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HHSC Licensing Data + Census Population Data

Where Texas Has Seniors but Few Licensed Assisted Living Beds

Texas had 2,002 licensed assisted living facilities with 82,752 licensed beds in the January 2026 HHSC export, and an estimated 4,362,712 residents age 65 and over (U.S. Census Bureau, July 1, 2024 estimates (Vintage 2024, YEAR code 6)). That is 19 licensed beds per 1,000 seniors statewide. This page ranks every county by that ratio, lowest first, and lists the 103 counties with no licensed facility at all.

What this metric is, and is not: it 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.

19

Licensed beds per 1,000 seniors, statewide

151

Counties with licensed facilities

103

Counties with zero licensed facilities

193,099

Seniors in zero-facility counties

All 151 Counties, Ranked by Licensed Beds per 1,000 Residents 65+

Lowest ratio first - the counties where licensed capacity is thinnest relative to the senior population. Every county links to its detail page with the full picture and sources.

#CountyResidents 65+FacilitiesLicensed bedsBeds per 1,000 65+Memory care beds per 1,000 65+
1San Jacinto County6,9701101.40
2Limestone County4,89811020
3Jasper County7,1211162.20
4Grimes County6,3011142.20
5Liberty County12,8183362.80
6Hardin County10,75323230
7Wilson County9,8662323.21.6
8Shelby County4,5911163.50
9Hidalgo County110,457173943.61.2
10San Patricio County11,2341403.60
11Burleson County4,3421163.70
12Harrison County13,1962523.90
13Bee County4,1021163.90
14Orange County14,2882584.10
15Lee County3,9421164.10
16Hutchinson County3,7251164.30
17Jim Wells County6,4672324.92.5
18Donley County818144.90
19Cameron County63,66473285.20.5
20Lavaca County5,1512275.20
21Aransas County7,6181405.30
22Willacy County2,9851165.40
23Bastrop County18,05831005.50.9
24Val Verde County6,4632385.91.9
25Bosque County5,0191326.40
26Gonzales County3,7292246.40
27Atascosa County8,0281577.10
28Houston County5,0481367.10
29Frio County2,2491167.10
30Matagorda County6,9542527.50
31Cass County6,6121507.60
32Dewitt County4,2012327.63.8
33Swisher County1,190197.60
34El Paso County120,312329798.11.6
35Wise County12,89521068.20
36Jackson County3,1382268.30
37Andrews County1,9331168.30
38Randall County24,58862178.83.3
39Polk County10,48959491.5
40Terry County1,7671169.10
41Dawson County1,6791169.50
42Palo Pinto County6,2822629.90
43Howard County4,29514410.20
44Comanche County3,42613610.50
45Baylor County8541910.50
46Colorado County5,16225610.80
47Cherokee County9,9974110111.6
48Austin County6,97337911.30
49Caldwell County7,96759211.50
50Tyler County4,71315511.70
51Eastland County4,12014811.70
52Wheeler County1,02911211.70
53Kaufman County20,382424311.91.6
54Rusk County9,712211611.92.2
55Gray County3,55314312.10
56Bell County50,0871061312.22.5
57Walker County12,141414812.21.5
58Fannin County7,06028712.32.8
59Hale County4,74125912.43.4
60Ector County16,842321612.81.8
61Lampasas County5,14326612.80
