El Paso Senior AdvisorWhich counties does El Paso Senior Advisor cover?
We cover El Paso County, which holds the city of El Paso, Socorro, Horizon City and the valley towns, and Hudspeth County to the east, the two counties of the El Paso metropolitan area.
| County | Population (2025) | Residents 65+ | Share 65+ | Median age | Assisted living | Nursing facilities |
|---|---|---|---|---|---|---|
| El Paso County | 877,858 | 136,683 | 15.6% | 35.0 | 31 | 22 |
| Hudspeth County | 3,433 | 446 | 13.0% | 32.8 | 0 | 0 |
U.S. Census Bureau, Vintage 2025 county population estimates by age and sex (cc-est2025-agesex-48), July 1, 2025; licenses from HHSC directories of November 5, 2026.
How fast is El Paso County's older population growing?
El Paso County's 65-plus population rose from 117,178 in April 2020 to about 136,683 in July 2025, roughly 17% in five years, while the county's total population grew about 1%.
About 41,698 residents are 75 to 84 and 14,766 are 85 or older, the ages when assisted living and nursing care are most often needed. With a median age of 35.0, El Paso County is still younger than Texas as a whole, which is part of why family caregiving at home remains so common.
What senior care is available in Hudspeth County?
Hudspeth County, with about 3,433 residents and 446 aged 65 and older in Sierra Blanca, Fort Hancock, Dell City and the ranch country between them, has no licensed assisted living facility, nursing facility or hospital on the state's or CMS's rolls.
Residents usually look to El Paso's Far East and Horizon City, roughly 50 to 90 miles away depending on the town. The Rio Grande Area Agency on Aging serves Hudspeth County as well, including care coordination and benefits counseling, and home health and personal assistance agencies licensed in El Paso can serve Hudspeth addresses if they cover the distance; ask each agency before you count on it.
What about care across the state line in New Mexico?
Sunland Park, Santa Teresa, Anthony and Las Cruces in Doña Ana County, New Mexico are close to the West Side and the Upper Valley, but they are in another state, with different facility licensing and a different Medicaid program.
A move across the line can make sense for a private-pay resident; for anyone who may need Medicaid, residency rules decide which state pays. See Texas or New Mexico care.
Do both counties share the same local agencies?
Yes. Both are served by the Rio Grande Area Agency on Aging and its long-term care ombudsman, both are in HHSC's El Paso region for licensing, and both use the same STAR+PLUS managed care service area.
Adult Protective Services, HHSC complaint intake and HICAP Medicare counseling are statewide numbers that work from either county.
