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 2026 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 2026 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 2026 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 Preston, TX

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Assisted living costs in Preston average about $4,315 per month. To find the best assisted living options for your needs and budget, browse through 52 communities in Preston. Our detailed directory has 1067 reviews, photos, and lists of available services, amenities, and activities. You may also consider nearby communities such as Denison, Sherman and Whitesboro.

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. 

Preston Assisted Living Facilities | 1067 Reviews

Showing 52 communities
Last Updated: 9/18/26
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Photo of Wesley House of Gainseville
1313 Photos available
55 Floor plans available
6.5
Review score
11 reviews
6.5
Review score
11 reviews
5 star
73%
4 star
18%
3 star
0%
2 star
9%
1 star
0%
See all reviews
My loved one is currently a resident at Wesley House of Gainseville and the experience has been very good for her at this facility, so far. All is well. She loves living there and we are happy with them. I...
Provides: Assisted Living, Memory Care
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.
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.
Photo of Oxford Grand at McKinney
44 Photos available
7.0
Review score
19 reviews
7.0
Review score
19 reviews
5 star
47%
4 star
32%
3 star
16%
2 star
0%
1 star
5%
See all reviews
The quality of care got a 4 because the needs of people in memory care are high and at times there did not always appear to be enough staff. The staff themselves were kind and caring. Rooms were extremely...
Provides: Assisted Living, Memory Care
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.
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.
Are you looking for vibrant Assisted Living in a worry-free environment, or personalized Memory Care that offers hope and joy to loved ones with Alzheimer's and dementia? The extraordinary staff at The Oxford Grand will tailor a personal care plan just for you. (Ask about Oxford's specialized...
Photo of Golden Grace
1111 Photos available
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
The experience is great. The only reason I gave a 4 for care services is they haven't been able to get a hair professional in, we had to cut Moms hair ourselves. The new owners are fantastic, but the 4 for...
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.
Golden Grace DAHS is your home away from home.Golden Grace DAHS is dedicated to providing specialized care services for individuals with Alzheimer’s or other Dementias.The program promotes social, emotional and physical well-being to our members to achieve optimal health and remaining as...
Photo of Magnolia Senior Living of Frisco
1212 Photos available
5 star
50%
4 star
13%
3 star
6%
2 star
0%
1 star
31%
See all reviews
We moved dad here and they were amazing! It truly felt like a home! With high quality care. All of the food was made fresh! Easy to visit but still secure. Wish we would have looked there first
Provides: Assisted Living, Memory Care
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.
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.
Welcome to Windhaven Senior Living. Your new family awaits you!Windhaven Senior Living is founded on the principle of enhancing the independence of our residents through exemplary, personalized care in a compassionate, nurturing environment.We believe in treating every resident with the utmost...
Photo of Live Oak Denison
7.0
Review score
23 reviews
7.0
Review score
23 reviews
5 star
53%
4 star
39%
3 star
4%
2 star
0%
1 star
4%
See all reviews
Overall, the experience was positive. The staff really seem to care about the residents, and the nurses are proactive in reaching out to the families with progress reports and suggestions. I would definitely...
Provides: Assisted Living, Memory Care
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.
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.
Live Oak Senior Living is nestled in the beautiful Denison, Texas, conveniently located near many of the major medical centers in town. Our welcoming, home like atmosphere and friendly staff are beyond compare. You can live the pampered lifestyle of being served home- style meals prepared by our...
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Photo of Nanaws Place
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
100%
See all reviews
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 Madill Baptist Vlg
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.
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.
Provides: Assisted Living, Residential Care Home
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.
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 Hilltop Haven
5 star
0%
4 star
67%
3 star
33%
2 star
0%
1 star
0%
See all reviews
Provides: Memory Care, Independent Living
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.
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.
For over 60 years, Hilltop Haven has been a PROVEN AND TRUSTED NAME IN SKILLED NURSING AND RETIREMENT LIVING. Hilltop Haven and Howard Apartments are members of the Christian Care Centers family of senior living communities, currently serving more residents in the Dallas/Fort Worth Metroplex and...
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Photo of Wesley House Bonham
Provides: Assisted Living, Memory Care
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.
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.
Photo of Woodview Home
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 Lakeland Manor
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.
Provides: Memory Care, Nursing Homes
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.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
When you live in a nursing center, you should feel welcome as part of the community. At Renaissance Care Center, that’s just what will happen. This is the goal of all of our staff. Renaissance Care Center is a 91-bed nursing and rehabilitation center in Cooke county. Our competent and capable...
Photo of Western Hills Residential Care
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 The Suites at Elmbrook
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 Elmbrook Home
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.
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.
5 star
57%
4 star
0%
3 star
0%
2 star
14%
1 star
29%
See all reviews
My family always feels welcome when we visit. They always have positive attitudes when speaking about my mom. She is always clean and has clean clothes. They go over her medications periodically. I am...
Provides: Memory Care, Nursing Homes
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.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Randy Lee Lane Senior Living
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
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 Redbird Manor
Provides: Assisted Living, Memory Care
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.
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.
Photo of Legend Assisted Living
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
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.
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.
Photo of CastleRidge
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 Serein Residential Care Home
5 star
50%
4 star
33%
3 star
17%
2 star
0%
1 star
0%
See all reviews
They all take very good care of my mother. My only issue is occasionally there is a language barrier between the caregivers and the patients/families but we just work around it. Sometimes it is an issue...
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.
Serein Residential Care Home is located in McKinney, TX in Collin County. This residential care home provides help when you need it in an area that is full of things to do and see. Those who spend time in McKinney appreciate all that it offers including Heard Natural Science Museum and Wildlife...
Photo of Village Green Memory Care Community McKinney
77 Photos available
Provides: Memory Care
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.
Village Green offers a homelike family atmosphere with loving care for your loved one.Our environment allows residents to continue living in comfort with dignity and respect. Alzheimer’s disease and related conditions have a traumatic effect on everyone involved. Our homes enable seniors with...

