Houston is the largest city in Texas, making it home to a variety of senior care options, including nursing homes, which is commonly used as a blanket term to refer to a breadth of senior living facilities. However, nursing homes are actually a specific type of facility that only provide skilled nursing care — the highest level of medical care available outside of a hospital. These skilled nursing homes or units are for individuals requiring 24-hour medical observation or rehabilitative services. If your loved one doesn’t require the 24/7 skilled nursing care provided in a nursing home or skilled nursing unit and only needs personal care services, they may instead benefit from an assisted living community.
Many assisted living and memory care communities also offer skilled nursing services on-site, in the event of resident illness, hospice, or recovery after a medical procedure. A Place for Mom partners with 35 assisted living and memory care facilities within a 10-mile radius of downtown Houston. These communities offer supportive services for seniors, including assistance with activities of daily living, medication reminders, dining plans, social programming, and other services to support continued health and well-being. This guide includes details on those partner communities as well as hyperlocal care resources specifically for Houston’s senior population.
It is apparent they genuinely care about their residents. They strive to meet all of their needs: physical, emotional, and social. Offering options for most meals would be helpful.
This facility has been excellent for my husband. They keep it clean. They keep him clean. He's had no bed sores. The rooms are clean every time you come in there are no issues at all 100% recommend.
It's been great. The food is more home based. It's excellent, healthy and smells delicious. They have a home-style kitchen and tables. My loved one is out of the room and interacting with others. The value...
My grandmother-in-law was only at Cottage Grove Living for about a month, but during that time. We found the community to be a wonderful place, and she was very happy there. The staff and the owners were...
[name removed] and [name removed] are very capable and have a passion about serving the residents. They inspire the staff to excellence. The care is very intensive, so I am sure that it is expensive. It...
The staff is lovely and responsive to resident needs. The facility is clean and nicely updated. My mother feels right at home there!
The staff and caregivers at the facility were very good. They came properly when called and tried to meet the needs of the patients. I would definitely recommend Cypress assisted living to others looking...
We love Avalon Memory Care!! Very professional, very happy care staff and they super knowledgeable in what they do!! Highly suggest and recommend!! Avalon Memory care is clean and safe environment!!!
Thanks to A Place for Mom, my mom has a great place to stay and they did it for her very quickly in a crunch. Thank you so very much! It took mom some getting used to at first, but she really likes it there...
My dad was actually the first client to move in. He has been there about 6 weeks and this place has been nothing short of a huge blessing to my family. The caregivers have been so very attentive and loving...
My mom was at The Cottages for 6 months before she passed away last July. We couldn’t have found a better place for her. She had advanced dementia that my father and I had been dealing with for about two...
I am [name removed] when I signed up for this great place the Dolliver of Tanglewood when I came this place gave me the upmost respect you would love this place. The people are great. The staff are great the...
My father moved from Austin to Treemont Health Care Center a little over a year ago in order to be closer to family after living alone and experiencing health issues. My sisters and I knew it would be a...
It's expensive for sure. The staff and food quality have gone down in recent months. The nursing supervisors in the assisted living area are very good and responsive. There is a lot of turnover in aides...
Heritage of Meyerland is a good facility for a fair price. It is exactly what my loved one needs at this time. The room she has in memory care is a perfect size for what she needs. It has a private...
My loved one was previously a resident at Windermere Estates Senior Living and the overall experience was great. Our biggest issue was with medication dispense and finding out what we needed to get a...
The Faith component is helpful and good. It has been adequate helping us deal with a challenging situation and I am generally pleased.
It was a really nice experience. The Village of River Oaks gave us peace of mind and the ability to sleep at night knowing our loved one was being taken care of. When you get down to it, everything is...
Mother doesn’t always know us or who is doing the visiting but when we visit her in Colonial Oaks she says “You have a very nice home.” Not only is the environment clean and homelike but she’s so well cared...
It was a little bit of a rocky start in the beginning but the friendliness of the staff members have been very good. We assume the meals are great because our loved one has gained a decent amount of weight....
They don't know how to make beds! They don't deliver Amazon or open the boxes when asked Burnt toast for breakfast Food can be slow coming to table or waited 20 minutes after order then said they can't do...
Eventhough it did not work out for my loved one at Avalon Memory Care, it was not the fault of Avalon. It just wasn't a good fit for my loved one and she expressed that she was not happy there. She was on...
