About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Castle Hills, TX

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Assisted living costs in Castle Hills average about $4,229 per month. To find the best assisted living options for your needs and budget, browse through 90 communities in Castle Hills. Our detailed directory has 2477 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as San Antonio, Castroville and Boerne.

Castle Hills Assisted Living Facilities | 2477 Reviews

Showing 84 communities
Last Updated: 12/5/25
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Best of Senior Living

The highest-rated senior living communities stand out for their exceptional care and support of seniors in independent living, assisted living, memory care and home care. Our Best of Senior Living Award winners represent the top reviewed senior care providers nationwide based on reviews submitted by residents and families.

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Photo of St Marys Assisted Living Inc
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Sunny Spirits
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Alterra Sterling House of Nacogdoches
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Sunny Spirits at Hickory Hollow
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of OneStone Oak Senior Living
2121 Photos available
5 star
100%
4 star
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3 star
0%
2 star
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1 star
0%
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Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Discover OneStone Oak Senior Living - Where Care Meets Home Are you searching for a compassionate and intimate assisted living community for your beloved senior family members? Look no further than OneStone Oak Senior Living! As a family-owned and operated establishment, we are deeply committed...
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Photo of San Antonio - A-Z Senior Care 1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Outreach For Life II
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of San Antonio - A+ CARE 1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of The Outreach for Life
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
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Cost of assisted living in Castle Hills, TX

The average cost of senior living in Castle Hills is $4,229 per month. Cheaper nearby regions include Von Ormy, TX with an average of $4,148 per month.

Assisted living costs in Castle Hills, TX, vs. nearby cities

Castle Hills, TX
$4,229/mo

Assisted living costs in Castle Hills, TX, vs. state and national averages

Castle Hills, TX
$4,229/mo
$4,771/mo
U.S. national average
$4,698/mo

Assisted living costs in Castle Hills, TX, vs. other senior living options

Assisted Living
$4,229/mo
$4,612/mo

Assisted living costs in Castle Hills, TX, by floor plan type

Semi-Private
$4,064/mo
Private
$4,333/mo
Studio
$4,693/mo
1 Bedroom
$4,547/mo
2 Bedroom
$6,298/mo
Detached Cottage/Bungalow
$5,645/mo

Senior living costs in Castle Hills vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Castle Hills, TX
Column state: Texas
Column national: U.S.
Community typeCastle Hills, TXTexasU.S.
Assisted Living$4,229/mo$4,771/mo$4,698/mo
Memory Care$4,612/mo$4,936/mo$4,946/mo
Independent Living$4,004/mo$4,243/mo$4,153/mo
Assisted Living
Castle Hills, TX:$4,229/mo
Texas:$4,771/mo
U.S.:$4,698/mo
Memory Care
Castle Hills, TX:$4,612/mo
Texas:$4,936/mo
U.S.:$4,946/mo
Independent Living
Castle Hills, TX:$4,004/mo
Texas:$4,243/mo
U.S.:$4,153/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Castle Hills, TX

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Castle Hills.

What families are saying about assisted living in Castle Hills

Recent reviews for assisted living in Castle Hills

The William in San Antonio, TX

4.5
[Name removed] was a sales manager that helped us initially. She was wonderful with the move-in process and even helped us find some movers to help move my dad's furniture. The nurses and housekeeping people that I met were very nice as well as the staff in the dining room. I liked how the ...
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Parkway Assisted Living in San Antonio, TX

4.5
We moved my mother to Parkway assisted living facility . The entire staff was caring and took great care of my mother. The care they provide is outstanding.This place is clean and the furniture is in pristine condition. The staff is helpful and very friendly. The residents that live there ...
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Serenity Oaks Assisted Living and Memory Care in Live Oak, TX

5.0
We have been nothing short of pleased with our experience with serenity Oaks. My grandmother is getting the absolute best care there. Everybody is so friendly. The food is great and the place is always clean. The staff is always smiling. You can tell they really enjoy their jobs.