Cost of assisted living in Preston, TX

The average cost of senior living in Preston is $4,315 per month. Cheaper nearby regions include Gainesville, TX with an average of $4,296 per month.

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

Preston, TX
$4,315/mo
$4,569/mo
U.S. national average
$5,830/mo

Assisted living costs in Preston, TX, vs. other senior living options

Assisted Living
$4,315/mo
$5,220/mo

Assisted living costs in Preston, TX, by floor plan type

Semi-Private
$3,495/mo
Studio
$3,936/mo
1 Bedroom
$4,809/mo
2 Bedroom
$6,289/mo

Senior living costs in Preston 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: Preston, TX
Column state: Texas
Column national: U.S.
Community typePreston, TXTexasU.S.
Assisted Living$4,315/mo$4,569/mo$5,830/mo
Memory Care$5,220/mo$6,223/mo$6,999/mo
Independent Living$2,956/mo$3,090/mo$3,520/mo
Assisted Living
Preston, TX:$4,315/mo
Texas:$4,569/mo
U.S.:$5,830/mo
Memory Care
Preston, TX:$5,220/mo
Texas:$6,223/mo
U.S.:$6,999/mo
Independent Living
Preston, TX:$2,956/mo
Texas:$3,090/mo
U.S.:$3,520/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 Preston, 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 Preston.

What families are saying about assisted living in Preston

Recent reviews for assisted living in Preston

Live Oak Denison

4.4
They keep it pretty clean. The staff is always nice, friendly, and helpful. My loved one enjoys the food, and there are no complaints. We picked this community because it seemed more genuine and seemed like a better fit for my loved one. They are attentive and they know how to interact with her. ...
Read more

The Ivy of McKinney

4.9
We chose The Ivy at McKinney because the food served is more like my moms home cooking and she fit in well with the crowd here. The value for the money is excellent especially for everything we get. Every apartment has their own washer and dryer which has been a big plus and the staff will come ...
Read more

Wheeler Terrace in Gainesville, TX

3.8
The staff is great but some of their processes need to be refined. Good people that are somewhat poorly managed. Based on the experience we have had so far, we would recommend the Wheeler Terrace community to other families.

