Texas cost of care
Cost of senior care in Houston
What care costs in the Houston area, what the homes here are actually like, and how families pay for it. The cost figures are estimates, built from national survey medians adjusted for the local cost of living. The quality figures are the government's own records for the 156 rated nursing homes in this metro.
Estimated monthly cost in Houston
National median cost adjusted for the Houston area's price level (99 where the U.S. average is 100). These are estimates to plan around, not quotes.
| Type of care | Estimated monthly cost |
|---|---|
Nursing home (semi-private room) 24-hour skilled nursing care, shared room. | $8,690 – $10,210 |
Nursing home (private room) 24-hour skilled nursing care, private room. | $9,800 – $11,500 |
Memory care Assisted living in a secured unit for dementia/Alzheimer's. | $5,590 – $6,570 |
Assisted living Housing plus help with daily activities; not skilled nursing. | $5,350 – $6,290 |
Cost basis: CareScout 2025 Cost of Care Survey national medians, adjusted by BEA Regional Price Parities (All items, 2024, U.S. = 100). Estimates, not quotes. Individual homes vary by room, level of care, and services.
Will your parent's savings cover it?
At roughly $9,450 a month for a nursing home, savings can run down faster than families expect. Our free calculator shows how long the money would last and when Medicaid would step in.
Open the cost calculatorNursing home quality in Houston
Cost is only half the decision. Here is what the government's data says about the 156 rated homes in this metro.
The typical Houston home reports 3.31 nurse hours per resident per day, against a statewide median of 3.27 and a federal target of 3.48. 18 homes carry a federal abuse-warning flag. A high star rating does not guarantee a clean record, so it is worth checking each home you are considering.
Top-rated nursing homes in Houston
The highest-rated homes in this metro. Open any report card for its full record.
- CSharpville Residence And Rehabilitation CenterHouston, TX3★ overall6% below median staffing
- CBrazos Healthcare CenterLake Jackson, TX3★ overall
- DThe Lakes At Texas CityTexas City, TX2★ overall13% below median staffing
- BAvir At CourtyardHouston, TX4★ overall
- DDayton Nursing And RehabilitationDayton, TX2★ overall
How families pay for care in Houston
Most families use some mix of savings, long-term care insurance, veterans benefits, and Texas Medicaid. The biggest mistakes happen early, when families give money away or sign over the house before getting advice. Our guides walk through the Texas rules in plain English.
The 5 costliest Texas Medicaid mistakes
A free one-page guide to the errors that cost families the most, and how to avoid them. We will email it to you.
Common questions
How much does a nursing home cost in Houston?
A nursing home in the Houston area runs an estimated $8,690 to $10,210 a month for a semi-private room. This is the CareScout national median adjusted for the Houston area's cost of living, which sits below the national average. Actual prices vary by home and level of care.
Does Medicaid pay for nursing home care in Houston?
Yes. Texas Medicaid covers long-term nursing home care for people who meet the income and asset limits, anywhere in the state including Houston. In 2026 a single applicant can have no more than $2,000 in countable assets and about $2,982 a month in income. Our guides explain how families qualify without losing the house.
Are the nursing homes in Houston any good?
The Houston area has 156 rated nursing homes with an average CMS rating of 2.65 stars. 46 are rated 4 or 5 stars and 76 are rated 1 or 2 stars. You can check any home's full safety record on our report cards before you decide.
Other Texas metros
Cost estimates: CareScout 2025 Cost of Care Survey (CareScout / Genworth) national medians, adjusted by BEA Regional Price Parities, All items, 2024, U.S. = 100. Quality data: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Ellery Care accepts no payment from any facility. Educational information, not financial or medical advice.