Very friendly welcoming staff, availability of double room ultimately caused this selection. I would recommend with conditions. My loved one has been forgotten in her wheelchair three times and response...
We developed a proprietary recommendation system that orders Houston community options based on factors we know are important to seniors and their families:
We collect proprietary data from our network of 14,000+ senior living communities in the U.S., with regular refreshes of data and information
We have 387,000+ reviews from senior living residents and family members that provide first-hand accounts about senior living communities
Houston nursing homes or skilled nursing facilities typically have increased costs due to the higher level of medical observation residents receive. However, pricing can still vary based on location, provided services, and your loved one’s specific care needs. Additionally, if your senior loved one doesn’t require 24-hour skilled nursing care, you can save a significant amount of money by opting for an assisted living or memory care facility — where they’ll still receive care services, like assistance with activities of daily living, medication management, and some basic skilled nursing services.
Take a look at the average costs of Houston nursing homes versus assisted living and memory care communities:
Nursing homes
Assisted living communities
Memory care communities
Seniors and families can pay for Houston nursing homes and senior care facilities using a combination of private pay methods and public pay options. Below, you’ll find several options and resources to help you understand how to pay for nursing home and senior care facilities.
Private pay methods will depend on your loved one’s income sources. Sources may include a combination of investment returns, Social Security benefits, pensions, and savings accounts. Other options may include the following:
Note: Texas is one of the few U.S. states without personal income tax, saving seniors from paying taxes on their Social Security benefits and other retirement income.[03,04]
Houston is in Harris County, which is known for having the highest veteran population in Texas. To advise and assist this large number of veterans, Houston offers a number of veterans programs, services, and clinics. The city even has a VA nursing home — Richard A. Anderson Texas State Veterans Home — for qualifying veterans to receive affordable, long-term skilled nursing care within an environment designed to accommodate their unique needs.
If a veteran qualifies for a VA pension, they can use those funds to pay for a senior care facility of their choice. Senior and/or disabled veterans that are enrolled in VA health care may also qualify for the Aid and Attendance benefit, which provides additional funds that can be used to defray senior living costs. The following local resources serve Houston’s veteran population and can help your loved one access their eligible benefits.
Number of veterans who live in Houston, according to the U.S. Census Bureau
Percentage of Houston veterans age 65+, according to the U.S. Census Bureau
Resources for Houston veterans
The Harris County Veterans Services Department advocates for veterans and their families by offering assistance with compensation, pension, medical, educational, insurance, and burial benefits.
2929 McKinney St.
Houston, TX 77003
Phone: 281-876-6600
Email: vsdinfo@harriscountytx.gov
Veterans Affairs Houston Regional Office website
6900 Almeda Road
Houston, TX 77030
Hours: Monday through Friday, 7:30 a.m. – 4 p.m.
Amazing Soldiers, Inc. is a Houston nonprofit dedicated to providing resources and reliable services to veterans in need of support or assistance.
3880 Greenhouse Road, Suite 409
Houston, TX 77084
Phone: 346-900-4551
Email: amazingsoldiers16@gmail.com
The Texas Veterans Commission advocates for Texas veterans and their families and surviving spouses. They offer eight programs dedicated to helping veterans obtain benefits, file claims, and more.
Medicaid is a joint state and federal program that provides health insurance to individuals with limited income and resources. The Texas Health and Human Services Commission (also known as the HHSC or HHS) is the agency that runs the state’s Medicaid programs. The HHSC offers a number of programs through their local area agencies on aging (also known as AAAs) for seniors 60+, as well as other long-term care programs for low-income seniors. Texas also offers specific Medicaid programs for disabled seniors.
Houston seniors with Medicaid typically receive their coverage through the STAR+PLUS managed care program for 65+ adults and individuals with disabilities. The STAR+PLUS program covers some basic health care services and some skilled nursing services through agencies that have been licensed and certified by Texas Health and Human Services. To receive Medicaid within a nursing facility, residents must have an approved medical necessity, confirming that full-time services are required from a licensed nurse within a nursing facility.
If your loved one requires medically necessary care but would prefer to stay out of an institutional, stand-alone nursing home or skilled nursing unit, they may benefit from Medicaid’s Home and Community Based Services (or HCBS) waiver program. This waiver program can be used to pay for home health care services in the senior’s place of residence. The place of residence can include assisted living and memory care facilities as long as the facility is contracted by a Medicaid-managed care provider. This enables seniors to receive care within a setting of their choice, as opposed to an institutional setting. Texas Health and Human Services assesses an individual’s need for the HCBS program when they apply for Medicaid.
