Art Of Living Texas
- Senior Living //
- Assisted Living //
- Texas
Average Monthly Costs
States near Texas
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Texas as $4,146. This places Texas on the higher end of the scale at about $100 over the national average, and about $200 higher than the median cost of assisted living in nearby states.
Compare Monthly Care Costs
When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.
Average Monthly Costs
Cities in Texas
$5,671.00 Austin, Round Rock
$4,753.00 Dallas, Fort Worth, Arlington
$4,428.00 Killeen, Temple
$4,425.00 Mc Allen, Edinburg, Mission
$4,365.00 College Station, Bryan
$4,343.00 San Antonio, New Braunfels
$4,261.00 Beaumont, Port Arthur
$4,221.00 Houston, The Woodlands, Sugar Land
$4,036.00 Sherman, Denison
$3,793.00 Brownsville, Harlingen
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Texas. For example, assisted living rates in areas such as San Angelo are at least $700 more than the state average of $4,146, but in areas like Longview, you're saving on average $800. The most affordable region in Texas for assisted living is El Paso at $2,458.
The STAR+PLUS waiver is a statewide Texas program that offers a variety of assistance services to keep seniors in their homes or assisted living communities. Financial assistance is provided to lower the cost to Medicaid by reducing the use of nursing homes. STAR+PLUS services are provided through managed care organizations (MCO), and waivers are limited, so there is the possibility of being wait-listed.
Who Is Eligible?
Eligible seniors must be Texas residents, must be 65 years or older, and must require a nursing facility level of care. Applicants must also fall below the monthly income limit of $2,250 and asset limit of $2,000 for individuals.
How to Apply
Applications for the STAR+PLUS waiver must be submitted online.
Community First Choice is a Medicaid entitlement program that is available to everyone who is eligible with no waiting list. This is a self-directed program that provides care to elderly Texans by a personal care assistant of their choice. Although this program does not pay for room and board, it can help offset other costs to make assisted living a more affordable option.
Who is Eligible?
Applicants must require help with daily tasks that meet the level of care provided at a nursing home. As CFC is a Medicaid program, applicants must also qualify for Medicaid.
How to Apply
Applications must be submitted online.
Texas seniors can also take advantage of the many non-profit and government-funded organizations available to assist them:
Texas Area Agencies on Aging
There are 28 Area Agencies on Aging (AAA) offices in the state of Texas who offer support and information to seniors over the age of 60. Low-income seniors are the main focus for the AAA, which provides a variety of services, including:
- Legal assistance and information
- Care coordination
- In-home support services
- Service referrals
- Nutrition services
- Caregiver support services
Alamo & Bexar Area Agencies on Aging
8700 Tesoro Dr. Suite 160, San Antonio, TX 78217
(210) 477-3275; (866) 231-4922
AAA Ark-Tex Region
4808 Elizabeth St, Texarkana, TX 75503
(903) 832-8636
Brazos Valley Area Agency on Aging
3991 E. 29th, Bryan, TX 77802
(979) 595-2800
Capital AAA
6800 Burleson Road, Building 310, Suite 165, Austin, TX 78744
(512) 916-6000
Central Texas AAA
2180 N. Main St., Belton, TX 76513
(855) 937-2372; (800) 447-7169
Coastal Bend AAA
2910 Leopard Street, Corpus Christi, TX 78408-3614
(361) 883-3935; (800) 252-9240
Area Agency on Aging of the Concho Valley
2801 W. Loop 306, Suite A, San Angelo, TX 76904
(325) 223-5704; (877) 944-9666
Dallas County AAA
1341 W. Mockingbird Lane, Suite 1000W, Dallas, TX 75247
(214) 871-5065
Deep East Texas AAA
(800) 256-6848 ext. 5305
(409) 384-5704 ext. 5305
East Texas AAA
(800) 442-8845
(903) 984-8641
Golden Crescent AAA
1908 N. Laurent, Suite 600, Victoria, TX 77901
