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RAL MARKET SCOUT Top assisted livingmarkets in Texas 2,001 licensed homes · Hays County is #1 ralmarketscout.com
Texas · RAL Market Report

Best places to open an assisted living home in Texas

The top markets for residential assisted living in Texas, ranked by demand versus supply — plus the cities where the homes are.

Updated July 2026
The top markets for assisted living in Texas right now are Hays, Fort Bend, Bastrop counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 2,001 licensed assisted living homes serving 1,577,059 residents aged 75+, at a median cost of about $5,666/mo.
Licensed homes
2,001
state roster
Population 75+
1,577,059
ACS
Median AL cost
$5,666/mo
below the national median
Bed supply
30.9/1k
tight supply

Top 10 markets for assisted living in Texas

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

  1. Hays Countyopportunity 9.3/10 (Strong); 11,329 seniors 75+, growing 42.6%, with 19 licensed homes.
  2. Fort Bend Countyopportunity 9.3/10 (Strong); 38,437 seniors 75+, growing 40.7%, with 85 licensed homes.
  3. Bastrop Countyopportunity 9.3/10 (Strong); 5,899 seniors 75+, growing 41.7%, with 3 licensed homes.
  4. Travis Countyopportunity 9.2/10 (Strong); 52,124 seniors 75+, growing 25.5%, with 80 licensed homes.
  5. Denton Countyopportunity 9.0/10 (Strong); 42,222 seniors 75+, growing 47.4%, with 102 licensed homes.
  6. Montgomery Countyopportunity 9.0/10 (Strong); 35,098 seniors 75+, growing 29.5%, with 88 licensed homes.
  7. Parker Countyopportunity 8.9/10 (Strong); 9,911 seniors 75+, growing 28.7%, with 14 licensed homes.
  8. Guadalupe Countyopportunity 8.9/10 (Strong); 10,864 seniors 75+, growing 27.6%, with 15 licensed homes.
  9. Comal Countyopportunity 8.9/10 (Strong); 12,646 seniors 75+, growing 30.3%, with 9 licensed homes.
  10. Randall Countyopportunity 8.8/10 (Strong); 9,033 seniors 75+, growing 11.4%, with 8 licensed homes.

