Private pay
Most families pay monthly. Your written estimate lists every fee.
For families
For Backbone Creek families
Visiting, paying for care and the practical details, all in one place.
For families
For families
Visiting and staying close.
- 01
Visiting
Come any time. After nine at night, ring the bell by the front door.
- 02
The night notes
Each morning families can read a short note about the night: sleep, comfort and anything unusual.
- 03
The life-story book
Add to it any time. New photos and stories help us care better.
- 04
Laundry and labels
Label clothing with a name. We launder everything here.
Insurance & payment
Paying for care
Our business office walks every family through coverage before move-in. Here are the most common ways care is paid for.
Long-term care insurance
Many policies cover assisted living and memory care. We help with claim paperwork.
VA Aid & Attendance
Eligible veterans and surviving spouses may receive a monthly pension toward care.
Medicaid waiver
Some states help pay for assisted living through Medicaid waiver programs. Ask us about yours.
Activities & dining
A week at Backbone Creek
A sample week. The current calendar hangs by the kitchen and goes out to families monthly.
Mon
- Coffee and the paper on the creek porch
- Chair exercise
Tue
- Story hour
- Garden beds
Wed
- Hair and nail day (every other week)
- Music from their era
Thu
- Outing in the Highland Lakes
- Dominoes
Fri
- Creek trail walk
- Movie night
Sat
- Kolaches and coffee
- Grandkids at the creek
Good to know
Questions, answered
What kind of home is Backbone Creek House?
Texas licenses homes like ours as assisted living facilities. We help with daily living, like bathing, dressing, meals and medications, with staff awake around the clock. We are not a nursing home and do not provide round-the-clock skilled nursing.
What is a life-story book?
Before move-in we sit with the family and write down who your loved one is: their work, places, faith, music, food and fears. Every caregiver reads it, and it shapes their day. Families keep a copy.
How do families pay?
Most residents pay privately or with long-term care insurance. Veterans and surviving spouses may qualify for VA Aid and Attendance. Some Texans qualify for help through Medicaid waiver programs. Ask our office and we will walk you through what may apply.
Can you care for someone with memory loss?
We care for residents with mild to moderate memory loss who are safe in an open home setting. If someone needs a secured memory care unit, Ruth Ann will tell you honestly and help you find one.
Can residents keep their own doctors?
Yes. We drive residents to their own doctors and share notes with every provider. A visiting physician also sees residents at the house monthly.
What happens if care needs grow?
Many residents stay with us through the end of life with hospice visiting. If someone needs more care than we can safely give, Ruth Ann helps the family plan the next step.
Come tell us their story.
A tour takes about an hour and ends at the kitchen table with coffee. Call or text Ruth Ann, or choose a time below.