About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2024 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2024 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2024 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Nursing Homes in Houston, TX

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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.

Nursing Homes Facilities near Houston, TX
Showing 113 communities
Last Updated: 3/27/24
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The top senior living communities stand out for their exceptional care and support of seniors in independent living, assisted living, memory care, and in-home care. Our Best of Senior Living Award winners represent the top 1-2% of senior care providers nationwide based on reviews from those who matter most: residents and families.

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Amenities
Providers
Types of care available in Houston, TX
Nursing Homes
Nursing Homes
Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Average starting price $X,XXX/month
Assisted Living
Assisted Living
Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Average starting price $X,XXX/month
Memory Care
Memory Care
Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Average starting price $X,XXX/month
Independent Living
Independent Living
Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Average starting price $X,XXX/month
Residential Care Home
Residential Care Home
Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Average starting price $X,XXX/month
Senior Apartments
Senior Apartments
Senior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.
Average starting price $X,XXX/month
Home Care
Home Care
Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Recent reviews of Nursing Homes in Houston, TX
4.3 / 5.0

The staff is great, if you can afford the community it is beautiful. The community is flexible and accommodating and the community has gone above and beyond. Communication is great and they keep us well informed and updated. I have the cell numbers of everyone and they are all very quick to call and...

4.7 / 5.0

The atmosphere is positive at Serenity Garden. As small as the staff is they work hard. The room was great for our loved one. The food was good. I initially saw board games, and I didn't see them on return visits. The community did try to get the residents involved in different exercise

4.6 / 5.0

Very welcoming staff and community. They have learned the names of my brothers and my children and they greet us by name whenever we show up. They treat my mother and us with kindness, dignity, and respect. The food has been wonderful - good variety and nice quality.We really liked the size of this ...

