HHSC Licensing Data + Census Population Data
50,087
Residents 65+
10
Licensed facilities
613
Licensed beds
12.2
Beds per 1,000 seniors
Bell County, Texas has 10 licensed assisted living homes with 613 licensed beds for 50,087 residents age 65 and over - 12.2 licensed beds per 1,000 seniors, against a Texas average of 19. Sources: Texas HHSC (January 2026) and U.S. Census Bureau (July 1, 2024 estimates).
Of the 10 licensed assisted living homes in Bell County, only 4 are certified for Alzheimer's and memory care - 2.5 certified memory care beds per 1,000 residents 65+. Sources: Texas HHSC (January 2026) and U.S. Census Bureau (July 1, 2024 estimates).
Rank 56 of 151 Texas counties with licensed facilities, sorted from fewest to most licensed beds per 1,000 residents 65+. The two paragraphs above are written to be quoted - copy them with the sources attached.
Read this before acting on the number: this ratio compares licensed capacity with total 65+ population. It is not occupancy, not demand, and not a market study. It does not count nursing homes, home care, or county-permitted boarding homes, and most residents 65+ never need assisted living. A low ratio flags a county worth investigating - it does not prove a shortage.
Bell County had 613 licensed assisted living beds in the January 2026 HHSC export and an estimated 50,087 residents age 65 and over (U.S. Census Bureau, July 1, 2024 estimates (Vintage 2024, YEAR code 6)). That is 12.2 licensed beds per 1,000 seniors, versus a Texas average of 19. This measures licensed capacity, not occupied beds or demand.
The data alone cannot prove that. Bell County ranks 56 of 151 Texas counties with licensed facilities when sorted from fewest to most licensed beds per 1,000 residents 65+ (January 2026 data). The ratio does not count nursing homes, home care, or boarding homes, and says nothing about occupancy. Treat it as a flag for further research, not a verdict.
Bell County's licensed facilities listed 124 certified Alzheimer's/memory care beds in the January 2026 HHSC export - 2.5 per 1,000 residents 65+. Some certified facilities list no separate certified-bed figure, so true certified capacity may be somewhat higher.
Licensed facilities and capacity: Texas Health and Human Services Commission (HHSC) Long-term Care Provider directory, January 2026 export. County population: U.S. Census Bureau, Population Estimates Program, Vintage 2024 county characteristics file (CC-EST2024-AGESEX), Texas, retrieved 2026-08-07. Both are dated snapshots; verify current license status through the official HHSC provider search at apps.hhs.texas.gov/LTCSearch.
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