62Panola County4,68836213.23
63Nolan County2,70613613.30
64McCulloch County1,87712513.30
65Jefferson County41,1161556413.72.4
66Medina County10,219814013.70
67Hill County8,024211013.70
68Fayette County6,99529713.90
69Nueces County59,3961183514.12.7
70Childress County1,13511614.10
71Angelina County15,467322114.34.5
72Guadalupe County29,8491043614.62.5
73Coryell County10,250315014.62.7
74Hockley County3,42725014.64.1
75Navarro County9,605214214.80
76Llano County8,650412814.81.8
77Marion County2,799142150
78Van Zandt County13,605520715.20
79Cooke County8,863213715.52.9
80Upshur County8,531213615.93
81Floyd County997116160
82Washington County9,113414716.14.2
83Lamb County2,24223616.10
84Tom Green County21,458835016.37
85Burnet County13,491523117.11.3
86Anderson County9,424316217.24.4
87Brown County8,379314417.20
88Waller County7,8241013617.40
89Henderson County20,218635817.72.6
90Scurry County2,69034817.85.9
91Fisher County90011617.80
92Victoria County16,470629517.95.2
93Hopkins County7,425313317.93.8
94Bexar County283,3151455,091185
95Hunt County18,1836327181.7
96Nacogdoches County10,793319618.23
97Wharton County7,874214418.30
98Uvalde County4,12527618.40
99Morris County2,71515018.40
100Harris County615,71728011,55818.85.2
101Parker County29,1991154818.83
102Wood County13,569625718.90
103Wichita County20,871639919.11.4
104Hood County17,988835419.75.9
105Camp County2,52115019.80
106Erath County6,944314120.33.7
107Montgomery County106,271852,19120.66.4
108Taylor County22,7721047320.84.8
109Kerr County16,1757339214.9
110Montague County4,827510221.11
111Madison County2,14324621.50
112Brazoria County55,326291,19521.65.4
113Midland County19,870444422.36.2
114Dallas County329,8542007,47422.76
115Comal County38,3781687222.78
116Fort Bend County127,721892,90722.88.3
117Johnson County29,8371368022.87
118Galveston County61,337321,409235.9
119Grayson County27,5321464523.43.7
120Lamar County9,947523723.83.2
121San Augustine County2,18815223.80
122Rockwall County17,839842723.99.2
123Gaines County2,14325224.30
124McLennan County42,781151,05024.56.5
125Calhoun County4,075110024.50
126Young County3,836296254.2
127Tarrant County288,0961427,42325.87.2
128Ellis County30,8471181826.55.8
129Denton County128,0331043,40226.68.1
130Smith County44,822201,19126.66.9
131Franklin County2,53616826.80
132Hamilton County2,150258270
133Jack County1,59014528.30
134Lubbock County44,704491,27228.54.8
135Bowie County16,3821046728.56.6
136Kendall County10,944731628.99.7
137Hays County36,871191,09229.67.6
138Collin County151,0121294,66430.912.2
139Travis County159,290754,937317.5
140Williamson County95,923573,01431.410.7
141Wilbarger County2,45817831.70
142Brazos County27,2671488132.37.2
143Gregg County21,12311698337.1
144Gillespie County8,719731736.45.8
145Potter County17,0671263337.110.8
146Ochiltree County1,35615439.80
147Lynn County98714040.50
148Armstrong County46212043.30
149Dallam County79414050.40
150Titus County4,943726553.67.3
151Hemphill County60014066.70

