Short answer
Medicare does not pay for assisted living, memory care, or long-term custodial care anywhere in Texas. It covers limited skilled nursing facility stays after a qualifying hospital admission, intermittent skilled home health, and hospice.
What Medicare covers
- Skilled nursing facility care after a qualifying inpatient hospital stay, for a limited period, when skilled care is needed daily. This is rehabilitation, not long-term placement.
- Home health that is intermittent and skilled — nursing visits, physical, occupational or speech therapy. Not a caregiver who stays with your parent.
- Hospice — the hospice team, medications related to the terminal diagnosis, and equipment. Not room and board in a facility.
What Medicare does not cover
- Assisted living rent, meals, or personal care
- Memory care
- Long-term custodial nursing home care
- Non-medical home care, companionship, or homemaker services
- Adult day care
The observation status trap. A Medicare skilled nursing benefit requires a
qualifying inpatient hospital admission. Time spent under “observation status”
does not count, even if your parent slept in a hospital bed for two nights. Ask the hospital directly
whether your parent is admitted as an inpatient or under observation, and ask in writing.
What senior care costs. The Texas median is $5,666 a month for assisted living and $7,604 for a private nursing room. No Austin-specific median is published by any primary source. Read the full explanation →