisted living, nursing homes, adult day health, and private duty nursing. Data collected July–November 2025, published March 2026.

    View the source
  • CareScout 2025 Cost of Care Survey — national results

    National medians and year-over-year changes.

    View the source
  • A Place for Mom data, as reported by Stacker (2026)

    Actual amounts paid by residents who moved into senior living communities during calendar year 2025 — a different basis from CareScout's quoted-rate medians, which is why the two sets differ slightly.

    View the source
  • A Place for Mom — published memory care cost data

    National and state memory care averages, per A Place for Mom's published data, current as of 2026 (A Place for Mom does not print a survey year, so this is the access-date figure).

    View the source
  • Our family's years in the Texas care market

    The $25–$35/hour figure is the typical range for professional caregivers in Texas, drawn from our family's own years operating in this market. It is a typical market range — never our rate. Kendall's guidance is free.

Averages public. Real numbers by call.

The median can't tour a community. Kendall can — with you.

She knows the Permian Basin communities, their real pricing, and the questions that get straight answers. Her placement guidance is free, and the honest local numbers are one call away: (432) 901-6465.

Kendall's guidance is free and independent — you are always free to choose any provider. We don't accept referral fees.