(361) 578-1587
Harris County AAA
8000 N Stadium Drive 3rd floor, Houston, TX 77054
(832) 393-4301
Heart of Texas Council of Governments
1514 S. New Road, Waco, TX 76711
(254) 292-1800
Houston-Galveston AAA
3555 Timmons, Suite 120, Houston, TX 77027
(800) 437-7396; (713) 627-3200
Lower Rio Grande Valley AAA
301 W Railroad - Building D, Weslaco, TX 78596
(956) 682-3481; (800) 365-6131
Middle Rio Grande AAA
307 W. Nopal, Carrizo Springs, TX 78834
(830) 876-3533
North Central Texas AAA
616 Six Flags Drive, Arlington, TX 76011
(800) 272-3921
Panhandle AAA
415 Southwest Eighth Avenue, Amarillo, TX 79105
(806) 372-3381
Permian Basin AAA
2910 LaForce Blvd., Midland International Air & Space Port, Midland, TX 79711-0660
(432) 563-1061; (800) 491-4636
Rio Grande AAA
8037 Lockheed, Suite 100, El Paso, TX 79925
(915) 533-0998
Southeast Texas AAA
2210 Eastex Freeway, Beaumont, TX 77703
(409) 924-3391; (855) 937-2372
South Plains AAA
1323 58th Street, Lubbock, TX 79412
(806) 762-8721; (800) 858-1809
South Texas AAA
1002 Dicky Lane, Laredo, TX 78043
(800) 292-5426; (956) 722-3995
Tarrant County AAA
1500 N. Main, Ste. 200, Fort Worth, TX 76164-0448
(817) 258-8000
Texoma AAA
(903) 813-3505
West Central Texas AAA
3702 Loop 322, Abilene, TX 79602
(800) 928-2262; (325) 793-8417
Elderly veterans have access to local VA centers that can provide them with resources to aid in the search and financing of senior care. Case managers assess eligibility and help seniors and their families navigate the government programs available for those who have served in the armed forces.
A full list of Texas VA offices along with their contact information can be found on the Texas Veteran's Commission's website.
Abilene Vet Center
3564 N. 6th St., Abilene, TX 79603
(325) 232-7925
Amarillo Vet Center
3414 Olsen Blvd. Suite E, Amarillo, TX 79109
(806) 354-9779
Austin Vet Center
2015 S. I.H. 35, Southcliff Bldg, Suite 101, Austin, TX 78741
(512) 416-1314
Beaumont Vet Center
990 IH10 North, Suite 180, Beaumont, TX 77702
(409) 347-0124
Corpus Christi Vet Center
4646 Corona Suite 250, Corpus Christi, TX 78411
(361) 854-9961
Dallas Vet Center
8610 Greenville Ave., Suite 125, Dallas, TX 75243
(214) 361-5896
RCS Continental District 4, Zone 2 District Office
4500 S. Lancaster Rd. Building 69, Dallas, TX 75216
(214) 857-1254
El Paso Vet Center
1155 Westmoreland Suite 121, El Paso, TX 79925
(915) 772-0013
Killeen Vet Center
302 Millers Crossing, Suite #4, Harker Heights, TX 76548
(254) 953-7100; (877) 927-8387
Houston Southwest Vet Center
10103 Fondren Road, Suite 470, Houston, TX 77096
(713) 523-0884
Houston Vet Center
14300 Cornerstone Village Dr., Suite 110, Houston, TX 77014
(281) 537-7812
Houston West Vet Center
701 N. Post Oak Road Suite 102, Houston, TX 77024
(713) 682-2288
Laredo Vet Center
6999 McPherson Road Suite 102, Laredo, TX 78041
(956) 723-4680
Lubbock Vet Center
3106 50th St, Suite 400, Lubbock, TX 79413
(806) 792-9782
McAllen Vet Center
2108 S M Street, MedPoint Plaza, Unit 2, McAllen, TX 78503
(956) 631-2147
Mesquite Vet Center
502 West Kearney, Suite 300, Mesquite, TX 75149
(972) 288-8030
Midland Vet Center
4400 N. Midland Drive, Suite 540, Midland, TX 79707
(432) 697-8222
Arlington Vet Center
3337 West Pioneer Parkway, Pantego, TX 76013
(817) 274-0981
San Antonio Northeast Vet Center
9504 IH 35 N, Suite 214, San Antonio, TX 78233
(210) 6650-0422; (877) 927-8387
San Antonio Northwest Vet Center
9910 W Loop 1604 N, Suite 126, San Antonio, TX 78254
(210) 688-0606; (877) 927-8387
Fort Worth Vet Center
6620 Hawk Creek Avenue, Westworth Village, TX 76114
(817) 921-9095; (877) 927-8387
The Social Security Administration is another government program designed to assist the elderly in accessing federal resources. Seniors can visit their local Social Security office to get an explanation of their benefits and information about Social Security programs they may be eligible for.
