Texas Nursing Homes: Assisted Living & Elderly Care in TX

In Texas, there are over 1200 Certified Nursing Care facilities. The occupancy rate at Texas facilities is at or just above 68%.

Texas Nursing Home Facilities Statistic:

Depending on where you live the size of assisted care/nursing home facilities can vary in the number of beds available and the incurred cost of the facility.

In Texas, there are 136,000 assisted care/nursing home beds in those 1200 plus facilities.  Approximately 94,000 residents reside in those nursing care facilities. This number will vary from year to year and month to month. For more information go to www.cdc.gov.

Staff to patient ratio for nursing homes in Texas:

It is required by law to have enough staff to provide nursing and related services as they pertain to individual personal care plans and to maintain or enhance the physical, social and emotional needs of each resident according to their individual care plans.

In Texas, there is a minimum requirement of 1 licensed nursing staff member for 20 residents or .4hrs (24 minutes) of care per resident per day. If a facility does not have this requirement it must have a waiver in place.

There is no minimum staffing requirement for Direct Care Staff, such as LPN’s,

LVN’s Licensed Vocational Nurses, Certified Nursing Assistants(CNA’s) or PT’s. For more information please go to https://hhs.texas.gov/services/aging/long-term-care.

Cost:  The average cost in Texas for an Assisted Living/Nursing Home Care is approximately $3,600 with an additional cost of $1500 to $2000 for Dementia/Alzheimer’s care needs monthly.  For more information please go to https://hhs.texas.gov/services/aging/long-term-care.


Paying for Nursing Homes in Texas:

Most residents pay with pension funds, long-term health insurance, retirement accounts, savings, Social Security and V.A. Benefits.  All of these are considered private pay.

Medicare/Medicaid Accepted in nursing homes in Texas:

Medicare Part A may include coverage at a SNF, skilled nursing facility, if the patient requires skilled medical care.

Nursing home care is generally referred to as custodial care and will not be covered by Medicare.

Medicaid payments, once applied for, will begin when the nursing home or assisted living resident has exhausted all other means of payment such as private funds and/or Long Term Health Insurance.  In other words, when the patient no longer has any other means of payment Medicaid takes over in a Medicaid Certified nursing facility.


Top Nursing Homes in Texas:

According to U.S. News and World Report there are under 60 top rated nursing care facilities in the state of Texas.  These top-rated facilities are located throughout the state.

Top reasons for needing Long-Term care are age, physical and or mental/memory disabilities, health issues and living alone.  The longer you live the more likely it is that you will need long term care.  As we age we are prone to the development of health issues which we will not be able to manage at home on our own.

Options for Care

  • Nursing Home Facilities in Texas – Nursing Homes provide care for their residents 24/7. Nursing Homes are for our Seniors who need medical and personal care assistance. Seniors with high level medical needs or those with complex medical conditions find the help they need in nursing homes.  Nursing Homes provide long-term care for Seniors who require skilled nursing care.

Nursing Homes are set up to enhance and/or maintain the physical, mental, and social well-being of Seniors who are in need of medical and personal care assistance. Nursing homes provide the most extensive personal care that you can receive independent of a hospital.

  • Assisted Living Facilities in Texas – Most of us would prefer that our loved one live at home where they feel safe and secure. There may come a time however, when staying at home is no longer a safe option for our loved one.  Usually there will be an incident that brings us to this realization such as the Elder forgetting to take their medication, forgetting to eat their meals or even just the loneliness associated with living alone.

These communities provide care and housing to our elders who need more assistance with daily care but are not yet at the level of care that is provided at a nursing home.

Assisted living communities have grown as an option for our elders who are still independent but require some assistance with daily living tasks.

Assisted Living communities provide, assistance with eating when necessary, medication management, housekeeping, daily hygiene needs and dressing, physical mobility needs, socialization and community activities and transportation needs.

There are two types of Assisted living facilities in Texas, Type A is for those residents who do not need evening/overnight assistance and can follow directions independently in an emergency.  Type B is for those residents who will need overnight care and will require the facilities staff to help them evacuate if necessary.  For more information please go to apps.hhs.texas.gov.

  • Day Care Centers/Senior Centers – Provide meals, social interaction, exercise programs and dance programs. They provide the older person and the family a respite from personal care which can help the family caregiver go to work or just take a break from the taxing responsibilities of caring for an older loved one.
  • Home Health Care – Caretakers can provide personal hygiene care, meal preparation, light cleaning and transportation to stores, appointments and social activities.