Texas is the second largest state — and one of the most affordable for senior living. With no state income tax, a growing healthcare infrastructure, and a lower cost of living than coastal states, Texas offers real value without sacrificing quality.
Why Texas?
- No state income tax
- Low cost of living — 10-20% below national average
- World-class healthcare — Texas Medical Center (Houston), UT Southwestern (Dallas)
- Diverse options — From Hill Country ranch-style to urban high-rises
Costs by Region
| Metro Area | Assisted Living | Memory Care | Nursing Home |
|---|---|---|---|
| Dallas / Fort Worth | $4,200 | $5,500 | $6,800 |
| Houston | $3,900 | $5,200 | $6,500 |
| Austin | $4,500 | $5,800 | $7,200 |
| San Antonio | $3,600 | $4,800 | $6,000 |
| El Paso | $3,200 | $4,200 | $5,800 |
| Rio Grande Valley | $2,800 | $3,800 | $5,200 |
Top Regions
San Antonio consistently ranks as one of Texas's best cities for retirees — affordable, culturally rich, with excellent military healthcare. Dallas-Fort Worth offers the widest selection of communities. Houston benefits from the Texas Medical Center. Texas Hill Country (New Braunfels, Fredericksburg, Kerrville) offers natural beauty and a quieter pace.
Texas-Specific Programs
STAR+PLUS Medicaid: Can cover assisted living through the CBA waiver. Texas State Veterans Homes: Nursing facilities for Texas veterans at reduced costs in 9 locations. Area Agencies on Aging: 28 agencies providing free information and referral services.
Compare Texas communities on CarePriced.