All Texas counties by market opportunity

CountyPop 75+DemandHomesMarketBand
Hays11,3296.1199.3Strong
Fort Bend38,4376.9859.3Strong
Bastrop5,8995.939.3Strong
Travis52,1246.9809.2Strong
Denton42,2227.31029.0Strong
Montgomery35,0987.6889.0Strong
Parker9,9117.1148.9Strong
Guadalupe10,8646.8158.9Strong
Comal12,6467.398.9Strong
Randall9,0334.788.8Strong
Harris209,3016.52758.8Strong
Brazoria18,6266.1328.8Strong
Rockwall5,9966.888.8Strong
Kaufman6,5945.828.8Strong
Williamson34,8387.3528.8Strong
Collin52,4947.61278.8Strong
Hood6,9486.088.7Strong
Ector6,2872.918.7Strong
Tarrant101,0666.81368.7Strong
Galveston21,0006.9348.7Strong
Angelina6,0533.938.7Strong
Dallas116,0675.32048.7Strong
Brazos9,6206.2148.6Strong
Bexar105,1016.11468.6Strong
Bell17,8455.8108.5Strong
Ellis10,3066.8128.5Strong
Victoria6,4814.768.5Strong
Grayson10,2855.9148.5Strong
Lubbock16,9194.9418.5Strong
Tom Green8,2763.988.5Strong
Henderson7,8274.768.5Strong
Hunt6,5884.868.4Strong
Johnson10,5396.2148.4Strong
Burnet5,0206.358.4Strong
Jefferson15,6163.3158.4Strong
Liberty4,4394.138.4Strong
Nueces23,0304.7128.4Strong
Bowie6,7764.1108.3Strong
Walker4,3615.248.3Strong
Cameron26,3154.978.2Strong
Webb11,2053.808.2Strong
Hidalgo45,7586.1168.2Strong
Wichita8,1253.358.2Strong
Gregg8,1524.098.2Strong
Wood5,4445.668.2Strong
El Paso46,7314.9318.2Strong
Midland7,2623.158.2Strong
Wise4,4205.728.1Strong
Orange5,4902.428.1Strong
Potter6,8634.7108.1Strong
McLennan17,0634.7158.1Strong
Polk2,8182.458.1Strong
Smith17,6975.9218.1Strong
Hardin4,0845.228.1Strong
Wilson3,4585.828.0Strong
Waller2,5445.1107.9Strong
Chambers2,2146.307.9Strong
Kerr7,2216.277.8Strong
Van Zandt5,2345.967.8Strong
Taylor9,3994.697.8Strong
Kendall4,1055.977.8Strong
Lamar4,0293.257.8Strong
Nacogdoches4,1173.737.8Strong
Coryell3,7856.437.7Strong
Bandera2,5484.907.7Strong
Rusk3,6022.927.7Strong
Harrison4,8944.847.7Strong
Matagorda2,5593.627.7Strong
Navarro3,6073.627.7Strong
Anderson3,5203.937.7Strong
San Patricio4,5395.117.7Strong
Cherokee3,8573.747.7Strong
Burleson1,4492.417.6Strong
Blanco1,2345.607.6Strong
Upshur3,1212.427.6Strong
Cooke3,2994.127.5Strong
Montague1,9775.357.5Strong
Austin2,8786.537.5Strong
Fannin2,8424.527.5Strong
Cass2,7973.317.5Strong
Llano3,7033.847.5Strong
Jasper2,8343.327.5Strong
Aransas2,9804.217.4Strong
Kleberg1,7923.207.4Strong
Hill3,0504.027.4Strong
Atascosa3,1944.227.3Strong
San Jacinto2,3953.117.3Strong
Medina3,8555.677.3Strong
Rains1,2123.707.3Strong
Jim Wells2,6643.227.2Strong
Franklin1,0063.817.2Strong
Val Verde3,0142.127.2Strong
Gonzales1,5173.927.2Strong
Limestone1,8494.317.2Strong
Callahan1,1772.707.2Strong
Young1,4723.927.2Strong
Wharton3,0512.927.1Strong
Titus1,7692.377.1Strong
Erath2,6554.337.1Strong
Panola1,7773.437.1Strong
Palo Pinto2,4243.927.1Strong
Gillespie3,9224.477.1Strong
Brown3,4204.537.1Strong
Grimes2,0665.317.1Strong
Caldwell2,8686.357.1Strong
Lavaca2,2404.917.1Strong
Milam2,1493.307.0Strong
Washington3,5844.047.0Moderate
Shelby1,7812.616.9Moderate
Comanche1,3782.716.9Moderate
Falls1,4122.406.9Moderate
Hopkins2,9414.336.8Moderate
Willacy1,2222.616.8Moderate
Colorado2,1274.126.8Moderate
Newton1,2153.306.8Moderate
Red River1,2853.606.8Moderate
Fayette2,9044.426.8Moderate
Eastland1,6413.616.8Moderate
Lampasas2,0205.626.8Moderate
Uvalde1,8802.826.7Moderate
Howard1,6552.716.7Moderate
Houston2,2323.416.7Moderate
Bosque2,0784.816.6Moderate
DeWitt1,6542.336.6Moderate
Tyler1,9653.216.6Moderate
Maverick2,9233.806.6Moderate
Starr3,2022.806.6Moderate
Bee1,5972.916.6Moderate
Hale1,9652.326.5Moderate
Gray1,4332.116.5Moderate
Hockley1,2932.9106.5Moderate
Marion1,0644.516.4Moderate
Trinity1,6553.806.4Moderate
Jones1,2622.626.3Moderate
Morris1,0434.016.2Moderate
Freestone1,7313.706.1Moderate
Sabine1,2993.406.1Moderate
Hutchinson1,3532.116.1Moderate
Robertson1,4534.906.0Moderate
Live Oak1,0872.806.0Moderate
Leon1,7622.406.0Moderate
Lee1,4543.315.9Moderate
Calhoun1,7734.115.8Moderate
Frio1,0352.115.8Moderate
Nolan1,1413.315.7Moderate
Jackson1,4045.625.7Moderate
Zavala5392.20
Andrews6131.61
Archer7622.71
Armstrong2156.31
Bailey6755.90
Baylor4314.41
Brewster8994.30
Briscoe1382.20
Brooks7146.10
Camp9213.31
Carson4623.50
Castro5335.10
Childress5192.11
Clay9883.90
Cochran1513.30
Coke4405.70
Coleman9053.50
Collingsworth1882.10
Concho2932.90
Cottle953.60
Crane2815.00
Crockett961.60
Crosby3933.30
Culberson2165.60
Dallam2531.61
Dawson7152.61
Deaf Smith8881.60
Delta4552.70
Dickens2213.00
Dimmit5392.20
Donley3644.91
Duval8072.60
Edwards1131.80
Fisher2762.11
Floyd4352.11
Foard1865.20
Gaines8464.22
Garza4496.80
Glasscock832.10
Goliad7292.40
Hall3003.90
Hamilton9914.22
Hansford3182.20
Hardeman2311.70
Hartley3793.00
Haskell4803.90
Hemphill2665.61
Hudspeth1301.10
Irion1012.30
Jack6815.51
Jeff Davis2755.70
Jim Hogg1081.80
Karnes9393.60
Kenedy123.50
Kent1407.60
Kimble4822.60
King225.30
Kinney4255.80
Knox2924.30
Lamb9663.12
La Salle6934.80
Lipscomb2343.00
Loving235.90
Lynn3962.11
McCulloch7194.01
McMullen201.80
Madison9202.92
Martin1621.81
Mason6455.90
Menard4326.10
Mills5053.00
Mitchell5732.90
Moore7332.30
Motley1483.10
Ochiltree4713.91
Oldham721.10
Parmer5281.70
Pecos7382.10
Presidio5412.40
Reagan1825.30
Real4373.80
Reeves6972.90
Refugio6424.40
Roberts411.10
Runnels9363.60
San Augustine9324.11
San Saba5583.60
Schleicher1861.80
Scurry9912.33
Shackelford2592.60
Sherman2435.40
Somervell7686.30
Stephens7832.30
Sterling1446.10
Stonewall1443.90
Sutton3235.80
Swisher4651.71
Terrell1175.90
Terry8995.11
Throckmorton2727.90
Upton2324.30
Ward7053.30
Wheeler4312.11
Wilbarger9563.91
Winkler3341.60
Yoakum4525.10
Zapata8882.80
Borden492.20