Memory care column: certified Alzheimer's capacity per 1,000 residents 65+. Some certified facilities list no separate certified-bed figure in the HHSC export, so true certified capacity may be somewhat higher.

The 103 Texas Counties with Zero Licensed Assisted Living Facilities

These counties had no assisted living license in the January 2026 HHSC export. Together they are home to 193,099 residents age 65 and over. Sorted by senior population. (Care in these counties may exist as nursing facilities, home care, or county-permitted boarding homes, which this dataset does not cover.)

Webb (29,345 seniors)
Starr (7,661 seniors)
Maverick (7,069 seniors)
Bandera (6,976 seniors)
Chambers (6,695 seniors)
Milam (5,737 seniors)
Freestone (4,276 seniors)
Kleberg (4,233 seniors)
Leon (4,153 seniors)
Trinity (3,983 seniors)
Blanco (3,796 seniors)
Robertson (3,784 seniors)
Rains (3,491 seniors)
Falls (3,438 seniors)
Callahan (3,273 seniors)
Jones (3,261 seniors)
Sabine (3,204 seniors)
Red River (3,079 seniors)
Newton (2,906 seniors)
Clay (2,656 seniors)
Moore (2,542 seniors)
Deaf Smith (2,511 seniors)
Live Oak (2,484 seniors)
Brewster (2,323 seniors)
Karnes (2,257 seniors)
Somervell (2,127 seniors)
Coleman (2,097 seniors)
Runnels (2,079 seniors)
Archer (2,032 seniors)
Stephens (2,011 seniors)
Pecos (1,991 seniors)
Goliad (1,907 seniors)
Zapata (1,900 seniors)
Duval (1,682 seniors)
Ward (1,515 seniors)
Reeves (1,504 seniors)
Refugio (1,499 seniors)
Parmer (1,476 seniors)
Kimble (1,418 seniors)
Zavala (1,398 seniors)
Mitchell (1,382 seniors)
Dimmit (1,347 seniors)
San Saba (1,330 seniors)
Mills (1,326 seniors)
Presidio (1,317 seniors)
Castro (1,300 seniors)
Mason (1,259 seniors)
Carson (1,240 seniors)
Haskell (1,227 seniors)
Delta (1,186 seniors)
Brooks (1,145 seniors)
Bailey (1,027 seniors)
La Salle (1,002 seniors)
Crosby (985 seniors)
Winkler (957 seniors)
Yoakum (927 seniors)
Coke (926 seniors)
Real (865 seniors)
Kinney (848 seniors)
Hartley (827 seniors)
Jim Hogg (811 seniors)
Jeff Davis (794 seniors)
Hardeman (791 seniors)
Hansford (757 seniors)
Shackelford (727 seniors)
Knox (696 seniors)
Hall (676 seniors)
Sutton (675 seniors)
Concho (670 seniors)
Menard (645 seniors)
Martin (633 seniors)
Garza (616 seniors)
Crane (605 seniors)
Crockett (589 seniors)
Lipscomb (588 seniors)
Upton (551 seniors)
Collingsworth (531 seniors)
Dickens (514 seniors)
Schleicher (506 seniors)
Sherman (458 seniors)
Culberson (424 seniors)
Edwards (424 seniors)
Reagan (416 seniors)
Throckmorton (387 seniors)
Cochran (382 seniors)
Irion (370 seniors)
Briscoe (358 seniors)
Stonewall (344 seniors)
Cottle (337 seniors)
Hudspeth (327 seniors)
Motley (318 seniors)
Oldham (292 seniors)
Foard (289 seniors)
Terrell (233 seniors)
Sterling (208 seniors)
Roberts (194 seniors)
Kent (179 seniors)
Glasscock (178 seniors)
Borden (149 seniors)
McMullen (135 seniors)
Kenedy (81 seniors)
King (48 seniors)
Loving (1 seniors)

Methodology and Sources

Frequently Asked Questions

How many licensed assisted living beds does Texas have per 1,000 seniors?

Texas had 82,752 licensed assisted living beds in the January 2026 HHSC export and an estimated 4,362,712 residents age 65 and over (U.S. Census Bureau, July 1, 2024 estimates (Vintage 2024, YEAR code 6)). That is 19 licensed beds per 1,000 residents 65+. This measures licensed capacity, not occupied beds or demand.

Which Texas counties have the fewest assisted living beds relative to seniors?

Among counties with at least one licensed facility, the five lowest ratios in this data are San Jacinto County (1.4 per 1,000 residents 65+), Limestone County (2 per 1,000 residents 65+), Jasper County (2.2 per 1,000 residents 65+), Grimes County (2.2 per 1,000 residents 65+), Liberty County (2.8 per 1,000 residents 65+). Beyond those, 103 Texas counties had zero licensed assisted living facilities in the January 2026 HHSC export, home to a combined 193,099 residents age 65 and over.

Does a low ratio mean a county needs more assisted living?

Not by itself. The ratio compares licensed capacity with total 65+ population. It does not count nursing homes, home care, county-permitted boarding homes, or family care, it says nothing about how full existing facilities are, and most residents 65+ never need assisted living. A low ratio flags a county worth investigating with real occupancy and income data, not a proven shortage.

Where does this data come from?

Two primary sources: licensed facilities and capacity from the Texas Health and Human Services Commission (HHSC) Long-term Care Provider directory (January 2026 export), and county population from the 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 before acting on any single facility.

Want to open a licensed home in one of these counties?

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