Preston review score based on 231 family reviews

8.7
Review score52 facilities231 reviewsWrite a review
This proprietary review score is based on 231 reviews of 52 Preston assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Preston 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

Preston review score compared against nearby cities

8.7
Preston, TX52 facilities
8.4
Plano, TX381 facilities
8.4
Gainesville, TX162 facilities

Review subcategories for Preston 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 231 reviews of 52 Preston assisted living communities. This chart helps you compare Preston 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.
Preston, TX averageNational average
Cleanliness
3.7
3.4
Friendliness
3.8
3.5
Care services
3.6
3.2
Staff
3.7
3.4
Meals & dining
3.4
3.1
Activities
3.4
3.1
Value for cost*
3.5
3.1
0.01.02.03.04.05.0
*Learn more about cost details

Preston assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Preston assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Preston, 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 Preston 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 Preston that offer these care services compared to the percentage of partners that offer them nationally.
Preston, TXNational
Full medication management
Full medication management
59.6%
53.4%
Doctor on call
Doctor on call
44.2%
34.6%
24-Hour awake staff
24-Hour awake staff
86.5%
96.1%
Diabetic care
Diabetic care
90.4%
97.7%
*Visiting health care professionals
*Visiting health care professionals
61.5%
57.6%
Home care agency on-site
Home care agency on-site
38.5%
30.6%
Non-ambulatory care
Non-ambulatory care
90.4%
96.8%
Respite or short term stays
Respite or short term stays
48.1%
47.9%
Hospice available on-site
Hospice available on-site
59.6%
53%
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 Preston 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 Preston Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Preston, TXNational
Dementia behaviors care
Dementia behaviors care
63.5%
52%
Specialized memory care training for staff
Specialized memory care training for staff
44.2%
33.4%
Secured community and/or wander guard
Secured community and/or wander guard
51.9%
41.6%
Memory care only community
Memory care only community
25%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Preston 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 Preston partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Preston, TXNational
Nutritionist / dietician
Nutritionist / dietician
17.3%
28.1%
Low / no sodium
Low / no sodium
51.9%
42.1%
No sugar
No sugar
46.2%
38.5%
Vegetarian
Vegetarian
42.3%
37.4%
Pureed meals
Pureed meals
30.8%
19.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Preston 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 Preston communities that offer dining options to their discerning residents compared to our partners nationally.
Preston, TXNational
Professional chef
Professional chef
42.3%
32.3%
Restaurant style dining
Restaurant style dining
53.8%
43.5%
Room service
Room service
51.9%
37.9%
Anytime dining
Anytime dining
21.2%
18.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Preston 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 Preston offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Preston, TXNational
Activity director
Activity director
50%
47.5%
Pet-focused programs
Pet-focused programs
32.7%
31.8%
Community service programs
Community service programs
34.6%
31.3%
Devotional activities on-site
Devotional activities on-site
57.7%
50.3%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
57.7%
50.5%
Outings / off-site activities
Outings / off-site activities
53.8%
53.2%
Piano or organ
Piano or organ
48.1%
42.6%
Arts and crafts center
Arts and crafts center
42.3%
36.7%
Educational speakers / life long learning
Educational speakers / life long learning
42.3%
39.2%
Clubs / games / karaoke
Clubs / games / karaoke
53.8%
47.9%
Live performances
Live performances
55.8%
48%
Dances
Dances
36.5%
31.6%
Fitness center
Fitness center
15.4%
25.3%
Fitness classes
Fitness classes
51.9%
47.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Preston

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 Preston protect seniors.
Learn about Texas assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Avalon Memory Care - Meadow Ranch Road, Village on the Park McKinney and Avalon Memory Care - McKinney Ranch Parkway are the top-rated assisted living facilities near Preston, Texas. See full list of communities.
There are 52 assisted living facilities near Preston, Texas. See the full list.
The best assisted living facilities near you in Preston, Texas are Avalon Memory Care - Meadow Ranch Road, Avalon Memory Care - McKinney Ranch Parkway and Brookdale Willows Sherman. These assisted living communities received the highest rankings based on verified family reviews.
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