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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

Who is the ombudsman for Travis County?

The Capital Area Area Agency on Aging serves Travis County. Managing Local Ombudsman Tracey Cummings can be reached at 512-916-6054 or 888-622-9111 option three, at 6800 Burleson Road, Building 310, Suite 165, Austin. The office also covers Williamson, Hays, Bastrop, Caldwell, Burnet, Blanco, Fayette, Lee, and Llano.

Can an Austin assisted living facility make my parent leave if their needs increase?

Possibly. If a Type A community can no longer meet your parent's evacuation or nighttime care needs, they may require a move to a Type B community. Improper transfer or discharge is exactly what a long-term care ombudsman handles. Call Capital Area at 512-916-6054 before agreeing to move.

Does Medicare pay for assisted living in Texas?

No. Medicare does not pay for assisted living room, board, or custodial care anywhere, including Austin. Medicare covers limited skilled nursing facility stays after a qualifying hospital admission, plus home health and hospice. Assisted living in Texas is paid privately, through long-term care insurance, or via Medicaid STAR+PLUS.

Does Texas Medicaid pay for assisted living?

Partially. The STAR+PLUS HCBS waiver covers assisted living care services but explicitly does not cover room and board, which comes from the resident's own income. You must meet nursing facility level of care, income under $2,982 monthly, and assets under $2,000, and usually wait on an interest list.

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