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Camino Real
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · San Antonio, TX
Beautiful outdoor courtyard with flowers and seating Bright dining area with floral patterned chairs Cozy bedroom setup with floral bedding and lamp Interior decor in a common area with a clock and mirror

Camino Real

Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · San Antonio, TX
4415 Rio D'oro, San Antonio, TX 78233 View map
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Overview of Camino Real

Located in historic and culture-rich San Antonio, Texas, Camino Real Senior Living offers an engaging assisted living community that provides residents with a carefree life. The community, conveniently located on Rio Doro Street near Nacogdoches Road, offers personalized assistance with daily tasks like bathing, dressing, and medication management, allowing residents to maintain their independence while receiving the support they need.

Camino Real Senior Living’s engaging social life and activities calendar pull residents away from the TV and into a world of fun and connection. Residents can enjoy card and board games, happy hour socials, fitness classes, art projects, and lively meals, all while making new friends and staying active. The community’s culinary team prepares flavorful, restaurant-style meals served in the dining room, allowing residents to order what they want and enjoy conversation with others at their table.

Facility Direct Line (210) 653-3132
By The Numbers

Community insights.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #63 / 147Years in operation — State benchmarked This nursing home is ranked 63rd out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
40 years
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #31 / 276Walk Score — State benchmarked This nursing home is ranked 31st out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
72 / 100

About This Community

Additional Services

1 service
Transportation

Additional Policies & Features

Pets Allowed

Room Accommodations

Building Type3-story
Room Sizes
400 sq. ft 450 sq. ft 550 sq. ft
Room Types
Studio 1 Bed

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Living Spaces & Floor Plans for Camino Real

Floor plan 1
Floor plan 1
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Places of interest near Camino Real

Address 4415 Rio D'oro, San Antonio, TX 78233 — 2.73 miles to nearest hospital (Northeast Baptist Hospital)

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Compare Nursing Homes around San Antonio

Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 68.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Lakeside Nursing and Rehabilitation Center ★ ★ ★ ★ ★
NH
SNF
San Antonio (Far West Side)
120
Facility 120
TX AVG 121
Rank #125 / 258
95.8%
Facility 95.8%
TX AVG 72.9%
Rank #4 / 178
+31%
3.05
Facility 3.05
TX AVG 3.47
Rank #175 / 233
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +11%-12%
$14.6k
Facility $14.6k
TX AVG $63.8k
Rank #101 / 236
22
Facility 22
TX AVG 28.0
Rank #96 / 234
4.4
Facility 4.4
TX AVG 3.6
Rank #201 / 234
3113-
19
Facility 19
TX AVG 44
Rank #242 / 276
West Wharton County Hospital District
$12.8MFiscal year ending 03/2025
Facility $12.8MFiscal year ending 03/2025
TX AVG $10.2M
Rank #41 / 225
$7.7MFiscal year ending 03/2025
Facility $7.7MFiscal year ending 03/2025
TX AVG $5.8M
Rank #40 / 225
60%Fiscal year ending 03/2025
Facility 60%Fiscal year ending 03/2025
TX AVG 68.8%
Rank #77 / 202
676325
Remington Transitional Care ★ ★ ★ ★ ★
NH
HC
HOS
RC
SNF
San Antonio (Northwest Side)
60
Facility 60
TX AVG 121
Rank #229 / 258
93.0%
Facility 93.0%
TX AVG 72.9%
Rank #14 / 178
+28%
4.04
Facility 4.04
TX AVG 3.47
Rank #56 / 233
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +40%+16%
$0
Facility $0
TX AVG $63.8k
Rank #1 / 236
26
Facility 26
TX AVG 28.0
Rank #137 / 234
4.3
Facility 4.3
TX AVG 3.6
Rank #195 / 234
-56-
75
Facility 75
TX AVG 44
Rank #18 / 276
Regency Ihs Of San Antonio, LLC
$11.1MFiscal year ending 12/2024
Facility $11.1MFiscal year ending 12/2024
TX AVG $10.2M
Rank #63 / 225
$5.0MFiscal year ending 12/2024
Facility $5.0MFiscal year ending 12/2024
TX AVG $5.8M
Rank #110 / 225
44.9%Fiscal year ending 12/2024
Facility 44.9%Fiscal year ending 12/2024
TX AVG 68.8%
Rank #163 / 202
676216
Morningside at the Meadows ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
San Antonio (Sunshine Estates)
147
Facility 147
TX AVG 121
Rank #58 / 258
44.4%
Facility 44.4%
TX AVG 72.9%
Rank #168 / 178
-39%
4.42
Facility 4.42
TX AVG 3.47
Rank #36 / 233
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -61%+27%
$5.0k
Facility $5.0k
TX AVG $63.8k
Rank #71 / 236
26
Facility 26
TX AVG 28.0
Rank #137 / 234
6.5
Facility 6.5
TX AVG 3.6
Rank #231 / 234
-65-
46
Facility 46
TX AVG 44
Rank #135 / 276
Guadalupe County Hospital Board
$6.2MFiscal year ending 09/2024
Facility $6.2MFiscal year ending 09/2024
TX AVG $10.2M
Rank #184 / 225
$5.6MFiscal year ending 09/2024
Facility $5.6MFiscal year ending 09/2024
TX AVG $5.8M
Rank #87 / 225
90.2%Fiscal year ending 09/2024
Facility 90.2%Fiscal year ending 09/2024
TX AVG 68.8%
Rank #22 / 202
455523
San Pedro Manor ★ ★ ★ ★ ☆
NH
MC
SNF
San Antonio (Monte Vista)
150
Facility 150
TX AVG 121
Rank #46 / 258
67.3%
Facility 67.3%
TX AVG 72.9%
Rank #123 / 178
-8%
3.85
Facility 3.85
TX AVG 3.47
Rank #65 / 233
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ 0%+11%
$24.3k
Facility $24.3k
TX AVG $63.8k
Rank #134 / 236
31
Facility 31
TX AVG 28.0
Rank #163 / 234
3.1
Facility 3.1
TX AVG 3.6
Rank #103 / 234
2101A+
79
Facility 79
TX AVG 44
Rank #14 / 276
Uvalde County Hospital Authority
$8.9MFiscal year ending 06/2025
Facility $8.9MFiscal year ending 06/2025
TX AVG $10.2M
Rank #126 / 225
$6.5MFiscal year ending 06/2025
Facility $6.5MFiscal year ending 06/2025
TX AVG $5.8M
Rank #60 / 225
72.3%Fiscal year ending 06/2025
Facility 72.3%Fiscal year ending 06/2025
TX AVG 68.8%
Rank #33 / 202
455689

Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

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Financial assistance

Programs that may help with care and living costs in Texas

Camino Real is in San Antonio, Texas. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.

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Cash support · veterans

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Who it is for
Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
Income limit
Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
Asset limit
VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.

Eligibility

General
Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
TX specifics
This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.

What it provides

  • Increased monthly VA pension based on the applicable MAPR less countable income.
Health coverage and long-term care support

STAR+PLUS and STAR+PLUS HCBS

Texas STAR+PLUS and STAR+PLUS HCBS

Who it is for
Texas Medicaid members, mainly adults 65+ or with disabilities, who need long-term services and supports

Eligibility

General
Texas Medicaid applicants or members who meet a STAR+PLUS eligibility pathway; the program principally serves adults with disabilities and adults age 65 or older. STAR+PLUS HCBS requires a separate assessment for nursing-facility-level needs.
TX specifics
Health plans and participating providers depend on the service area. Assisted living and adult foster care are additional HCBS services for approved enrollees; members remain responsible for room and board and any assessed copayment.

