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Texas HHSC Licensing Data

See Every Licensed Assisted Living Home in Your Texas County (January 2026 HHSC Export)

Whether you are placing a family member or buying a house to license as senior care, this is the whole board: who holds a license in your county, how many beds they are allowed, and what they are certified for. As of the January 2026 HHSC export, Texas had 2,002 assisted living license records in the January 2026 HHSC export across 151 counties, with a combined licensed capacity of 82,752 residents. 1,643 were Type B (staff-assisted evacuation), 359 Type A, and 735 certified for Alzheimer's and memory care.

Source: Texas Health and Human Services Commission (HHSC) Long-term Care Provider directory, January 2026 export. This directory is a dated snapshot, not a live licensing database; HHSC issues and closes licenses year-round. Always verify current status via the official HHSC provider search. Compiled by Erika Crossley from the Texas HHSC provider directory. Looking for Illinois? See the Illinois assisted living & shared housing directory.

2,002

Licenses in the January 2026 HHSC export

82,752

Licensed capacity

735

Memory care certified

151

Counties covered

Top 20 Texas Counties by Assisted Living Licenses

Start with your county. The 20 largest county markets hold 1,550 of Texas's 2,002 licenses in the January 2026 export. The capacity, type, and memory care columns tell you what is already served in a market and what is not.

CountyFacilitiesLicensed capacityType AType BMemory care
Harris County28011,55874206110
Dallas County2007,4743916170
Bexar County1455,0913311241
Tarrant County1427,4232012264
Collin County1294,664712258
Denton County1043,40269843
Fort Bend County892,907107932
Montgomery County852,19187731
Travis County754,93796633
Williamson County573,01494835
Lubbock County491,2722477
El Paso County3297911218
Galveston County321,40923011
Brazoria County291,19542511
Smith County201,1916148
Hays County191,09241510
Hidalgo County173941164
Comal County1687211511
Jefferson County155641145
McLennan County151,05031210

All 151 Counties

Anderson (3)Andrews (1)Angelina (3)Aransas (1)Armstrong (1)Atascosa (1)Austin (3)Bastrop (3)Baylor (1)Bee (1)Bell (10)Bexar (145)Bosque (1)Bowie (10)Brazoria (29)Brazos (14)Brown (3)Burleson (1)Burnet (5)Caldwell (5)Calhoun (1)Cameron (7)Camp (1)Cass (1)Cherokee (4)Childress (1)Collin (129)Colorado (2)Comal (16)Comanche (1)Cooke (2)Coryell (3)Dallam (1)Dallas (200)Dawson (1)Denton (104)Dewitt (2)Donley (1)Eastland (1)Ector (3)El Paso (32)Ellis (11)Erath (3)Fannin (2)Fayette (2)Fisher (1)Floyd (1)Fort Bend (89)Franklin (1)Frio (1)Gaines (2)Galveston (32)Gillespie (7)Gonzales (2)Gray (1)Grayson (14)Gregg (11)Grimes (1)Guadalupe (10)Hale (2)Hamilton (2)Hardin (2)Harris (280)Harrison (2)Hays (19)Hemphill (1)Henderson (6)Hidalgo (17)Hill (2)Hockley (2)Hood (8)Hopkins (3)Houston (1)Howard (1)Hunt (6)Hutchinson (1)Jack (1)Jackson (2)Jasper (1)Jefferson (15)Jim Wells (2)Johnson (13)Kaufman (4)Kendall (7)Kerr (7)Lamar (5)Lamb (2)Lampasas (2)Lavaca (2)Lee (1)Liberty (3)Limestone (1)Llano (4)Lubbock (49)Lynn (1)Madison (2)Marion (1)Matagorda (2)McCulloch (1)McLennan (15)Medina (8)Midland (4)Montague (5)Montgomery (85)Morris (1)Nacogdoches (3)Navarro (2)Nolan (1)Nueces (11)Ochiltree (1)Orange (2)Palo Pinto (2)Panola (3)Parker (11)Polk (5)Potter (12)Randall (6)Rockwall (8)Rusk (2)San Augustine (1)San Jacinto (1)San Patricio (1)Scurry (3)Shelby (1)Smith (20)Swisher (1)Tarrant (142)Taylor (10)Terry (1)Titus (7)Tom Green (8)Travis (75)Tyler (1)Upshur (2)Uvalde (2)Val Verde (2)Van Zandt (5)Victoria (6)Walker (4)Waller (10)Washington (4)Wharton (2)Wheeler (1)Wichita (6)Wilbarger (1)Willacy (1)Williamson (57)Wilson (2)Wise (2)Wood (6)Young (2)

Where Are the Gaps? County Opportunity Rankings

Every county ranked by licensed assisted living beds per 1,000 residents 65+, built from this HHSC data plus U.S. Census Bureau population estimates - including the counties with zero licensed facilities.

See the County Rankings

Browse by Care Type

Statewide views of the same January 2026 HHSC data, filtered by license type and memory care certification.

Largest Texas Cities by Assisted Living Licenses

The 30 cities with the most licenses in the January 2026 export. Every Texas city with 2 or more licensed facilities has its own page (197 cities in all); single-facility cities are listed on their county page.

Frequently Asked Questions

How many assisted living facilities are in Texas?

As of the January 2026 Texas HHSC Long-term Care Provider export, Texas had 2,002 assisted living license records in the January 2026 HHSC export across 151 counties, with a combined licensed capacity of 82,752 residents. HHSC issues and closes licenses year-round, so verify current status through the official HHSC provider search.

What is the difference between a Type A and Type B assisted living facility in Texas?

In Texas HHSC licensing, a Type A facility serves residents who are physically and mentally capable of evacuating the facility unassisted in an emergency and who do not need routine staff attendance during nighttime sleeping hours. A Type B facility serves residents who need staff assistance to evacuate, including overnight attendance. As of the January 2026 export, Texas had 359 Type A and 1,643 Type B licenses.

How many memory care facilities are in Texas?

735 of the 2,002 licenses in the January 2026 HHSC export are certified for Alzheimer's and memory care, with a combined certified memory care capacity of 21,465 residents (same export).

Which Texas counties have the most assisted living facilities?

In the January 2026 HHSC export, the five Texas counties with the most assisted living licenses are Harris (280), Dallas (200), Bexar (145), Tarrant (142), Collin (129). Together the top five hold 896 of the state's 2,002 licenses.

How do I verify an assisted living facility license in Texas?

Every licensed facility has an HHSC license number, listed on each county page in this directory. You can verify current license status, inspection results, and enforcement actions through the official HHSC Long-term Care Provider Search at apps.hhs.texas.gov/LTCSearch.

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