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 Smithville, TX

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Assisted living costs in Smithville average about $5,156 per month. To find the best assisted living options for your needs and budget, browse through 101 communities in Smithville. Our detailed directory has 2668 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 Bastrop, La Grange and Giddings.

Smithville Assisted Living Facilities | 2668 Reviews

Showing 92 communities
Last Updated: 11/28/25
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Photo of Shady Hollow  II Assisted Living
1.0
Review score
6 reviews
1.0
Review score
6 reviews
5 star
83%
4 star
0%
3 star
0%
2 star
0%
1 star
17%
See all reviews
Shady Hollow is a beautiful house with big shady trees and grassy yard. It is well kept and very clean. It is a peaceful environment and my room was quiet with a large window. [names removed]and the owner...
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.
Shady Hollow II Assisted Living Shady Hollow II Assisted Living is a residential care home for seniors that is located in the city of Austin, Texas which is in Travis County. Austin is first and foremost known as a music city. The numerous concert venues and local musicians make this city ideal...
Photo of Alpha House VI
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 Clearwater at the Arboretum
1212 Photos available
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.
See details
Photo of Live Oak
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 Alpha House I
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 Autumn Leaves of South Austin
5 star
57%
4 star
29%
3 star
0%
2 star
14%
1 star
0%
See all reviews
I cannot say enough great things about Autumn Leaves! They are so loving and caring to all their residence. I can see the true compassion that each of the employees have for the residence. Communication...
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.
Photo of Sundara Senior Living
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
After having gone through a emergency move out from her previous facility [removed] she has settled in very nicely and is happier than we've seen her in three years. She had become withdrawn and...
Provides: Assisted Living, Memory Care, 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.
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.
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 Querencia at Barton Creek
77 Photos available
Provides: Assisted Living, Memory Care, 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.
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.
Querencia at Barton Creek is a resort-style life care retirement community in Austin for ages 62 and over. We are located on 38 acres and our Independent Living section includes 10 villas and 157 apartment homes (one, two, or three bedroom), with a choice of 19 different floor plans ranging from...
Photo of Alpha House III
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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Photo of Carlinda Ranch
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 Argent Court Brenham
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Argent Court is very nice Senior Living. My Mom has been there 9 months. She is doing alot better now than at home. The client makes his or her room the way they want it, their home. Meal are good. The...
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.
Argent Court, an assisted living community, is a new retirement alternative for seniors combining independent living with personal care in a warm, dignified community setting.Our residents appreciate the pleasant, home-like environment where personal services are provided in the privacy of their...
See details
Photo of Alpha House 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.
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 Bel Air At Teravista
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 Todays Assisted Living
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 Fairway Vista II
5 star
50%
4 star
0%
3 star
0%
2 star
0%
1 star
50%
See all reviews
During the stay at fairway my father seemed to make many improvements. The decision to move him to an assisted living was a hard step to swallow but after the recent passing of my mother seemed more than...
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.

Cost of assisted living in Smithville, TX

The average cost of senior living in Smithville is $5,156 per month. Cheaper nearby regions include La Grange, TX with an average of $3,810 per month.

Assisted living costs in Smithville, TX, vs. nearby cities

Smithville, TX
$5,156/mo
$5,391/mo

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

Smithville, TX
$5,156/mo
$4,772/mo
U.S. national average
$4,710/mo

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

Assisted Living
$5,156/mo
$5,445/mo

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

Semi-Private
$5,280/mo
Private
$5,000/mo
Studio
$5,390/mo
1 Bedroom
$5,702/mo
2 Bedroom
$6,679/mo
Detached Cottage/Bungalow
$6,850/mo

Senior living costs in Smithville 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: Smithville, TX
Column state: Texas
Column national: U.S.
Community typeSmithville, TXTexasU.S.
Assisted Living$5,156/mo$4,772/mo$4,710/mo
Memory Care$5,445/mo$4,938/mo$4,944/mo
Independent Living$4,421/mo$4,249/mo$4,159/mo
Assisted Living
Smithville, TX:$5,156/mo
Texas:$4,772/mo
U.S.:$4,710/mo
Memory Care
Smithville, TX:$5,445/mo
Texas:$4,938/mo
U.S.:$4,944/mo
Independent Living
Smithville, TX:$4,421/mo
Texas:$4,249/mo
U.S.:$4,159/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 Smithville, 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 Smithville.

What families are saying about assisted living in Smithville

Recent reviews for assisted living in Smithville

Mallard Home Care in Pflugerville, TX

5.0
This is a clean home along with my mom's room. She likes the meals they serve here. A few times through the day they have games available. The experience and care has been great and I would recommend this community.

