Nursing home and long-term care costs in Texas
CareScout's 2025 survey median for a semi-private nursing home room in Texas is $67,525 a year ($5,627 a month) — 41% below the national median of $114,975.
Median costs in Texas (2025)
| Setting | Annual median | Monthly |
|---|---|---|
| Nursing home — semi-private room | $67,525 | $5,627 |
| Nursing home — private room | $91,250 | $7,604 |
| Assisted living community | $67,992 | $5,666 |
| Adult day health care | $23,400 | $1,950 |
| Homemaker services (44 h/week) | $68,640 | $5,720 |
| In-home caregiver (hourly median) | $30/hour | — |
What drives cost in Texas
State medians reflect local wages, staffing requirements and demand. Within Texas, urban facilities usually cost more than rural ones, private rooms cost more than semi-private, and memory care or skilled nursing costs more than basic assisted living. The median is a starting point: ask each facility for its complete fee schedule, including medication management, therapy, laundry, transport and any entrance or community fee.
What the survey does not include
The figures are private-pay medians for the base service. Nursing home rates generally exclude medications, specialised therapies and transport; assisted living rates often exclude a la carte care charges. Long-term insurance, Medicaid and VA benefits can change what a family actually pays — see the payment guides below.
Nursing homes in Texas
Compare the local facilities and their CMS ratings: all certified nursing homes in Texas.
Frequently asked questions
How much does a nursing home cost in Texas?
The 2025 CareScout survey median for a semi-private room in Texas is $67,525 a year ($5,627 a month); a private room is $91,250. Actual prices vary by facility and contract.
How much is assisted living in Texas?
The median assisted living rate in Texas is $67,992 a year ($5,666 a month), excluding a la carte care charges.
How much does in-home care cost in Texas?
The median non-medical caregiver rate in Texas is $30 per hour; homemaker services at 44 hours a week cost $68,640 a year.
Written and maintained by the US Nursing Homes data team · last reviewed 2026-10-24 · sources and methodology.