The Home and Community Based Services (or HCBS) waiver program can help cover the following:
To qualify for the Home and Community Based Services waiver, seniors must meet the following requirements:
Note: Not all Houston senior living facilities qualify as an HCBS setting under Medicaid. Qualifying facilities must be integrated into a greater community and provide opportunities for interested residents to seek work or volunteer, engage in local community life, control their personal resources, and receive services within the community. Check with your prospective community if you plan to use Medicaid to pay for care services.
There are many Medicaid resources throughout Houston. Below, you’ll find a few websites that can connect you to nearby offices for assistance with Medicaid applications and services. You’ll also find FAQs and an online application form.
Houston resident Medicaid resources
The Your Texas Benefits search tool and the HHSC services search tool can help you find an HHSC Medicaid benefits office near you.
You can apply for Medicaid online through the Your Texas Benefits website.
Find answers to questions about your Medicaid benefits.
Medicare is a federal health insurance program for adults 65+ and individuals with disabilities. It covers skilled nursing care costs for a limited time. In the state of Texas, Medicare may fully cover up to 20 days in a nursing home or skilled nursing facility and partially cover up to 100 days. After the 100-day limit, Medicare is no longer responsible for any payments.[07]
If your loved one doesn’t require a nursing home level of medical care, Medicare will only help cover some associated medical care costs. The following programs can help your loved one save on Medicare costs and help them apply for benefits:
Below, you’ll find Houston Medicare resources, including local agencies, applications, and more, to help you learn about benefits and apply for them.
Houston resident Medicare resources
You can apply for Medicare benefits through the Social Security Administration website.
This Medicare Savings Program PDF gives you the application as well as directions on how to apply. You can print the PDF or request a paper form by mail.
Use this Social Security Office Locator to find your local Social Security office in Houston.
A local long-term care ombudsman advocates for residents’ rights in assisted living, memory care, and skilled nursing facilities, in addition to helping families learn about their senior care options and payment methods.
Greg Shelley, Harris County Long-Term Care Ombudsman
6901 Bertner Ave., Suite 624
Houston, TX 77030
Phone: 715-500-9930
Email: Gregory.K.Shelley@uth.tmc.edu
The Harris County Area Agency on Aging is a part of the nationwide Aging Network, and it coordinates support services for adults 60+ and their caregivers.
Phone: 832-393-4301
Email: aging@houstontx.gov
Texas enables its Medicare- and Medicaid-qualifying residents to receive dual coverage through one joint Medicare-Medicaid Plan (MMP) called the Dual Eligible Integrated Care Demonstration Project, commonly referred to as “the Demonstration.” With the Demonstration, the state of Texas aims to improve service coordination, enhance quality of care, eliminate cost shifting between Medicare and Medicaid, and reduce costs for the state and federal government.
To qualify for the Demonstration, seniors must meet the following eligibility requirements:
If your loved one qualifies for dual coverage, they should be automatically enrolled and may choose to opt out of the Demonstration after they’ve been notified through a letter in the mail. For additional information on the Demonstration, you can email Managed_Care_Initiatives@hhsc.state.tx.us.
In the state of Texas, all assisted living, memory care, and skilled nursing homes must be licensed and regulated by the Texas Health and Human Services Commission (also known as the HHSC or HHS) before providing housing and care services to residents. Additionally, if a nursing home or senior care facility wishes to accept Medicaid or Medicare, it must be certified to do so by the HHSC. Below, you’ll find a summarized list of HHSC certification requirements for nursing homes and senior care facilities in Texas:
Texas Health and Human Services performs inspections on all skilled nursing, assisted living, and memory care facilities. These inspections are done approximately every two years and check for a facility’s compliance with the life safety code, physical plant requirements, and health code requirements.[18] The health code and life safety code include a survey of the following in nursing homes and senior care facilities:
Families can access a licensed community’s most recent inspection report and general facility information through the Texas Health and Human Services Long-term Care Provider Search. You can also email RSLTCR.RecordsMgmt@hhsc.state.tx.us to request any information not found on the site.