Photo of Heritage Memory Care At Eldridge Parkway
1313 Photos available
77 Floor plans available
1.0
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19 reviews
1.0
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19 reviews
5 star
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The staff was great and they check our loved on 24 hours a day. Communication was great between the staff and our family. They would always contact us before we contacted them and the value we felt was...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Overview of The Heritage at Eldridge Parkway, Houston, TexasAt The Heritage at Eldridge Parkway, we provide a variety of community amenities. Our purpose-built community offers the benefit of individualized care; every aspect of the community is designed to cater to the particular needs of its...
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Photo of Apex Oaks at Cypress Assisted Living and Memory Care
2828 Photos available
5 star
76%
4 star
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We moved our mother 4 years ago to Apex Oaks. I want to express my gratitude and appreciation to the ladies of this fine company. They welcomed her with open arms and made her feel at home. They cared for...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Apex Oaks Assisted Living & Memory Care strives to redefine senior living with professional care and an environment where the welcome never fades.We are nestled in a cozy, quiet neighborhood in Northwest Houston, Texas. Our community has ~20,000 square feet of living space with a private...
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Photo of Holly Hall
1212 Photos available
5 star
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I have lived at Holly Hall for five years, in Independent Living. It is a friendly, caring community, and I highly recommend it.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Founded in 1949, Holly Hall Retirement Community is a Christian, non-profit, Retirement Community concerned for the physical, psychological, social and spiritual well-being of each of its residents. Holly Hall, a full service retirement community, offers living accommodations ranging from...
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Photo of The Village of Southampton
2424 Photos available
2020 Floor plans available
5 star
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Overall it was a good experience for us. Our loved one had a short stay of approximately 3 months here. The food was really good, with a healthy menu. There are a lot of activities for the residents to...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
See details
Photo of Bridgecrest Rehabilitation Suites
11 Photo available
5 star
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The atmosphere was nice, it looked like a hotel to me. They were very friendly. All of them. I don't know of any disappointments that he had with the nurses. It was very clean! They told me what was going...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Bridgecrest Rehabilitation Suites offers full private and semi-private suites that come equipped with a flat screen television. Salon and spa services are also available for our guests. Our activities program features Bingo, community trips, religious services, entertainment, weekly evening...
Photo of The Village of the Heights
1818 Photos available
77 Floor plans available
2.0
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22 reviews
2.0
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22 reviews
5 star
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Really the only problem has been proper administering of medications, due to the fact that they're short-staffed. Since I've talked with the manager, there haven't been any other mistakes. The foods is...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
The Village of the Heights is an assisted living community located in Houston, Texas, in Harris County and home to just over 2.2 million people. Houston is a large and busy city where residents can enjoy a host of activities including shopping, fine dining, sporting events, and other activities....
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Photo of Good Living Community Care
88 Photos available
5 star
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We chose Good Living Community Care because of the convenient location and they worked really hard to get my dad into dialysis. The room sizes here were pretty good for what he needed. As assisted living, I...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Providing You with home-like Community Nursing Care. Welcome to Good Living Community Care, your Community nursing care and Assisted living that provides a homelike environment structured with compassionate staff dedicated to enhancing the quality of life. Taking a pick at our range of our...
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Photo of Brookdale Memorial Oaks
1111 Photos available
22 Floor plans available
Pricing promotion expiring soon
6.5
Review score
43 reviews
6.5
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43 reviews
5 star
30%
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30%
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I would suggest improvements on the food as well as having a dedicated staff member to open the front door after hours to admit visitors Overall I would recommend Brookdale Memorial Oaks to others looking...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
If you’re living a mostly independent lifestyle, but you could use an extra hand with some of your day-to-day activities, we can help.With both assisted living and Alzheimer’s and dementia care on one campus, at our senior living community in Houston, Texas, you’ll have the care you need when you...
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Photo of The Villas of SCR at the Heights
99 Photos available
5 star
49%
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I was very pleased with our experience with Autumn Grove. I chose this facility because it was recommended then when I went to tour, I realized a friend of mine had his mother here and he spoke very highly...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
IT'S A NEW DAY FOR MEMORY CARE! WE'VE REVOLUTIONIZED MEMORY CARE WITH YOUR LOVED ONE IN MIND.ARE YOU LOOKING FOR A VIBRANT HOME FILLED ENVIRONMENT WHERE YOUR LOVED ONE WILL THRIVE?Come experience The Villas of SCR at The Heights. Our resident-centered designed community is purpose-built for...
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Photo of Best Personal Care Facility LLC
66 Photos available
3.0
Review score
1 review
3.0
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1 review
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Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Best Personal Care provides a warm and inviting environment in a luxurious, residential home in southwest Houston within walking distance of a beautiful park, neighborhood churches and a buddhist temple. At Best Personal Care, our mission is to enrich the lives of our residents and their...
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Photo of Sharpview Residence and Rehab Center
11 Photo available
5 star
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Sharpview Residence and Rehab Center emphasizes compassionate, quality care for our guests. Our rehabilitative services are designed to restore each individual's health to help them achieve their individual goals. Our therapists are trained to evaluate the needs of the individual and treat the...
Photo of Silverado Hermann Park Memory Care Community
8.0
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1 review
8.0
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I have been beyond impressed with this facility so far. The staff went above beyond to help my mother, they are just overall amazing people. I feel that my mom is completely cared for even though I am far...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Caraday of Houston
8.0
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1 review
8.0
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
8.0
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My parents have been residents for more than a decade. Mom is still in independent living, but will probably transition to assisted living soon. Dad recently passed after a lengthy stay in the on-campus...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Eastview Healthcare & Rehabilitation Center
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Villa Toscana at Cypress Woods
8.0
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23 reviews
8.0
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23 reviews
5 star
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Everyone was great! Special shout out and thanks to Mr. Jesus, Mrs. Adrian. Exceptional nurses. Keep up the great work. [name removed] Once again Things was just excellent for my sister Thanks from my...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Villa Toscana is a 120 bed resort style skilled nursing and rehabilitation community which offers both short term rehab stays as well as long term care. Services and amenities offered include, 52 private suites and 34 semi private suites. All resident accomodations have satelite televison; in...
Photo of Pine Haven Alzheimer's Cmnty
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Silverado at Cypresswood is an exceptional place. The staff is phenomenal with the patients and provides solving and caring environment. The activities provided are relevant and fun for the residents as...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
5 star
14%
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At Clarewood House there was an issue with the refrigerator. It was warm and his food went bad. I e-mailed them a couple of times and the week after he moved in the refrigerator still wasn't cold. I went to...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Clarewood HouseClarewood House is an assisted living community located in Houston, TX. Houston is located in Houston County and is home to just over 2.239 million people. Houston is a bustling city with a lot of businesses, stores, sports and shopping where residents will love getting out and...
Photo of Texas Institute for Clinically Complex Care
5 star
41%
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2 star
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Overall it is good. They seem to be getting my loved one back in shape. It is very clean. I have not received any updates from the staff but I get my updates from him but a weekly report would be nice.
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Vosswood Nursing Ctr
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They had really good care, we were really impressed with the care. Even if the place wasn't as nice looking as some, and the food wasn't as good as some. The care was what was the most important.
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Oak Shadows
5 star
31%
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The staff at this community have been very helpful to my loved one and have provided him with great quality of care. He has a few problems with remembering things from time to time so I like the fact that...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Autumn Hills Convalescent Ctr
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Garden Terrace of Houston
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That was then. This is now...Great care NEW MANAGEMENT. You have a concern? ASK FOR MANAGEMENT-NURSING SUPERVISORS. ..Something.. don't wait till u get home to try and complain. 18 days of care &rehab under...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Capstone Healthcare Estates Wellness and Rehabilitation
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Fallbrook Nursing and Rehabilitation is a new family owned and operated facility located in Houston, Texas. We are now open and accepting admissions. We are making an effort to present you with our entire spectrum of service. The emphasis of our facility is to provide Skilled Nursing and...
Photo of Legend Oaks
5 star
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My Mom was there for two weeks, we had excellent therapy services, admitting went smoothly, all of the staff were caring and professional. There were fun activities and the food decent. There seemed to be...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.