Top cities for assisted living in Texas

Where the homes actually are. Each linked city has its own page with local supply and market context.

CityCountyHomesBedsAvg size
HoustonHarris1807,25640.3
San AntonioTexas1324,63635.1
DallasDenton1013,87938.4
AustinWilliamson573,74365.7
Fort WorthTarrant492,31047.1
PlanoDenton411,56938.3
LubbockLubbock391,12828.9
ConroeMontgomery371,07429.0
SpringMontgomery361,10530.7
MckinneyCollin331,24937.8
El PasoEl Paso3195830.9
ArlingtonTarrant301,16638.9
KatyHarris281,01736.3
DentonDenton2787132.3
RichmondFort Bend2455623.2
GarlandDallas2372131.3
CarrolltonDenton2387938.2
LewisvilleDenton2164730.8
FriscoDenton2078639.3
GeorgetownWilliamson201,10555.3

Frequently asked questions

What are the top markets for assisted living in Texas?
The strongest Texas markets on RAL Market Scout's opportunity scoring are Hays, Fort Bend, Bastrop, Travis, Denton counties — based on 75+ demand and projected senior growth versus current bed supply.
Which Texas city has the most assisted living homes?
Houston has the most, with 180 licensed assisted living homes (about 7,256 beds).
How much does assisted living cost in Texas?
The median assisted living cost in Texas is about $5,666 per month — below the national median.
How many assisted living homes are in Texas?
Texas has approximately 2,001 licensed assisted living homes serving 1,577,059 residents aged 75 and older.

See the full Texas picture

RAL Market Scout scores every county and ZIP in Texas on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

Sources: Licensed-home and city counts from Texas state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.