Abilene Social Security Office
1202 E South 11th St, Abilene, TX 79602
1-8877-607-9525
Alice Social Security Office
1000 Medical Ctr Blvd, Alice, TX 78332
1-888-388-8744
Amarillo Social Security Office
4750 Canyon Dr, Amarillo, TX 79109
1-888-221-1113
Angleton Social Security Office
2921 N Valderas St, Angleton, TX 77515
1-866-338-2940
Austin Social Security Office
1029 Camino La Costa, Austin, TX 78752
1-866-627-6991
Balch Springs Social Security Office
2300 Dunson Dr, Balch Springs, TX 75180
1-800-772-1213
Beaumont Social Security Office
8455 Dishman Rd, Beaumont, TX 77713
1-866-613-2864
Big Spring Social Security Office
2006 East Fm 700, Big Spring, TX 79720
1-888-748-2018
Brenham Social Security Office
2901 Victory Ln, Brenham, TX 77833
1-855-287-4792
Brownsville Social Security Office
3115 Central Blvd, Brownsville, TX 78520
1-866-964-6486
Bryan Social Security Office
2120 W Briargate Dr, Bryan, TX 77802
1-866-568-9428
Cleburne Social Security Office
1711 W. Henderson, Cleburne, TX 76033
1-866-227-1616
Conroe Social Security Office
600 Sgt Ed Holcomb Blvd, Conroe, TX 77304
1-866-614-0032
Corpus Christi Social Security Office
3801 S Port Ave, Corpus Christi, TX 78415
1-866-613-2859
Corsicana Social Security Office
221 S 45th Street, Corsicana, TX 75110
1-888-456-9551
Dallas Social Security Office 75231
10824 N. Central Expwy, Dallas, TX 75231
1-800-772-1213
Dallas Social Security Office 75237
2475 Cliff Creek Crossing, Dallas, TX 75237
1-800-772-1213
Dallas Social Security Office 75215
2530 S Malcolm X Blvd, Dallas, TX 75215
1-800-772-1213
Denton Social Security Office
2201 Colorado Blvd, Denton, TX 76205
1-888-717-1530
Eagle Pass Social Security Office
406 South Texas Drive, Eagle Pass, TX 78852
1-888-862-4864
Early Social Security Office
300 Early Blvd, Early, TX 76802
1-877-405-3630
El Paso Social Security Office
600 Texas Ave, El Paso, TX 79901
1-866-964-6229
El Paso Social Security Office
11111 Gateway West, El Paso, TX 79935
1-866-563-9310
Fort Worth Social Security Office
819 Taylor St, Fort Worth, TX 76102
1-800-772-1213
Fort Worth Social Security Office
2901 Altamesa Blvd, Fort Worth, TX 76133
1-800-772-1213
Georgetown Social Security Office
104 Parkview Dr, Georgetown, TX 78626
1-877-531-4699
Grand Prairie Social Security Office
2010 N State Hwy 360, Grand Prairie, TX 75050
1-800-772-1213
Greenville Social Security Office
2717 Terrell Road, Greenville, TX 75402
1-888-306-3534
Harlingen Social Security Office
2005 W Jefferson Ave, Harlingen, TX 78550
1-866-931-7075
Houston Social Security Office
16200 Dillard Dr, Houston, TX 77040
1-800-772-1213
Houston Social Security Office
5414 Aldine Mail Rd, Houston, TX 77039
1-800-772-1213
Houston Social Security Office
8989 Lakes At 610 Dr, Houston, TX 77054
1-800-772-1213
Houston Social Security Office
10703 Stancliff Rd, Houston, TX 77099
1-800-772-1213
Kerrville Social Security Office
1060 Guadalupe St, Kerrville, TX 78028
1-877-895-0043
Laredo Social Security Office
215 Calle Del Norte, Laredo, TX 78041
1-866-704-4857
League City Social Security Office
2835 Gulf Frwy South, League City, TX 77573
1-866-299-3254
Longview Social Security Office
611 Clinic Dr, Longview, TX 75605
1-888-617-0455
Lubbock Social Security Office
5825 16th St, Lubbock, TX 79416
1-866-467-0460
