State plate · TX

Assisted living in Texas

Texas licenses assisted living through HHSC, Long-term Care Regulation, under the license types Assisted Living Facility Type A / B; Alzheimer certification. The state's own list, as of October 24, 2026, counts 2,009 licensed facilities with 82,221 beds; 896 of them have 20 or more, the smallest size HUD's Section 232 program insures. HUD's active-loan file shows 36 FHA-insured assisted living loans in Texas with $238.7 million outstanding as of September 30, 2026.

Licensing

Licensing agency
HHSC, Long-term Care Regulation
License types
Assisted Living Facility Type A / B; Alzheimer certification
Official program page
hhs.texas.gov
Facility list
XLSX (active license as of 2026-10-22)

Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.

Licensed supply, from the state's list

Facilities on the list2,009
Licensed beds82,221
Facilities with 20 or more beds896 (45% of facilities, 84% of beds)
Homes with 6 or fewer beds173
Median size16 beds
Memory care21,630 Alzheimer-certified capacity in 739 facilities

Covers: Assisted Living Facilities (Types A, B and C). Source: apps.hhs.texas.gov, as of October 24, 2026.

CDC survey profile (2020)

The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.

MeasureTexasUS
Communities1,40030,600
Beds61,2001,197,600
Average beds per community4539
For-profit85.2%81.9%
Chain affiliated70.2%61.4%
Medicaid certified19.6%43.6%
Dementia-only communities14.9%10.5%
Dementia-only or with a dementia unit20.5%20.5%
Residents 85 and older51.0%49.9%
Residents with Alzheimer disease or other dementias43.4%42.1%

Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.

HUD Section 232 assisted living loans

Active FHA loans
36
Outstanding
$238.7 million
Median note rate
3.98%
Endorsed since FY2001
102

Since fiscal 2001 HUD has endorsed 102 FHA-insured assisted living loans in Texas for $568.4 million of original principal, 30 of them for new construction or substantial rehabilitation, and 13 since fiscal 2021. 14 of today's active loans carry a note rate of 5% or more. The active file also lists 5 board and care loans in the state.

Property (HUD name)CityUnitsEndorsedRateBalanceMatures
Worthington ManorFHA 11443074Conroe246Feb 20204.37%$27,511,928Nov 2061
Barton Springs Memory Care CommunityFHA 11522415Austin50Jul 20265.66%$21,002,952Aug 2061
Sodalis College StationFHA 11422152College Station188May 20255.62%$17,685,358Jun 2060
Franklin Park BoerneFHA 11522390Boerne112Jul 20256.32%$15,873,654Aug 2060
Avalon Memory Care ArlingtonFHA 11322376Arlington65Aug 20265.45%$14,926,800Sep 2061
Woodlands Place Rehabilitation SuitesFHA 11322345Dennison92Apr 20255.75%$11,501,410May 2060
Clayton OaksFHA 11443070Richmond98May 20133.23%$9,717,710Oct 2054
Fairhaven DentonFHA 11322375Denton47Aug 20265.95%$9,200,000Sep 2061
Mayberry Gardens at Grand PrairieFHA 11322386Grand Prairie75Aug 20266.15%$8,820,900Sep 2061
Mayberry Gardens of DentonFHA 11322272Denton150Jun 20193.64%$7,214,626Jul 2054
The Heritage Memory CareFHA 11422154The Woodlands76Oct 20255.85%$6,918,236Nov 2060
New Haven of KerrvilleFHA 11522396Kerrville72Aug 20256.01%$6,221,089Sep 2060
Avalon Memory Care KellerFHA 11322379Keller32Mar 20265.00%$6,117,729Apr 2061
Ashwood CourtFHA 11322353North Richland Hills170Jun 20255.85%$5,942,442Jul 2060
Parsons House CypressFHA 11422110Cypress102Jun 20184.02%$5,722,394Jul 2053
Avalon Memory Care IrvingFHA 11322378Irving38Aug 20265.45%$4,968,600Sep 2061
New Haven of SchertzFHA 11522397Cibolo64Aug 20256.01%$4,391,235Sep 2060
Graceland at Garden RidgeFHA 11522367Garden Ridge100Nov 20202.22%$4,254,444Dec 2055
Independence Hill Assisted LvgFHA 11543065San Antonio68Aug 20123.75%$4,247,719May 2050
Snyder-goodlife Senior Living and Memory CareFHA 11322294Snyder45Sep 20212.85%$4,233,328Oct 2056
New Haven of KyleFHA 11522361Kyle64May 20183.86%$4,218,043Jun 2053
The Traditions of ShermanFHA 11322273Sherman103Feb 20192.99%$3,869,235Mar 2049
Avalon Memory Care Fort WorthFHA 11322377Fort Worth32Aug 20265.45%$3,725,700Sep 2061
Governor's RidgeFHA 11322296Decatur57Jul 20212.46%$3,526,613Aug 2056
Sundara of Round RockFHA 11543067Round Rock60Nov 20163.95%$3,269,898Dec 2057
Sodalis Assisted Living-budaFHA 11522324Buda44Oct 20173.16%$2,515,294Nov 2052
Castle Rock Assisted LivingFHA 11322083Arlington70Feb 20123.95%$2,487,079Mar 2047
Villa of TylerFHA 11343058Tyler70May 20083.85%$2,462,805Jun 2043
The EsplanadeFHA 11522244Corpus Christi51Aug 20104.48%$2,406,843Sep 2045
Greenbriar Mansion Heritage SqFHA 11322035Fort Worth101Sep 20083.85%$2,317,394Oct 2038
Redstone ParkFHA 11322297Brownwood59Jul 20212.46%$2,199,892Aug 2056
Villa at Mt PleasantFHA 11322128Mt Pleasant85Jun 20133.19%$2,145,943Jul 2038
Forever Young Senior LivingFHA 11422101Tomball32Mar 20173.40%$2,132,363Apr 2052
Wells Point LodgeFHA 11522376Pflugerville40Aug 20234.69%$2,063,057Sep 2058
Oaks of GranburyFHA 11343057Granbury36May 20083.88%$1,507,976Jun 2043
Villa of WolfforthFHA 11343059Wolfforth46May 20083.80%$1,383,777Jun 2043

Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.

Own or are buying an assisted living or memory care building in Texas? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.