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 Round Rock, TX

2026 monthly care rates for Round Rock (Williamson County), local Census affordability metrics, and 5 CMS-certified care facilities.

Assisted Living🏠
$7,900/mo
$94,800/yr
+27% vs U.S. avg
Memory Care🧠
$9,640/mo
$115,680/yr
+28% vs U.S. avg
In-Home Care🤝
$44.61/hr
$8,500/mo (44h/wk)
+27% vs U.S. avg
Nursing Home (Semi)🏥
$12,210/mo
Private: $13,760/mo
+27% vs U.S. avg

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$7,900/mo
Memory Care$9,640/mo
Home Care$44.61/hr
Nursing Semi$12,210/mo
Nursing Priv$13,760/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/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: $386k
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 Round Rock, TX

40.9 hrs/wk Break-even threshold

At Round Rock, TX's average caregiver rate of $44.61/hr, hiring in-home care equals the $7,900/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
$3,866/mo

Saves $4,034/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$8,505 vs. $7,900/mo

Full-time home care costs $605/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$15,464/mo

Assisted Living saves $7,564/mo; Memory Care averages $9,640/mo.

Round Rock vs. Texas & U.S. Averages

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

Round Rock, TX$7,900/mo
Texas State Average$5,920/mo
U.S. National Median$6,200/mo

Williamson County Economic Context (U.S. Census)

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

Median Household Income $108,309/yr ($9,026/mo)
Median Home Value $414,600
Median Gross Rent $1,720/mo
Texas Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Round Rock, TX

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

Trinity Care Center
1000 E Main St, Round Rock, TX 78664 • 5126343000
179 Certified Beds For profit - Corporation CCN: 675546
3/5 CMS Rating
Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 • 5123887494
120 Certified Beds Government - Hospital district CCN: 455771
3/5 CMS Rating
Bel Air At Teravista
4105 Teravista Club Drive, Round Rock, TX 78665 • 5123103700
112 Certified Beds For profit - Corporation CCN: 676345
3/5 CMS Rating
San Gabriel Rehabilitation And Care Center
4100 College Park Dr, Round Rock, TX 78665 • 5123348000
142 Certified Beds For profit - Limited Liability company CCN: 676308
2/5 CMS Rating
Park Valley Inn Health Center
17751 Park Valley Drive, Round Rock, TX 78681 • 5122186000
128 Certified Beds For profit - Corporation CCN: 676471
2/5 CMS Rating

Frequently Asked Questions About Senior Care in Round Rock

The estimated median cost of assisted living in Round Rock, TX is $7,900 per month ($94,800 per year), adjusted for Williamson County housing and income data.
A semi-private room in a skilled nursing facility in Round Rock averages $12,210 per month, while a private room averages $13,760 per month.
In-home caregiver services in Round Rock, TX average $44.61 per hour, or roughly $8,500 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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