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Assisted Living in San Marcos, TX

Compare licensed assisted living in San Marcos and the surrounding Hays County area. Free guidance, no obligation.

2 verified in San Marcos
Hays County
Quick answer

There are 2 verified assisted living options listed in San Marcos, Texas. Texas HHSC licenses and inspects these providers, and you can check any community's license status and deficiency history free through the state provider search.

HomeSan MarcosAssisted Living

Assisted living is for someone who is largely independent but needs a reliable hand with the everyday things — bathing, dressing, medications, meals, getting to appointments. In Texas it is a licensed residential setting, not a medical one. Staff are caregivers and med aides, not nurses on every shift.

Short answer

We list 2 verified assisted living options in San Marcos, Texas. Assisted living and memory care in Texas are licensed by HHSC as Type A or Type B based on residents' evacuation ability, and memory care additionally requires an Alzheimer's certification.

What to watch for with assisted living in San Marcos

  • Ask which license the community holds. Type A cannot keep a resident who needs staff help to evacuate or needs attendance overnight.

Full guide to assisted living in Texas →

Verified assisted living in San Marcos

CommunityCare typeAddressCounty
Pegasus Landing of San MarcosAssisted Living1720 Old Ranch Road 12
San Marcos, TX 78666
Hays
Mariella of Sage SpringMemory Care802 Leah Ave
San Marcos, TX 78666
Hays

Assisted Living elsewhere in the metro

The Austin metro is compact. Families in San Marcos regularly place a parent one city over, especially when a specific care level is needed.

CommunityCare typeAddressCounty
Querencia at Barton CreekIndependent Living2500 Barton Creek Blvd
Austin, TX 78735
Travis
Longhorn VillageIndependent Living12501 Longhorn Parkway
Austin, TX 78732
Travis
WestminsterIndependent Living4100 Jackson Avenue
Austin, TX 78731
Travis
Buckner VillasAssisted Living11110 Tom Adams Dr
Austin, TX 78753
Travis
The Village at the TriangleAssisted Living4517 Triangle Ave
Austin, TX 78751
Travis
Parsons House AustinAssisted Living1130 Camino La Costa
Austin, TX 78752
Travis

The San Marcos market specifically

San Marcos anchors the southern end of the metro and has a defined medical district along Medical Parkway where several providers sit close together. County-wide home values in Hays run below Travis, and senior care price points tend to follow.

The Wonder World Drive and Medical Parkway corridor concentrates hospice, home health and skilled nursing near the hospital campus, which makes coordination between a hospital stay and post-acute care simpler here than in most of the metro.

Before you sign anything

Get the all-in monthly cost in writing at your parent's current assessed care level, ask what triggers the next care level and what it costs, and ask for the rate increase history across the last three years. Communities that will not put these in writing are telling you something.

Ask what happens if private funds run out, and whether the community contracts with Medicaid managed care. A meaningful share of Austin-area communities do not, which means a second move at the worst possible time.

You can check any Texas facility's record free. Use TULIP for current license status and the legacy HHSC provider search for inspection and deficiency history. Read the full explanation →

Questions Austin families ask

How much money can my spouse keep if I go into a nursing home in Texas?

Texas allows a Community Spouse Resource Allowance so the at-home spouse isn't impoverished, reported at $162,660 for 2026. The applicant spouse is limited to $2,000. Because these figures change annually and the calculation is complex, confirm current amounts with HHSC or a Texas elder law attorney.

How much spending money does a Texas nursing home resident keep?

Texas sets the Personal Needs Allowance at $75 per month, raised from $60 effective January 1, 2024. That's well above the $30 federal minimum. Nearly all remaining income, after Medicare premiums, any spousal allowance, and allowable medical expenses, goes to the facility as applied income.

Will Texas take my mother's house after she goes on Medicaid?

Texas may file an estate recovery claim after death if she was 55 or older when receiving services and first applied for long-term services on or after March 1, 2005. This covers nursing home care and STAR+PLUS. Texas never recovers more than it paid, and exemptions and hardship waivers exist.

Does Texas have a state program that pays for assisted living?

Not broadly. Texas has no general state-funded assisted living benefit. Two narrow options exist: STAR+PLUS Medicaid waiver assisted living services covering care but not room and board, and the state-funded Residential Care program under Community Care for Aged and Disabled, funded by Title XX block grants with interest lists.

Not sure where to start?

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