In an effort to continually enhance the quality of care provided in Texas nursing homes, the Texas Health and Human Services Commission implemented a new Quality Monitoring Program (QMP) to monitor nursing facilities with a history of resident-care deficiencies. These QMPs are conducted by nurses, pharmacists, and dieticians. During their inspections, they may recommend the following:
Another inspection effort, called the Nursing Facility Quality Review, was spearheaded by the former Department of Aging and Disability Services and the University of Texas at Austin School of Nursing. These reviews were conducted every few years to identify problem areas and provide solutions in Medicaid-certified nursing facilities across the state. The primary goal was to assess clinical topics related to resident care, review medication management, and evaluate residents’ satisfaction with quality of care and quality of life within the facility. The most recent available report was published by the HHSC in 2017.
Families can also visit the federal Medicare website to compare and contrast ratings, staffing practices, and overall quality of Medicare- and Medicaid-certified nursing homes.
Texas Health and Human Services Commission (HHS or HHSC) contact information
4601 W. Guadalupe St.
Austin, TX 78751
Phone: 512-424-6500
Hours: Monday through Friday, 8 a.m. – 5 p.m.
Houston senior care facilities are required to develop their own policies and procedures for COVID-19 infection control practices — including masking, social distancing, and protocols for the use of additional personal protective equipment (PPE). Texas Health and Human Services provides a nursing facility COVID-19 response plan to keep nursing facilities safe. Here are some of those COVID-19 guidelines in place for Texas senior care facilities:
Vaccinations. COVID-19 vaccines aren’t mandatory for residents or visitors.
Masking. Visitors, staff, and residents aren’t required to wear masks unless indicated in the facility’s infection control policies and procedures.
Facility cleanliness. Surfaces must be disinfected often, alcohol-based hand sanitizers must be made available in common areas, and sinks must be well-stocked with soap and paper towels.
Staff safety. Staff must wear personal protective equipment when necessary and follow infection control policies and procedures during an outbreak.
CDC guidelines. Screen visitors and staff for a positive COVID-19 test result and symptoms when necessary. Develop an infection prevention and control program to prevent the spread of infection.
Social distancing. Resident visitors are allowed on-site, as it’s a Texas resident’s right, however, they must follow social distancing guidelines set forth by the facility.
As a home to over 270,000 seniors, Houston is home to the largest senior population in Texas. The senior population has grown by over 40% within the last 10 years and is projected to continue increasing. To accommodate the aging population, the senior living scene has evolved to include a variety of options dedicated to addressing the modern senior’s unique needs. Read on for an overview of some unique senior living features in Houston.
All of our partnered Houston assisted living and memory care facilities provide 24-hour supervision to ensure residents’ needs, premeditated and unprecedented, are met.[02] A majority of communities have an on-call doctor and visiting health care professionals — including dentists, nurses, podiatrists, and rehabilitation therapists. Note, that these visits are covered by Medicare only when deemed medically necessary. All of our partner assisted living communities offer some on-site nursing services, like medication management, hospice care, and medical rehabilitation. Meaning, a resident can receive skilled nursing care from the comfort of their own room or apartment in the community, if ever required.
Over a third of our partners have an activity director on-site to help keep residents active.[19] These directors create a calendar of activities filled with fitness classes, social events, brain games, and other events catered to residents’ interests. All of our partner senior care facilities enable residents to enjoy community amenities at their leisure. On-site amenities of our partner Houston senior care communities often include the following:
Additionally, seniors looking for off-site activities and other services can benefit from the concierge services available at many of our partnering communities.
To help ensure resident safety, many of our partnering senior care facilities in Houston take extensive security measures. Several communities offer enclosed courtyards, secure walking paths, clearly marked exits, directional signs, and other supportive safety features. Senior care facilities also monitor entrances and exits, have 24-hour surveillance, and take a variety of other security measures. Some of these facilities are even designed to accommodate residents with Alzheimer’s or other forms of dementia and include specialized security features, like wander prevention systems and resident call systems.
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Number of seniors over the age of 65 currently living in Houston, according to the U.S. Census Bureau
Percentage of Houston seniors 65 and older who aren’t currently in the workforce, according to the U.S. Census Bureau
Median annual retirement income for Houston seniors 65 and older, according to the U.S. Census Bureau
When it comes to health care, Houston seniors are in luck. The city offers a wealth of health care options throughout the city. Houston houses the nation’s top cancer center, top state hospital, and two nationally ranked hospitals.
