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What Senior Care Costs

Texas state median costs for assisted living and nursing homes from the 2024 CareScout survey, and why no memory-care median exists anywhere.

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What senior care costs in your metro

Short answer

The 2024 CareScout Cost of Care Survey (released March 2025) puts Texas's statewide median assisted living cost at $5,250/month and its median private nursing home room at $7,087/month. No primary source publishes a Fort Worth- or Tarrant County-specific figure separate from the state median, so we cite the verified statewide number rather than inventing a local one.

Care typeTexas state median
Assisted living facility$5,250/month
Nursing home, private room$7,087/month
Home health aide~$28/hour (~$4,850/month at 40 hrs/week)
No memory-care median exists. CareScout does not survey memory care as its own category, in Texas or any other state. Any specific memory-care dollar figure you see elsewhere online is an estimate, not a sourced statistic -- get quotes in writing from each community you tour instead.

Source: 2024 CareScout Cost of Care Survey

Questions families ask

What's the real difference between a nursing home and assisted living in Texas?

Nursing homes are licensed under a separate Texas rule chapter from assisted living and provide 24-hour licensed nursing care for higher medical acuity. Nursing homes also carry federal CMS star ratings through Medicare's Care Compare tool; assisted living facilities are not rated by that system at all.

Should a Fort Worth family consider a CCRC instead of standalone assisted living?

A Continuing Care Retirement Community (CCRC) keeps a couple together across changing care levels on one campus, typically through an entry-fee structure. Standalone assisted living is usually simpler to enter and less expensive upfront, without a large entry fee.

What does HHSC license, and what law covers assisted living in Texas?

The Texas Health and Human Services Commission (HHSC) Long Term Care Regulatory division licenses assisted living facilities under Texas Health and Safety Code Chapter 247 and 26 Texas Administrative Code Part 1, Chapter 553. HHSC issues either a Type A or Type B license depending on residents' ability to evacuate in an emergency.

Is memory care a separate license in Texas, or something else?

Texas does not issue a separate 'memory care license.' Any facility that markets or holds itself out as providing dementia care must instead file an Alzheimer's/dementia Disclosure Statement with HHSC under 26 TAC Section 553.264, and make it available to families before admission.

How do I check a Fort Worth-area facility's inspection history myself?

HHSC's Long Term Care Regulatory division maintains survey and enforcement records for every licensed Texas assisted living facility. You can also call HHSC's Complaint and Incident Intake line at 1-800-458-9858, 24 hours a day, to ask about a specific facility's complaint or inspection history.

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