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Residential care

Gateway Gardens

Residential care in Marble Falls, Texas

Checked November 1, 2026

Provider details
CityMarble Falls
StateTexas
ZIP code78654
CountyBurnet
License number101238
License typeAssisted Living Facility (ALF) — Texas Health and Human Services Commission license (26 TAC Chapter 553)
Licensing statusLICENSED
Capacity52
Care typesresidential care, assisted living
Services offeredAssistance with activities of daily living, 24-hour supervision
CMS quality noteLicensed by the Texas Health and Human Services Commission.

Photos

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Photos from the provider's own website.

Gateway Villas and Gateway Gardens in Marble Falls is an assisted living community in a calm Texas Hill Country setting. Team members help with bathing, dressing, grooming, medication management and daily routines, while residents share homestyle meals and join daily activities. Housekeeping, maintenance and scheduled transportation are included, so the day can stay focused on neighbors, fresh air and familiar routines.

Who pays for residential care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Residential care guide · Paying for care

Other residential care in Burnet County

Common questions about Gateway Gardens

What care and services does Gateway Gardens offer?

Gateway Gardens offers residential care, assisted living, Assistance with activities of daily living, 24-hour supervision.

How much does assisted living cost?

The national median cost of assisted living is $6,200 a month (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. The price goes up when a person needs more help with daily tasks. See our guide to assisted living costs and who pays for the full picture.

Does Medicare pay for assisted living?

No. Medicare does not pay for the rent or the day-to-day help in assisted living. That help is called custodial care, and Medicare does not cover it. Medicare still pays for your medical care while you live there, like doctor visits, hospital care, and home health visits.

What is the difference between assisted living and a nursing home?

Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. Staff are on hand day and night, but it does not give round-the-clock nursing care. A nursing home gives skilled nursing care and rehab around the clock. People who need help but not daily medical care often pick assisted living. People who need daily medical care often need a nursing home.

Who else pays for assisted living besides Medicare?

Most people pay out of pocket. Medicaid pays for care services in assisted living in many states through waiver programs, but it does not pay the rent. A VA pension called Aid and Attendance can add money each month for veterans who need help with daily tasks. Long-term care insurance can pay for part of the cost.

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