Long-Term Care Cost Guide

The Texas Medicaid answer, verified

Yes - the STAR+PLUS managed care program's Home and Community Based Services (HCBS) waiver pays for assisted living SERVICES in a personal care facility licensed by HHSC, but 'STAR+PLUS HCBS program members are responsible for their room and board costs and, if applicable, copayment for AL.' Here is what that means in practice for Weston Lakes families - eligibility, what waivers cover, and what stays out of pocket.

Assisted living near Weston Lakes compares against a national median of $6,200 a month - and Texas's own median of $5,666, ranked #34 of 50 states.

A semi-private nursing home room runs $9,581 a month at the 2025 national median - the number Weston Lakes families weighing skilled care start from.

In-home care averages $35 an hour nationally - about $80,080 a year at 44 hours a week for Weston Lakes households.

Yes - the STAR+PLUS managed care program's Home and Community Based Services (HCBS) waiver pays for assisted living SERVICES in a personal care facility licensed by HHSC, but 'STAR+PLUS HCBS program members are responsible for their room and board costs and, if applicable, copayment for AL.' Whatever your state covers, one rule is nearly universal: waivers pay for care services, and the family still handles living costs - so a Medicaid path still needs a budget.

Medicaid is the payer of last resort for long-term care, and whether it helps with assisted living depends entirely on your state. Yes - the STAR+PLUS managed care program's Home and Community Based Services (HCBS) waiver pays for assisted living SERVICES in a personal care facility licensed by HHSC, but 'STAR+PLUS HCBS program members are responsible for their room and board costs and, if applicable, copayment for AL.' Nursing home care is covered in every state for those who qualify financially - assisted living is the state-by-state question.

Single-story senior living community exterior with covered entrance and garden beds
Wide, well-lit corridor in a care community with handrails on both walls
Bright private room in a senior community with bed, armchair and family photos on the dresser
Clipboard with a facility tour checklist resting on a lobby table

The 2026 numbers

Care type2025 national medianWhat it covers
In-home care$35/hourNon-medical help at home - meals, bathing, companionship
Adult day care$95/dayDaytime supervision and activities, evenings at home
Assisted living$6,200/monthHousing plus daily-living help; care-level fees extra
Memory caretypically 20-40% above assisted livingSecured dementia care with higher staffing
Nursing home (semi-private)$9,581/month24/7 skilled medical care
Nursing home (private room)$355/daySame care, private room
The U.S. median for assisted living is $6,200 a month; a semi-private nursing home room runs $9,581 a month; in-home care averages $35 an hour.Source: CareScout / Genworth 2025 Cost of Care Survey (published March 2026)

Find senior care options near Weston Lakes

These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.

A Place for MomFree advisor - largest U.S. senior living networkSee communities with A Place for Mom
Caring.comDirectory with reviews and pricing guidanceBrowse communities on Caring.com

Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.

Texas: Medicaid, prices and the inspection file

QuestionTexas answer
Medicaid & assisted livingYes - the STAR+PLUS managed care program's Home and Community Based Services (HCBS) waiver pays for assisted living SERVICES in a personal care facility licensed by HHSC, but 'STAR+PLUS HCBS program members are responsible for their room and board costs and, if applicable, copayment for AL.'
State median, assisted living$5,666/month (#34 of 50 states)
Licensing & inspection recordsTexas Health and Human Services Commission (HHSC), Long-Term Care Regulation

Texas issues two license types: a Type A facility serves residents who do not need routine attendance during sleeping hours and can follow directions in an emergency; a Type B facility serves residents who need staff help to leave the building, cannot follow directions in an emergency, and require nighttime attendance.

Yes - the STAR+PLUS managed care program's Home and Community Based Services (HCBS) waiver pays for assisted living SERVICES in a personal care facility licensed by HHSC, but 'STARSource: Texas Medicaid / official source
Inspection and complaint records for Texas senior care facilities are public.Source: Texas Health and Human Services Commission (HHSC), Long-Term Care Regulation

This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.

Weekly medication organizer and pill bottles on a kitchen counter

What this means for Weston Lakes families

A fair comparison prices the whole picture: home care hours plus home maintenance, transport, and the family hours nobody bills. Communities bundle those in - which is why the sticker comparison understates what assisted living replaces.

This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.

Common questions

How much does assisted living cost?

The U.S. median is $6,200 a month ($74,400 a year) per the 2025 CareScout Cost of Care Survey - before care-level fees, which add hundreds more at higher need levels. State medians vary widely; this guide shows your state's number and rank on every page.

Does long-term care insurance actually help?

If your parent bought a policy years ago, yes - claim it early, as most policies have elimination periods before benefits start. Buying new coverage in one's 80s is generally not realistic. Check old files: policies bought decades ago are routinely forgotten and unclaimed.

How much does in-home care cost?

About $35 an hour at the 2025 national median - roughly $80,000 a year at 44 hours a week. Since the 2025 survey, non-medical caregivers are tracked as a single category, so quotes for 'homemaker' versus 'home health aide' services should no longer differ much for non-medical help.

Should my parent stay home with help or move to assisted living?

Run the hours math first: in-home care at about $35 an hour serves people who need help, not round-the-clock supervision. Below about 30-40 hours a week, home usually costs less; past that - or when safety needs someone always present - assisted living's $6,200 median often buys more coverage. The right answer follows the care needs, not the buildings.

What fees do communities add on top of rent?

Care-level fees (assessed need tiers that can add $500-1,500+ monthly), medication management, and one-time community or move-in fees are the big three. Always compare communities on the all-in monthly number at your parent's assessed level - base rent alone is a marketing figure.

Find senior care options near Weston Lakes

These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.

A Place for MomFree advisor - largest U.S. senior living networkSee communities with A Place for Mom
Caring.comDirectory with reviews and pricing guidanceBrowse communities on Caring.com

Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.

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