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What is Assisted Living?

 Cost of Assisted Living in Texas

Medicare Does NOT Pay for Assisted Living

Cost of Texas assisted living.

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What is Assisted Living?

Assisted Living is defined as, "housing for the elderly or disabled that provides nursing, meals, and/or housekeeping as needed." For those who are able to care for themselves independent living facilities are an option that can provide help with activities of daily living (ADLs) like laundry, bathing, and help with errands.

Assisted living residences provide help with activities of daily living including basic health services, recreational and social activities. Cost is usually made up of monthly rent with additional fees based on the level of attention the resident requires. In 2017, the national average amount paid is $3,750 / month and different state averages range from $2,600 to $5,750. Patients requiring Alzheimerís or dementia care in memory care homes costs an additional $1,200 / month on average.

Both assisted living and memory care are residences that offer 24-hr personal care assistance as well as meals, social activities and other amenities. However, memory care is intended only for persons with dementia, usually related to Alzheimerís Disease but also dementia from Parkinsonís, Huntington's and most other forms of dementia.

There are several differences between assisted living and memory care. Typically, the staff-to-resident ratio in memory care is lower. Security in memory care is increased; external access is restricted to prevent wandering. Different types of recreational activities are organized with fewer offsite outings. Consequently, memory care is more expensive than assisted living by approximately 25%.

Cost of Assisted Living in Texas
(Ways to Pay for Assisted Living)


Assisted living costs in Texas vary with the residence, apartment size, and types of services needed. The basic rate may cover all services or there may be additional charges for special services. Most assisted living residences charge on a month-to-month lease arrangement, but a few require long-term arrangements. Assisted living is of often less expensive than home health or nursing home care in the same geographic area.

The average cost of assisted living in Texas as of 2017 is $3,565 / month, which is slightly under the national average of $3,650 / month..

Licensing of Texas Assisted Living

Texas assisted living facilities are licensed by the Texas Health and Human Services
based on residents' physical and mental ability to evacuate the facility in an emergency and whether nighttime attendance is necessary. According to the National Survey of Residential Care Facilities, there are over 31,000 assisted living communities nationwide serving almost one million seniors. A relatively new concept twenty-five years ago, today assisted living is the most preferred and fastest growing long-term care option for seniors.

Assisted living, also called residential care, is a type of living arrangement in which personal care services such as meals, housekeeping, transportation, and assistance with activities of daily living are available as needed. But unlike nursing homes, residents in assisted living remain independent, living on their own in a residential setting. Assistance with activities of daily living (ADL's) may include help with bathing, dressing, toileting, diapering, medicating, helping with daily living decisions and moving from one place to another.

Two Texas Licensing Types: A and B

  • Type A Facility - Provides care for residents who do not require routine attendance during sleeping hours and are capable of following directions in an emergency.
  • Type B Facility - For residents who require staff assistance to evacuate and who are not capable of following directions in an emergency and require nighttime attendance.

Assisted Living Apartments: Sizes and Services

Assisted living residents usually live in their own semi-private or private apartments, which include a furnished or unfurnished bedroom, kitchen area, and bathroom. Various types of apartments are available such as private studio apartments, one-bedroom private apartments, one-bedroom shared apartments, and dormitory-style bedroom arrangements. Services can include:

  • Assistance with daily living activities ADL's (bathing, dressing, eating, toileting, etc.)
  • Central dining programs that include three meals a day
  • Educational activities
  • Emergency call systems in private and common areas
  • Exercise activities
  • Health services and medication administration
  • Housekeeping and maintenance
  • Organized recreational activities
  • Personal and/or nonpersonal laundry services
  • Social services and religious activities
  • Transportation arrangements
  • Wellness programs
  • 24-hour security

The majority of assisted living facilities also contract with home health agencies to provide skilled nursing care and with hospice providers for hospice services. While 86.2% of assisted living residents today pay for long-term care from their personal financial resources, 41 states offer "home and community-based waivers" that allow low-income residents to live in assisted living. More seniors are purchasing long-term care insurance to help plan for and finance their long-term care needs.

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DISCLAIMER: Links to other websites or references to products, services or publications do not imply the endorsement or approval of such websites, products, services or publications by Elder Options of Texas. The determination of the need for senior care services and the choice of a facility is an extremely important decision. Please make your own independent investigation.