Cost of Memory Care in Texas (2026)

Texas Memory Care Cost Overview

The Texas state median for memory care is $6,063/month, based on 2025 move-in data. That figure is 9% below the national median ($6,690/month). It covers a base rate for a standard unit and typically includes meals, basic personal care, and scheduled activities — but not care level add-ons, medication management, or specialty programming, which are almost always billed separately.

The state median is a useful anchor, not a final budget. Costs in high-density metros within Texas will often run higher, while rural and small-city markets may come in lower. The number to plan around is the all-in monthly estimate after care level fees are added.

What Drives Memory Care Costs in Texas

Texas tracks closely with the national median for memory care. Cost still varies meaningfully by city, neighborhood, unit type, and the mix of services included in the base rate. Urban markets in the state typically run higher than rural and suburban areas.

Across all states, the four variables that move the number most are: care level tier (how much hands-on assistance is required), unit type (studio vs. one-bedroom vs. shared), included services (what is in the base rate versus billed à la carte), and operator type (nonprofit vs. for-profit chains often price differently). Ask any community in Texas to give you a written breakdown of starting base rate, current care level fee for your family member's needs, and all recurring add-ons before you compare sticker prices.

Top Cities for Memory Care in Texas

Texas has memory care options across 80 cities in the SilverTech directory. The cities with the largest market presence:

• San Antonio — 11 memory care communities listed
• Dallas — 11 memory care communities listed
• Houston — 7 memory care communities listed
• Fort Worth — 6 memory care communities listed
• Austin — 5 memory care communities listed
• Mckinney — 5 memory care communities listed
• Denton — 5 memory care communities listed
• PLANO — 4 memory care communities listed

Costs in urban markets tend to run above the state median. Suburban and rural markets often come in lower, but may have fewer options to compare. Narrowing to two or three cities based on proximity to family, hospital access, and the care level your family member needs gives a more actionable short list than comparing statewide averages.

Texas Medicaid Coverage for Memory Care

Medicaid coverage for memory care in Texas varies. Texas Medicaid may cover personal care services through a home and community-based waiver, but dedicated memory care unit costs are rarely fully covered. Families should verify directly with each community and with a Medicaid planning attorney.

The Office of the State Long-Term Care Ombudsman is another useful contact when families have questions about resident rights, billing disputes, or how to file a complaint about a memory care facility in Texas. The Texas Health and Human Services Commission oversees facility licensing and can confirm whether a specific community is in good standing.

How to Compare Memory Care Costs Fairly in Texas

The only apples-to-apples comparison is all-in monthly cost at the care level your family member actually needs today — not the base rate, not the promotional move-in special. Here is a reliable framework for comparing communities in Texas:

1. Start with the state median as an anchor. The Texas median of $6,063/month tells you what most families are paying after move-in. If a community quotes a base rate significantly below that, ask what care level tier is assumed and what the all-in monthly estimate is for your family member's current needs.
2. Get the care level fee in writing. Most communities use a tiered care model. The difference between Level 1 and Level 3 care can be $500–$1,500/month. Ask for the written fee schedule, not a verbal estimate.
3. Ask about rate increase history. A low starting rate that increases 8–10% per year compounds fast. Ask how much rates have increased in the last two years.
4. Compare license status and ownership type. SilverTech surfaces license numbers and Medicare-linked records for each listing. Communities with transparent licensing data are easier to verify through the Texas Health and Human Services Commission.
5. Use the city pages to compare multiple options. The Texas memory care directory links directly to canonical facility profiles with trust signals, contact details, and licensing data in one place.