Lufkin Social Security Office
702 East Denman, Lufkin, TX 75901
1-877-407-3442
Marshall Social Security Office
1509 Sedberry St, Marshall, TX 75670
1-800-772-1213
Mcallen Social Security Office
3004 N Mccoll Rd, Mcallen, TX 78501
1-855-886-9628
Mckinney Social Security Office
3250 Craig Dr, Mckinney, TX 75070
1-866-931-2731
Mount Pleasant Social Security Office
2304 W Ferguson Rd, Mount Pleasant, TX 75455
1-877-701-2138
Odessa Social Security Office
2015 E 37th St, Odessa, TX 79762
1-866-404-1866
Palestine Social Security Office
215 Medical Dr, Palestine, TX 75801
1-866-495-0089
Pampa Social Security Office
2333 N Hobart, Pampa, TX 79065
1-877-897-0603
Paris Social Security Office
2805 Pine Mill Rd, Paris, TX 75460
1-888-619-4772
Pasadena Social Security Office
3300 Watters Rd, Pasadena, TX 77504
1-800-772-1213
Plainview Social Security Office
400 S Garland, Plainview, TX 79072
1-888-389-2571
Port Arthur Social Security Office
8208 9th Ave, Port Arthur, TX 77642
1-866-964-1720
San Angelo Social Security Office
2851 Southwest Blvd, San Angelo, TX 76904
1-877-840-5742
San Antonio Social Security Office
3438 E Southcross, San Antonio, TX 78223
1-800-772-1213
San Antonio Social Security Office
411 Richland Hills Dr, San Antonio, TX 78238
1-800-772-1213
San Antonio Social Security Office
727 E Cesar Chavez Blvd, San Antonio, TX 78206
1-800-772-1213
San Marcos Social Security Office
900 E Bugg Lane, San Marcos, TX 78666
1-866-388-8515
Seguin Social Security Office
927 S St Hwy 123 Byp, Seguin, TX 78155
1-877-445-0831
Sherman Social Security Office
600 East Peyton, Sherman, TX 75090
1-877-405-3521
Temple Social Security Office
511 North Main, Temple, TX 76501
1-866-593-1341
Texarkana Social Security Office
5735 Summerhill Road, Texarkana, TX 75503
1-866-931-7675
Tyler Social Security Office
5509 S Donnybrook Ave, Tyler, TX 75703
1-877-319-5707
Victoria Social Security Office
8208 Ne Zac Lentz Pkwy, Victoria, TX 77904
1-877-229-3536
Waco Social Security Office
1700 Lake Air Dr, Waco, TX 76710
1-866-964-6304
Waxahachie Social Security Office
100 Dean Box Drive, Waxahachie, TX 75165
1-866-563-1912
Wichita Falls Social Security Office
4314 Wendover St, Wichita Falls, TX 76309
1-866-815-9605
Assisted Living Laws and Regulations in Texas
The state of Texas has established several laws and regulations to ensure the assisted living communities within the state are providing adequate care to senior residents. Some of these regulations include the following:
Assisted Living Service Plan Requirements
Every assisted living community is required to perform an extensive assessment of each resident within 14 days of admission and fill-out an individualized service plan (ISP). The assessment must be performed by qualified staff, and the findings must be recorded on community documentation. Each resident's ISP should outline individual requirements, likes and dislikes, and strengths and weaknesses to help the resident maintain a healthy degree of function.
Assisted Living Admission Requirements
Texas state regulations outline some common qualities of residents in assisted living communities, including the need for assistance with daily living tasks, assistance with medication administration, reminders for toileting and exhibiting mild emotional or behavioral difficulties.
