Every HHSC-licensed provider in Harris, Fort Bend, Montgomery, Galveston, Brazoria and Waller counties, with the public state record behind each listing.
Last verified: October 2026
It lists every senior care provider with an active HHSC license in Harris, Fort Bend, Montgomery, Galveston, Brazoria and Waller counties: 532 assisted living facilities (193 of them Alzheimer's-certified for memory care), 145 nursing facilities, 1208 home health agency locations and 455 hospice locations, taken straight from HHSC records.
Every HHSC-licensed Type A and Type B assisted living facility.
Browse the list →193 licensedAssisted living facilities holding an HHSC Alzheimer's certification.
Browse the list →145 licensedLicensed nursing homes, most Medicare and Medicaid certified.
Browse the list →1,208 licensedLicensed home health agency locations.
Browse the list →455 licensedLicensed hospice agency locations.
Browse the list →Harris County has the most HHSC-licensed assisted living facilities (277), followed by Fort Bend (96) and Montgomery (89); Galveston (30), Brazoria (30) and Waller (10) have far fewer, so families there often widen the search into Harris County.
| County | Assisted living | Alzheimer's-certified | Licensed AL beds |
|---|---|---|---|
| Harris County | 277 | 109 | 11,263 |
| Fort Bend County | 96 | 31 | 2,965 |
| Montgomery County | 89 | 31 | 2,237 |
| Galveston County | 30 | 11 | 1,385 |
| Brazoria County | 30 | 11 | 1,159 |
| Waller County | 10 | 0 | 143 |
Larger, well-known assisted living and memory care communities with a full profile of their HHSC record.
Assisted living is an HHSC-licensed residence that provides housing, meals, medication help and personal care; memory care in Texas is assisted living delivered in a secured unit by a facility that holds an HHSC Alzheimer's certification. Texas has no separate memory care license, and a facility may not advertise that it specializes in Alzheimer's or dementia care unless it holds that certification.
| Assisted living is... | Memory care is... | |
|---|---|---|
| Who it serves | Adults who need help with bathing, dressing, medications or meals but can live in an open building | People with Alzheimer's or another dementia who may wander, exit-seek or need constant cueing |
| License on the HHSC record | Assisted Living Facility, Type A (can evacuate unassisted) or Type B (may need help evacuating; awake night staff) | Type B Assisted Living Facility plus an Alzheimer's certificate number and a certified bed count |
| Building | Open doors; residents come and go | Secured (locked or alarmed) unit or building |
| It isn't... | A nursing home: there is no 24-hour licensed-nurse requirement | Skilled nursing: residents with heavy medical needs still need a nursing facility |
| Typical 2026 cost | $3,200 to $5,800 per month | $4,500 to $7,800 per month |
Every entry comes from the state record, not from a paid listing: the HHSC license number, Type A or Type B license, licensed beds, first-licensed date, Alzheimer's certification, last inspection date and any administrative penalty. 51 of the 532 assisted living facilities have an HHSC penalty on their record, and we show it.
Pick the care type, filter by county or city, and open the HHSC record of each facility on your shortlist. If you want help, call (346) 385-3815 or use the chat; a local advisor will compare options and openings for free.
Every listing is a provider with an active license from the Texas Health and Human Services Commission (HHSC), Long-Term Care Regulation, in Harris, Fort Bend, Montgomery, Galveston, Brazoria and Waller counties.
We re-pull the HHSC files and TULIP records monthly. We do not rate or rank facilities and nothing here is paid placement. Last updated: October 24, 2026. Something out of date? Tell us on the contact page.
Free, no-pressure call. We work for families, not facilities.
Or call (346) 385-3815
