Houston is the seat of Harris County, the largest county in Texas, with about 5.05 million residents on July 1, 2025. About 13.1% of the county was 65 or older, roughly 661,000 people. The city had about 2.40 million residents, 12.3% of them 65 or older, roughly 295,000 people (U.S. Census Bureau QuickFacts, Vintage 2025 estimates).
Hospital discharges drive a large share of post-acute admissions here. Major sources include Houston Methodist, Memorial Hermann-Texas Medical Center, Harris Health (the county's public system), CommonSpirit-Baylor St. Luke's Medical Center, HCA Houston Healthcare and UT MD Anderson Cancer Center. Note the name change: CommonSpirit announced in August 2026 that St. Luke's Health would take the CommonSpirit name in October 2026, so families and staff may use either name for a while. If your website mentions referral partners, use the current name and keep the old one in plain text so search still finds it.
Language is a real factor here. In the city, 47.1% of residents age 5 and older speak a language other than English at home, about 44.2% are Hispanic or Latino, and 29.3% were born outside the U.S. (QuickFacts). The 2020-2024 American Community Survey counts about 68,000 Houston residents 65 and older who speak Spanish at home. At a minimum, translate admissions, payment, visiting and contact pages into Spanish, and list any other languages your staff speak.
The metro is spread out, and families think in terms of their side of town and their suburb: Katy, Sugar Land, Pearland, Pasadena, The Woodlands, Cypress, Spring, Humble, Baytown. Say which areas you serve and how long the drive is from the Medical Center. Families comparing three places on a Saturday will pick the one they can actually visit.
Hospitals and health systems that refer patients
- Houston Methodist
- Memorial Hermann-Texas Medical Center
- Harris Health
- CommonSpirit-Baylor St. Luke's Medical Center (formerly St. Luke's Health)
- HCA Houston Healthcare
- UT MD Anderson Cancer Center
- VA Houston Health Care
Towns families search from
Katy, Sugar Land, Pearland, Pasadena, The Woodlands, Cypress, Spring, Humble, Baytown, Missouri City, Bellaire. A good Houston site names the places your residents and their families actually come from.
Texas rules that apply here
Licensing, inspections, payment programs and the ombudsman for Houston are set at the state level. See what a Texas care provider website should show.
Questions
Do Houston senior living websites need Spanish?
For most providers, yes. Census data show 47.1% of Houston residents age 5 and older speak a language other than English at home, and about 68,000 residents 65 and older speak Spanish at home.
What changed with St. Luke's Health in Houston?
CommonSpirit announced in August 2026 that St. Luke's Health would adopt the CommonSpirit name in October 2026, and that Baylor St. Luke's Medical Center would become CommonSpirit-Baylor St. Luke's Medical Center. Update any referral partner mentions on your website.
How do Houston families check a provider's inspection history?
Through the Texas HHSC Long-Term Care Provider Search, which covers nursing homes, assisted living, adult day, home health and hospice.
Sources
- U.S. Census Bureau QuickFacts: Dallas, Fort Worth, Houston, San Antonio, Austin and Plano cities
- U.S. Census Bureau QuickFacts: Lubbock city and Lubbock, Dallas, Tarrant and Harris counties, Texas
- U.S. Census Bureau ACS 2020-2024 5-year, Table S1601 (Language Spoken at Home): Houston city, Texas
- Texas HHS: Long-Term Care Provider Search
- Texas HHS: Long-Term Care (find a provider)
- CommonSpirit: St. Luke's Health rebrands to CommonSpirit this October (Aug. 24, 2026)
- CommonSpirit in Texas
- Houston Methodist
- Memorial Hermann: Texas Medical Center
- Harris Health
- HCA Houston Healthcare
- UT MD Anderson Cancer Center
- VA Houston Health Care

