2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Decatur, TX

2026 monthly care rates for Decatur (Wise County), local Census affordability metrics, and 3 CMS-certified care facilities.

Assisted Living🏠
$6,050/mo
$72,600/yr
≈ U.S. average
Memory Care🧠
$7,380/mo
$88,560/yr
≈ U.S. average
In-Home Care🤝
$34.16/hr
$6,510/mo (44h/wk)
≈ U.S. average
Nursing Home (Semi)🏥
$9,350/mo
Private: $10,540/mo
≈ U.S. average

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$6,050/mo
Memory Care$7,380/mo
Home Care$34.16/hr
Nursing Semi$9,350/mo
Nursing Priv$10,540/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $258k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Decatur, TX

40.9 hrs/wk Break-even threshold

At Decatur, TX's average caregiver rate of $34.16/hr, hiring in-home care equals the $6,050/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,960/mo

Saves $3,090/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$6,513 vs. $6,050/mo

Full-time home care costs $463/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$11,841/mo

Assisted Living saves $5,791/mo; Memory Care averages $7,380/mo.

Decatur vs. Texas & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Wise County economic indicators.

Decatur, TX$6,050/mo
Texas State Average$5,920/mo
U.S. National Median$6,200/mo

Wise County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $89,897/yr ($7,491/mo)
Median Home Value $277,200
Median Gross Rent $1,239/mo
Texas Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Decatur, TX

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Heritage Place Of Decatur
605 W Mulberry St, Decatur, TX 76234 • 9406275444
60 Certified Beds For profit - Corporation CCN: 675513
3/5 CMS Rating
Decatur Medical Lodge
701 W Bennett Rd, Decatur, TX 76234 • 9406262800
124 Certified Beds For profit - Limited Liability company CCN: 676209
2/5 CMS Rating
The Hills Nursing & Rehabilitation
201 East Thompson Street, Decatur, TX 76234 • 9406272165
110 Certified Beds For profit - Limited Liability company CCN: 676004
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Decatur

The estimated median cost of assisted living in Decatur, TX is $6,050 per month ($72,600 per year), adjusted for Wise County housing and income data.
A semi-private room in a skilled nursing facility in Decatur averages $9,350 per month, while a private room averages $10,540 per month.
In-home caregiver services in Decatur, TX average $34.16 per hour, or roughly $6,510 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Texas is $2,901 per individual applicant.

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