Costs of nursing homes in the Houston area

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

  • Semi-private room: $5,262
  • Private room: $7,756 [01]

Assisted living communities

  • Semi-private room: $3,175
  • Private room: $4,461 [02]

Memory care communities

  • Semi-private room: $4,740
  • Private room: $5,762 [02]

Average cost comparisons near Houston, TX

Average monthly costs

Houston, TX

$4,832

How people pay for a nursing home or skilled nursing care in Houston

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 in Houston

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:

  • Selling a house. If your loved one is planning a move to a senior care facility, they may be looking to sell their house. Freed up cash from the sale could help fund their nursing home or senior living expenses.
  • Reverse mortgage. If selling a house isn’t an option, a reverse mortgage might prove useful, as it enables your loved one to borrow a loan from their home’s equity to fund senior care costs.
  • Health savings accounts. If your loved one was ever enrolled in a health savings account (HSA) program through their employer, they may use those funds to cover qualifying medical expenses, reducing the burden of senior care or nursing home costs.
  • Life insurance. Your loved one could sell, surrender, or borrow from their life insurance policy to help cover nursing home or senior living expenses. Check with the policy provider to learn about such options.
  • Long-term care insurance. If your loved one has long-term care insurance, they can use it to fund senior care services. Long-term care insurance policies vary in what they can cover, so it’s best practice to consult with your loved one’s provider to learn more.

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]

Caregiver Resources
Can You Use Your HSA for Long-Term Care Costs?
By Celia Searles
Caregiver Resources
Reverse Mortgages and Long-Term Care: The Pros and Cons
By Merritt Whitley, senior living writer and editor
Veterans benefits for nursing homes in Houston

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.

59735

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

Harris County Veterans Services Department

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

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.

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

Texas Veterans Commission (TVC)

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.

A Place for Mom Veterans Benefits Guide
Houston Medicaid for nursing homes

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.

Home and Community Based Services (HCBS) waiver

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:

  • Personal home care
  • Medical supplies
  • Dental services
  • Adaptive aids, such as eyeglasses, hearing aids, orthotic devices, and orthopedic shoes
  • Nursing services
  • Respite care
  • Cognitive rehabilitation therapy
  • Physical, occupational, and speech therapies [05]

To qualify for the Home and Community Based Services waiver, seniors must meet the following requirements:

  • Be 65 years of age or older
  • Require an institutional level of medical care, like that found in a nursing home
  • Have a monthly income of less than $2,523 individually or $5,046 as a couple [06]

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

Find a Texas Health and Human Services Commission (HHSC) office

The Your Texas Benefits search tool and the HHSC services search tool can help you find an HHSC Medicaid benefits office near you.