Reviews mention these favorite features of communities

Friendly and helpful staff. Several reviews mention the kindness and attentiveness of the staff at different communities. For example, at The William, residents appreciate the prompt response from staff, while at The Waterford at Shavano Park, the staff's willingness to listen and address concerns is highlighted.
Variety of activities. Communities offer a range of activities to keep residents engaged and active. At Brookdale Oakwell, residents enjoy a wide selection of events, while at Brookdale Hollywood Park, residents have the freedom to choose their activities based on their interests.
Well-maintained living spaces. Reviews consistently praise the cleanliness and upkeep of community living spaces. At Brookdale Maltsberger, the facility's cleanliness is a major factor in residents' satisfaction, while at Brookdale Hamilton Wolfe, the maintenance team's responsiveness is appreciated.
Easy communication with staff and family. Many families express appreciation for the clear and consistent communication they receive from community staff. For instance, at Lynridge of San Antonio, staff make a point to keep families updated, and at The Haven and The Laurels in Stone Oak, regular meetings between staff and families a ...
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Customized care plans. Residents receive individualized care plans tailored to their needs. At Independence Hill Assisted Living, care plans are adjusted to meet residents' changing requirements, and at Brookdale Medical Center Kingsley, staff work closely with residents and their families to create care plans tha ...
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Comfortable and homelike atmosphere. Reviews often comment on the warm and welcoming atmosphere at different communities. At New Forest Haven Assisted Living, residents feel at home, and at Sage Park San Antonio, the friendly and open environment puts families at ease.
AI generated from the text of family reviews

Castle Hills review score based on 481 family reviews

8.6
Review score82 facilities481 reviewsWrite a review
This proprietary review score is based on 481 reviews of 82 Castle Hills assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Castle Hills review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Castle Hills review score compared against nearby cities

8.6
Castle Hills, TX82 facilities
8.6
8.5
Olmos Park, TX82 facilities

Review subcategories for Castle Hills assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 481 reviews of 82 Castle Hills assisted living communities. This chart helps you compare Castle Hills resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Castle Hills, TX averageNational average
Cleanliness
4.1
4.1
Friendliness
4.2
4.2
Care services
3.9
3.8
Staff
4.0
4.0
Meals & dining
3.8
3.7
Activities
3.8
3.7
Value for cost*
3.9
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Castle Hills assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Castle Hills assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Castle Hills, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Castle Hills assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Castle Hills that offer these care services compared to the percentage of partners that offer them nationally.
Castle Hills, TXNational
Full medication management
Full medication management
64.6%
52.5%
Doctor on call
Doctor on call
51.2%
33.8%
24-Hour awake staff
24-Hour awake staff
91.5%
96.1%
Diabetic care
Diabetic care
96.3%
97.6%
*Visiting health care professionals
*Visiting health care professionals
72%
56.7%
Home care agency on-site
Home care agency on-site
32.9%
30%
Non-ambulatory care
Non-ambulatory care
91.5%
96.7%
Respite or short term stays
Respite or short term stays
53.7%
47.6%
Hospice available on-site
Hospice available on-site
58.5%
52.4%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Castle Hills assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Castle Hills Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Castle Hills, TXNational
Dementia behaviors care
Dementia behaviors care
57.3%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
39%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
48.8%
41.1%
Memory care only community
Memory care only community
30.5%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Castle Hills assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Castle Hills partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Castle Hills, TXNational
Nutritionist / dietician
Nutritionist / dietician
20.7%
27.2%
Low / no sodium
Low / no sodium
50%
40.9%
No sugar
No sugar
47.6%
37.5%
Vegetarian
Vegetarian
43.9%
36.2%
Pureed meals
Pureed meals
31.7%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Castle Hills assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Castle Hills communities that offer dining options to their discerning residents compared to our partners nationally.
Castle Hills, TXNational
Professional chef
Professional chef
30.5%
31.5%
Restaurant style dining
Restaurant style dining
41.5%
42.3%
Room service
Room service
48.8%
36.7%
Anytime dining
Anytime dining
24.4%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Castle Hills assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Castle Hills offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Castle Hills, TXNational
Activity director
Activity director
45.1%
46.4%
Pet-focused programs
Pet-focused programs
39%
31%
Community service programs
Community service programs
34.1%
30.4%
Devotional activities on-site
Devotional activities on-site
58.5%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
57.3%
49.3%
Outings / off-site activities
Outings / off-site activities
50%
52.3%
Piano or organ
Piano or organ
40.2%
41.3%
Arts and crafts center
Arts and crafts center
39%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
32.9%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
48.8%
46.8%
Live performances
Live performances
52.4%
46.9%
Dances
Dances
34.1%
30.5%
Fitness center
Fitness center
19.5%
24.6%
Fitness classes
Fitness classes
46.3%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Castle Hills

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Texas assisted living regulations will help you understand how assisted living communities in Castle Hills protect seniors.
Learn about Texas assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports
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