Village on the Park Onion Creek in Austin, TX

3.3
If a friend asked me, I would say several residents did not like the food. My mom hated 95% of the food. And food / cooking had been one of her passions. The community is kind and welcoming and I think the activities were good. I felt some staff were superficial.I think the price was high. I ...
Read more

Mariella of Sage Spring in San Marcos, TX

4.1
We went with them because the layout of building, it's one story-which we liked better, the staff we were introduced to (but I think they are a bit understaffed, honestly), the location ( easy to get to without having to sit in I35 traffic) and the facility grounds (they aren't surrounded by ...
Read more

Reviews mention these favorite features of communities

Friendly and communicative staff. Several reviews mention the kindness and attentiveness of the staff at various communities, such as The Waterford at Round Rock, Sodalis Austin, and The Legacy at Oak Hill. Families frequently praise the clear and effective communication between their loved ones and staff, ensuring that ca ...
Read more
Top-notch care and support for residents. Countless reviews highlight the exceptional care and attention provided to residents in communities like The Legacy at Oak Hill, Brookdale North Austin, and The Waterford at Round Rock. Residents have thrived in these facilities, with many reporting significant improvements in their overal ...
Read more
Beautiful and well-maintained facilities. Residents and families alike regularly comment on the cleanliness and attractiveness of communities, such as The Waterford at Round Rock, Brookdale Gaines Ranch, and The Enclave at Round Rock Senior Living, highlighting the importance of a welcoming and pleasant living environment.
Engaging activities and social opportunities. Families appreciate the wide range of activities offered in communities, like The Enclave at Round Rock Senior Living, The Waterford at Round Rock, and The Legacy at Oak Hill, where residents stay engaged and active through games, outings, and social events.
Responsive and caring management. Management teams at communities including Brookdale North Austin, The Legacy at Oak Hill, and Sage Park Austin stand out for their attentiveness and dedication, addressing residents' needs and concerns with a professional and compassionate approach.
Affordable pricing for quality care. Communities like Double Creek Assisted Living and Memory Care, Sodalis Austin, and The Legacy at Oak Hill offer affordable pricing for the exceptional care and services they provide, making them an excellent choice for families looking for value in senior living
AI generated from the text of family reviews

Smithville review score based on 518 family reviews

8.5
Review score92 facilities518 reviewsWrite a review
This proprietary review score is based on 518 reviews of 92 Smithville assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Smithville 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

Smithville review score compared against nearby cities

8.5
Smithville, TX92 facilities
8.5
8.5
Bastrop, TX135 facilities

Review subcategories for Smithville 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 518 reviews of 92 Smithville assisted living communities. This chart helps you compare Smithville 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.
Smithville, TX averageNational average
Cleanliness
4.0
4.1
Friendliness
4.1
4.2
Care services
3.7
3.8
Staff
3.9
4.1
Meals & dining
3.5
3.7
Activities
3.6
3.7
Value for cost*
3.6
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Smithville assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Smithville assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Smithville, 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 Smithville 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 Smithville that offer these care services compared to the percentage of partners that offer them nationally.
Smithville, TXNational
Full medication management
Full medication management
65.2%
52.4%
Doctor on call
Doctor on call
53.3%
33.7%
24-Hour awake staff
24-Hour awake staff
93.5%
96.1%
Diabetic care
Diabetic care
95.7%
97.6%
*Visiting health care professionals
*Visiting health care professionals
70.7%
56.7%
Home care agency on-site
Home care agency on-site
42.4%
30%
Non-ambulatory care
Non-ambulatory care
93.5%
96.7%
Respite or short term stays
Respite or short term stays
58.7%
47.6%
Hospice available on-site
Hospice available on-site
63%
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 Smithville 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 Smithville Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Smithville, TXNational
Dementia behaviors care
Dementia behaviors care
62%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
50%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
55.4%
41%
Memory care only community
Memory care only community
21.7%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Smithville 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 Smithville partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Smithville, TXNational
Nutritionist / dietician
Nutritionist / dietician
30.4%
27.2%
Low / no sodium
Low / no sodium
56.5%
40.9%
No sugar
No sugar
55.4%
37.5%
Vegetarian
Vegetarian
50%
36.1%
Pureed meals
Pureed meals
25%
17.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Smithville 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 Smithville communities that offer dining options to their discerning residents compared to our partners nationally.
Smithville, TXNational
Professional chef
Professional chef
46.7%
31.4%
Restaurant style dining
Restaurant style dining
54.3%
42.3%
Room service
Room service
47.8%
36.7%
Anytime dining
Anytime dining
23.9%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Smithville 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 Smithville offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Smithville, TXNational
Activity director
Activity director
60.9%
46.3%
Pet-focused programs
Pet-focused programs
48.9%
31%
Community service programs
Community service programs
50%
30.4%
Devotional activities on-site
Devotional activities on-site
65.2%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
63%
49.3%
Outings / off-site activities
Outings / off-site activities
63%
52.3%
Piano or organ
Piano or organ
55.4%
41.3%
Arts and crafts center
Arts and crafts center
53.3%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
52.2%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
63%
46.7%
Live performances
Live performances
59.8%
46.9%
Dances
Dances
50%
30.5%
Fitness center
Fitness center
39.1%
24.5%
Fitness classes
Fitness classes
63%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Smithville

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

Frequently Asked Questions

Village on the Park Onion Creek, The Gardens of Buda Assisted Living and The Waterford at Round Rock are the top-rated assisted living facilities near Smithville, Texas. See full list of communities.
There are 101 assisted living facilities near Smithville, Texas. See the full list.
The best assisted living facilities near you in Smithville, Texas are The Waterford at Round Rock and Pavilion at Great Hills. These assisted living communities received the highest rankings based on verified family reviews.
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