Apply for Medicaid in Houston

You can apply for Medicaid online through the Your Texas Benefits website.

Medicaid FAQs for Houston
Medicare nursing home coverage in Houston

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:

  • The Texas Medicare Savings Program helps cover some Medicare Parts A and B deductibles, premiums, copayments, and/or coinsurance. Part A covers hospital stays, care in a skilled nursing home, hospice care, and some home health care services, while Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services. Seniors must meet certain income requirements to qualify for this program.
  • Kidney Health Care is a Texas program that covers costs for some treatments, surgeries, medicines, and premiums for individuals with end-stage renal disease.
  • Texas Health Information, Counseling, and Advocacy Program (also known as HICAP) offers legal advice, referrals, and assistance to Texans who are 60+ and eligible for Medicare.

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

Online Medicare application

You can apply for Medicare benefits through the Social Security Administration website.

Texas Medicare Savings Programs application

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.

Find a Social Security Administration (SSA) office

Use this Social Security Office Locator to find your local Social Security office in Houston.

Find a local long-term care ombudsman

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

Harris County Area Agency on Aging

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

Dual Medicare and Medicaid coverage for Houston residents

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:

  • Have Medicare Parts A, B, and D, and receive full Medicaid benefits
  • Be enrolled in Texas’ STAR+PLUS program for at least 30 days

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.

Understand Texas laws and regulations for nursing homes and senior care facilities

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:

Resident admission processes

  • Using a doctor’s order, skilled nursing facilities must develop a person-centered care plan for each resident, and it must encompass the patient’s dietary, therapeutic, social, psychological, and daily care needs.[08,09]
  • In assisted living and memory care facilities, a similar procedure must be followed, except the facility is not required to use a doctor’s order for care plans. For memory care facilities, there must also be a specialized admissions process in place to identify a resident’s need for memory care services.[10]

Management and staffing requirements

  • Texas nursing homes and skilled nursing units are required to have licensed and registered nurses, certified nursing assistants, and nurse aids on staff. All nursing facilities must also meet specific staff-to-resident ratios (one on-site nurse for every 20 residents at all times).[11]
  • Assisted living facilities require a full-time manager on-site to oversee the facility’s daily operation. These managers are required to complete at least one 24-hour assisted living management course along with their staff.[12]
  • Memory care facility managers and staff members must continually participate in specialized memory care training in order to remain a licensed memory care facility.[13,14]

Safety and healthy environmental standards

  • A certified skilled nursing facility in Texas must meet design, construction, and equipment standards that support the health and safety of residents, staff, and visitors. Each nursing facility must have safety equipment and emergency protocols for accidents, fires, or power outages.[15]
  • Both assisted living and memory care facilities are required to have similar provisions and protocols in place. Memory care facilities must have additional measures in place to prevent residents from harming themselves or wandering. All facilities must allow for safe access to fresh air and common areas for activities.[16]
  • Memory care facilities must designate an activities director to encourage socialization among residents. It’s required for the director to tailor activities based on each individual resident’s abilities. Directors must also arrange for special equipment in order to ensure that all residents can participate in activities.[17]

Nursing home and senior living facility inspections

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:

  • Adequate staff-to-resident ratios
  • Employee background checks
  • Management of the facility
  • General construction of the facility
  • Safety and emergency features
  • Protection from hazardous areas
  • Documentation of fire drills, system checks, etc. [18]

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.

Nursing home reviews

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:

  • Changes to a facility’s policies or procedures
  • The facility’s need for technical assistance
  • Staff trainings and education on evidence-based best practices

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.

COVID-19 regulations for Houston nursing homes

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:

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Vaccinations. COVID-19 vaccines aren’t mandatory for residents or visitors.

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Masking. Visitors, staff, and residents aren’t required to wear masks unless indicated in the facility’s infection control policies and procedures.

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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.

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Staff safety. Staff must wear personal protective equipment when necessary and follow infection control policies and procedures during an outbreak.

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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.

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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.

