Assisted Living Directory: Greater Houston

Last verified: October 2026 against the HHSC active-license directory and TULIP records

How many assisted living facilities are licensed in the Houston area?

532 assisted living facilities hold an active HHSC license across Harris, Fort Bend, Montgomery, Galveston, Brazoria and Waller counties, with 19,152 licensed beds in total: 277 in Harris, 96 in Fort Bend, 89 in Montgomery, 30 in Galveston, 30 in Brazoria, 10 in Waller. 193 of them also hold an Alzheimer's certification.

73 are large communities with 100 or more licensed beds, while 362 are small residential homes licensed for 16 or fewer residents, many of them in neighborhoods of southwest Houston, Katy, Richmond and Spring. 98 are licensed Type A, meaning every resident must be able to leave the building unassisted in an emergency.

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Featured operators (full profiles)

These communities have full profile pages with their HHSC license record, inspection findings, enforcement history, local context and tour questions.

All assisted living facilities (A-Z)

What is the difference between assisted living and memory care in Houston?

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.

Which agency licenses assisted living in Houston?

The Texas Health and Human Services Commission (HHSC), Long-Term Care Regulation, licenses every assisted living facility in Texas under Health and Safety Code Chapter 247 and 26 Texas Administrative Code Chapter 553. HHSC issues Type A, Type B and small Type C licenses and a separate Alzheimer's certification for memory care units.

How do I check a Houston assisted living facility's inspection record?

Search the facility on HHSC's TULIP Long-Term Care Provider Search, which shows its license, inspection findings and any enforcement actions. Every listing here links to that record; 51 of the 532 facilities on this page have an HHSC administrative penalty on their record, marked in red.

How much does assisted living cost in Houston in 2026?

Typical 2026 pricing in Greater Houston is $3,200 to $5,800 per month, with River Oaks, Tanglewood, Memorial and The Woodlands at the top of the range and Humble, Pasadena and Baytown lower. HHSC does not publish rates, so ask each facility for a written rate sheet.

How do I narrow this list to a real shortlist?

Filter by county or city, open the HHSC record of each facility you like, then call us at (346) 385-3815. A Houston Senior Advisor advisor will match care needs, budget and location to a few licensed options with current openings, free to families.