What it provides

  • STAR+PLUS provides Medicaid health coverage and authorized long-term services and supports.
  • Approved STAR+PLUS HCBS plans may include personal assistance or assisted living services.
  • Other assessed HCBS benefits include respite and nursing services and home modifications.
In-home support

Texas Community Care Services (CCAD)

Texas Community Care for the Aged and Disabled / Community Care Services

Who it is for
Texans who need community-care services assessed under the HHS Community Care handbook

Eligibility

General
Texas Community Care for the Aged and Disabled is an umbrella for community-care services with service-specific eligibility.
TX specifics
Individual services are administered under the Community Care Services Eligibility Handbook.

What it provides

  • Community care services depend on the specific program and assessed need.
In-home & community support

Area Agency on Aging (AAA) Services

Texas AAA Services

Who it is for
People 60+ in Texas and their family members and caregivers
Income limit
Services prioritize greatest economic and social need.

Eligibility

General
Texas Area Agencies on Aging help people age 60 or older and their family members and caregivers.
TX specifics
Texas has 28 Area Agencies on Aging; assistance and services are obtained through the local agency.

What it provides

  • Information and referrals; benefits counseling and legal assistance; care coordination; caregiver support; in-home support; nutrition and ombudsman services.
Caregiver support

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Who it is for
Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Income limit
Federal program prioritizes greatest economic and social need.

Eligibility

General
Texas AAA caregiver support serves eligible caregivers of older adults; particular service eligibility follows the relevant program and assessment.
TX specifics
Available through the 28 Area Agencies on Aging with priority to greatest economic and social need.

What it provides

  • Caregiver information assistance and support; respite and other services depend on local availability and assessment.
Medicare costs

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Who it is for
Medicare beneficiaries with limited income who need help with premiums or cost sharing
Income limit
effective March 1 2026 · Individual QMB maximum $1,330 per month; SLMB range $1,330.01 to less than $1,596; QI-1 range $1,596 to less than $1,796; These published bases exclude the $20 general income disregard; couple and spousal-deeming rules differ.
Asset limit
2026 · Countable resources up to $9,950 individual or $14,910 couple for QMB SLMB and QI-1; exclusions apply.

Eligibility

General
Texas applicant entitled to Medicare Part A or enrolled in qualifying Part B-ID coverage and meeting applicable MSP criteria.
TX specifics
QI-1 is unavailable with other Medicaid-funded coverage; Part B-ID applicants have special limited-benefit rules.

What it provides

  • QMB pays qualifying Medicare premiums deductibles and coinsurance; SLMB and QI-1 pay Part B or B-ID premiums only.
Energy assistance

Comprehensive Energy Assistance Program (CEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Who it is for
Low-income Texas households that need help with utility bills

Eligibility

General
Qualifying low-income Texas households apply through local Comprehensive Energy Assistance Program providers.
TX specifics
Texas LIHEAP utility assistance operates through CEAP.

What it provides

  • Utility assistance through CEAP.
Homeowner tax relief

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Who it is for
Texas homeowners 65+, or qualifying disabled homeowners, living in their homestead

Eligibility

General
Residence-homestead owner age 65 or older who uses the property as a principal residence; qualifying disabled homeowners and certain surviving spouses have related provisions.
TX specifics
School districts must provide an additional $60,000 age-65-or-disabled residence-homestead exemption; Local-option exemptions and tax-ceiling rules are separate.

What it provides

  • Reduction in taxable residence-homestead value (additional $60,000 school-district exemption for age 65 or qualifying disability); actual tax savings vary.

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Know before you visit

Frequently Asked Questions about Camino Real

Quick answers from public records and the community's own listing.
01 What neighborhood is Camino Real in?
Camino Real is in the Uptown Central neighborhood of San Antonio.
02 Is Camino Real in a walkable area?
Camino Real has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
03 How long has Camino Real been in business?
Camino Real has been operating for approximately 40 years, based on available licensing and registration records.
04 Are pets allowed at Camino Real?
Yes, Camino Real allows residents to bring their pets.
05 Are there photos of Camino Real?
Yes — there are 4 photos of Camino Real in the photo gallery on this page.
06 What levels of care does Camino Real provide?
Camino Real offers Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing.
07 What is the address of Camino Real?
Camino Real is located at 4415 Rio D'oro, San Antonio, TX 78233.
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