Get to know senior living in Houston

296Number of in-network assisted living facilities in market
3.5/5.0 average in-network rating
100% of in-network communities offer on-site nursing care
82% of in-network communities have an on-call doctor
60% of in-network communities offer restaurant-style dining
54% of in-network communities employ Spanish-speaking staff
4100
Number of people we referred to Houston partner communities in 2022
80
Average age of residents we referred to Houston partner communities in 2022
Percentage of referrals in 2022 who were female

Houston has a robust senior living scene with unique features

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.

Flexible, round-the-clock care

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.

Engaging activities and amenities

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:

  • Fitness centers and pools
  • Courtyards with raised gardens, BBQ areas, and walking paths
  • Bistros, lounges, and bars
  • Game rooms and common areas
  • Movie rooms
  • Business centers
  • Libraries

Additionally, seniors looking for off-site activities and other services can benefit from the concierge services available at many of our partnering communities.

Safety and security measures

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.

Explore senior care with confidence

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Find top facilities for you.

Free, personalized guidance from our Senior Living Advisors can help you narrow your search.

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Our free touring checklist can help you choose the right community.

Unfamiliar with Houston? Highlights for seniors

277000

Number of seniors over the age of 65 currently living in Houston, according to the U.S. Census Bureau

76%

Percentage of Houston seniors 65 and older who aren’t currently in the workforce, according to the U.S. Census Bureau

30967

Median annual retirement income for Houston seniors 65 and older, according to the U.S. Census Bureau

Health care for seniors in Houston

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.

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Houston Methodist Hospital

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.

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Baylor St. Luke’s Medical Center

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.

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MD Anderson Cancer Center

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.

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Michael E. DeBakey VA Medical Center

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.

Transportation for seniors in Houston

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.

A group of senior women socializing at a cafe

Senior activities in Houston

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.

 

Frequently Asked Questions

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 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.

References

  1. Genworth. (2021). Cost of care survey.

  2. A Place for Mom. (2022). A Place for Mom proprietary data.

  3. TurboTax. (2022, December 1). States with the lowest taxes and the highest taxes.

  4. Fritts, J. (2020, August 9). Does your state tax social security benefits? Tax Foundation.

  5. Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.

  6. 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.

  7. Texas Health and Human Services. (2022). H-7000, Medicare and co-payment. Medicaid for the Elderly and People with Disabilities Handbook.

  8. Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.801 (1999 & rev. 2020).

  9. Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.259 (2021).

  10. Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.307 (2021).

  11. Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1001 (1995 & rev. 2022).

  12. Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.253 (2021).

  13. Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.301 (2021).

  14. Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.303 (2021).

  15. Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1701 (1996 & rev. 2021).

  16. Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.2208 (1995 & rev. 2020).

  17. Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.309 (2021).

  18. Assisted Living Facility Licensing Act, Health Facilities § 247.001 (1991 & rev. 1999).

  19. Texas Health and Human Services. (2022, July 27). Screening of staff and visitors entering nursing facilities to continue.

  20. United States Census Bureau. (2021). Population 65 years and over in the United States (S0103) [Data Set]. American Community Survey.

  21. United States Census Bureau. (2021). Veteran status (S2101) [Data Set]. American Community Survey.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

Genworth. (2021). Cost of care survey.

2.

A Place for Mom. (2022). A Place for Mom proprietary data.

3.
4.

Fritts, J. (2020, August 9). Does your state tax social security benefits? Tax Foundation.

5.

Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.

6.

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.

7.

Texas Health and Human Services. (2022). H-7000, Medicare and co-payment. Medicaid for the Elderly and People with Disabilities Handbook.

8.

Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.801 (1999 & rev. 2020).

9.

Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.259 (2021).

10.

Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.307 (2021).

11.

Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1001 (1995 & rev. 2022).

12.

Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.253 (2021).

13.

Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.301 (2021).

14.

Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.303 (2021).

15.

Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1701 (1996 & rev. 2021).

16.

Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.2208 (1995 & rev. 2020).

17.

Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.309 (2021).

18.

Assisted Living Facility Licensing Act, Health Facilities § 247.001 (1991 & rev. 1999).

19.

Texas Health and Human Services. (2022, July 27). Screening of staff and visitors entering nursing facilities to continue.

20.

United States Census Bureau. (2021). Population 65 years and over in the United States (S0103) [Data Set]. American Community Survey.

21.

United States Census Bureau. (2021). Veteran status (S2101) [Data Set]. American Community Survey.