HHSC Licensing Data + Census Population Data
Montgomery County: 20.6 Licensed Assisted Living Beds per 1,000 Residents 65+
106,271
Residents 65+
85
Licensed facilities
2,191
Licensed beds
20.6
Beds per 1,000 seniors
Montgomery County, Texas has 85 licensed assisted living homes with 2,191 licensed beds for 106,271 residents age 65 and over - 20.6 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 85 licensed assisted living homes in Montgomery County, only 31 are certified for Alzheimer's and memory care - 6.4 certified memory care beds per 1,000 residents 65+. Sources: Texas HHSC (January 2026) and U.S. Census Bureau (July 1, 2024 estimates).
Rank 107 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.
Frequently Asked Questions
How many assisted living beds does Montgomery County have per 1,000 seniors?
Montgomery County had 2,191 licensed assisted living beds in the January 2026 HHSC export and an estimated 106,271 residents age 65 and over (U.S. Census Bureau, July 1, 2024 estimates (Vintage 2024, YEAR code 6)). That is 20.6 licensed beds per 1,000 seniors, versus a Texas average of 19. This measures licensed capacity, not occupied beds or demand.
Is Montgomery County underserved for assisted living?
The data alone cannot prove that. Montgomery County ranks 107 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.
How many memory care beds does Montgomery County have?
Montgomery County's licensed facilities listed 675 certified Alzheimer's/memory care beds in the January 2026 HHSC export - 6.4 per 1,000 residents 65+. Some certified facilities list no separate certified-bed figure, so true certified capacity may be somewhat higher.
Where does this data come from?
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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