Houston Methodist Hospital is the No. 1 hospital in the state of Texas and Houston, according to U.S. News and World Report. It nationally ranks in 10 specialties, including No. 22 for geriatrics, No. 15 for neurology, and No. 11 for orthopedics.
Baylor St. Luke’s Medical Center is the No.2 hospital in Houston, according to U.S. News and World Report. It nationally ranks in six specialties, including No. 43 in geriatrics.
MD Anderson is the No. 1 cancer center in the country, according to U.S. News and World Report. It’s the largest cancer center in the U.S. and is nationally ranked in geriatrics, diabetes, and urology.
Michael E. DeBakey is one of the most popular veteran hospitals in Texas. It is known for providing a wide range of health, legal, and caregiver services.
Public transportation is often the least favored option among senior residents in senior care facilities, as it isn’t the most practical option in Houston. As a safe alternative, 87% of our partner senior care facilities — namely, assisted living and memory care facilities — provide complimentary or at-cost transportation options to and from medical appointments, errands, and some off-site activities.
If a facility doesn’t offer transportation options, seniors on the more independent side may consider using the local RIDES program. This program is for qualifying Harris County residents, meaning 65+ adults or individuals with disabilities who cannot access public transportation options through METRO — Harris County’s public transit system.
Houston has become a cultural melting pot in the South, making it home to an abundance of shops, restaurants, and activities. Luckily, Houston offers a range of activities for seniors of all mobility levels. Many senior living facilities will even arrange group outings to nearby parks, museums, restaurants, and other places of interest to residents.
Cinco Ranch Alzheimer's Special Care Center, Atria Westchase and The Solana Vintage Park are the top-rated Nursing Homes facilities near Houston, TX. These Nursing Homes facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Nursing Homes in Houston is $4,866 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Views -> Challenger -> By Care type answer 3
Genworth. (2021). Cost of care survey.
A Place for Mom. (2022). A Place for Mom proprietary data.
TurboTax. (2022, December 1). States with the lowest taxes and the highest taxes.
Fritts, J. (2020, August 9). Does your state tax social security benefits? Tax Foundation.
Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.
Texas Health and Human Services. (2016, March 1). A-3300, Home and Community-Based Services waiver programs. Medicaid for the Elderly and People with Disabilities Handbook.
Texas Health and Human Services. (2022). H-7000, Medicare and co-payment. Medicaid for the Elderly and People with Disabilities Handbook.
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.801 (1999 & rev. 2020).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.259 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.307 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1001 (1995 & rev. 2022).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.253 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.301 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.303 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1701 (1996 & rev. 2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.2208 (1995 & rev. 2020).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.309 (2021).
Assisted Living Facility Licensing Act, Health Facilities § 247.001 (1991 & rev. 1999).
Texas Health and Human Services. (2022, July 27). Screening of staff and visitors entering nursing facilities to continue.
United States Census Bureau. (2021). Population 65 years and over in the United States (S0103) [Data Set]. American Community Survey.
United States Census Bureau. (2021). Veteran status (S2101) [Data Set]. American Community Survey.
Ask an A Place for Mom local advisor at no cost.
Genworth. (2021). Cost of care survey.
A Place for Mom. (2022). A Place for Mom proprietary data.
TurboTax. (2022, December 1). States with the lowest taxes and the highest taxes.
Fritts, J. (2020, August 9). Does your state tax social security benefits? Tax Foundation.
Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.
Texas Health and Human Services. (2016, March 1). A-3300, Home and Community-Based Services waiver programs. Medicaid for the Elderly and People with Disabilities Handbook.
Texas Health and Human Services. (2022). H-7000, Medicare and co-payment. Medicaid for the Elderly and People with Disabilities Handbook.
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.801 (1999 & rev. 2020).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.259 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.307 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1001 (1995 & rev. 2022).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.253 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.301 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.303 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1701 (1996 & rev. 2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.2208 (1995 & rev. 2020).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.309 (2021).
Assisted Living Facility Licensing Act, Health Facilities § 247.001 (1991 & rev. 1999).
Texas Health and Human Services. (2022, July 27). Screening of staff and visitors entering nursing facilities to continue.
United States Census Bureau. (2021). Population 65 years and over in the United States (S0103) [Data Set]. American Community Survey.
United States Census Bureau. (2021). Veteran status (S2101) [Data Set]. American Community Survey.