If a resident's need cannot be met by the services provided at an assisted living community or secured through an outside provider, the community is not permitted to admit or retain the resident. If a resident's status changes and is no longer an appropriate fit for the community, the community is not obligated to retain them.
Assisted Living Scope of Care
Assisted living communities in Texas provide broad supervision of residents' mental, emotional and physical health, deliver aid in daily living tasks, handle or oversee personal care and supervise or directly administer medications. Communities are also required to arrange a social activity or event for residents at least once per week.
Skilled nursing services may be provided when deemed appropriate, for situations including medication administration, resident assessments to establish further services and administering short-term skilled care for mild illness or injury.
Residents are permitted to arrange or hire private health care services from community agencies or licensed home aids.
Assisted Living Medicaid Policy
The state of Texas has the STAR+PLUS program, which is for a Medicaid 1115 demonstration managed care waiver. The waiver can cover services at an assisted living community that has a contract with residents' managed care providers. If an assisted living community offers services that could be covered by Medicare, it's the community's responsibility to inform the residents. Communities are prohibited from charging residents more than the federal SSI benefit less a stipend for personal needs for room and board. Families may supplement for additional amenities which are not include in the room and board rate.
Assisted Living Facility Requirements
Some assisted living communities in Texas offer private units, but state licensing does not require it. Units may provide occupancy for up to four residents, however, no more than 50 percent of the beds in a community can be in rooms housing over two residents. There must be one sink and one toilet for every six residents on the property, and one shower or bathtub is required for every ten residents. For multi-level buildings, at least one sink, toilet and bathing provision is required on each sleeping floor for residents on that level.
Medication Management Regulations
Residents who self-administer their own medication should receive a counseling visit on a monthly visit to confirm that they are still capable of managing their own medications. Assisted living communities can provide supervision to residents who require assistance with their medication. Supervisory assistance includes reminders, help with opening and closing containers, dispensing the appropriate amount of medication according to a prescription and ensuring medications are returned to a safe spot.
If residents cannot or choose not to administer their own medication, the assisted living community must make sure medication is administered by a staff member who is licensed to do so, or possesses an up-to-date medication aid permit and is being supervised by a licensed nurse.
Staffing Requirements
There are no staff minimum ratios required by Texas state law. Each facility must have a manager, a designee authorized to act in the manager's place when he or she is conducting off-site business and enough staff on every shift to meet the needs of residents as outlined in their individual service plans. In addition, adequate staffing is required to maintain the cleanliness, safety and supervision of the property and residents. In the event of an emergency, sufficient staff must be present to aid in the safe and timely evacuation of residents.
Small Type A communities must have night shift staff in the event of an emergency available, whereas night staff at large properties must be directly available and awake. Staff on the night shift at any Type B community must be awake and directly available at all times.
Staff Training Requirements
All staff must complete training and continuing education appropriate for the position they hold. Managers are required to finish a 24-hour course that includes topics such as resident evaluations, federal laws, accessibility conditions, financial management and ethics. Managers are required to complete 12 hours of continuing education each year. After 4 hours of orientation, staff may begin work at an assisted living community. Direct care staff is required to receive 16 hours of on-site training pertaining to resident care, safety procedures and techniques in managing behaviors. Additionally, 6 hours of continuing education is required annually for all direct care staff. Yearly in-service training must be provided by an assisted living community for any licensed nursing staff or aids on staff.
Background Checks for Assisted Living
Anyone seeking employment at a Texas assisted living community must submit themselves for a full background check. Any applicant with a disqualifying conviction on their criminal record will not be eligible for hire. Nurse aides must be listed in the nurse aide registry without marks of misconduct involving abuse, neglect, mistreatment, theft or fraud.
Requirements for Reporting Abuse
Anyone can file a report if they suspect neglect or abuse at an assisted living community. You can call the Texas Abuse Hotline at 800-252-5400, or use their secure website to file a complaint online at www.txabusehotline.org.
Assisted Living Facilities in Texas
Cities
Counties
Top-Rated Caring Stars Winners in Texas
Caring.com's Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.
Source: https://www.caring.com/senior-living/assisted-living/texas
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