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Other Senior care options in Bexar County:

Best Assisted Living in Bexar County, TX

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 6 homes in Bexar County, TX

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Bexar County, Texas.

Watch this Video to see Bexar County's Top-rated Senior Communities

Compare Assisted Living around Bexar County

The information below is reported by the Texas Health and Human Services Commission.

Click column headers to sort
The Waterford at Westover Hills
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

San Antonio (Far West Side)
132
Facility 132
TX AVG 117
Rank #122 / 992
Yes
4
Facility 4
TX AVG 43
Rank #1318 / 1393
9
Facility 9
TX AVG
Rank #439 / 581
Pal Round Rock Trs, LLC11Studio / 1 Bed / 2 Bed
The Forum at Lincoln Heights
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (San Antonio International Airport Vicinity)
88
Facility 88
TX AVG 117
Rank #439 / 992
Yes
68
Facility 68
TX AVG 43
Rank #158 / 1393
-
Facility -
TX AVG
Snh Longhorn Tenant LLC6-Suite / 1 Bed / 2 Bed
Premier Assisted Living Residential Care Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Uptown Central)
6
Facility 6
TX AVG 117
Rank #972 / 992
No
36
Facility 36
TX AVG 43
Rank #832 / 1393
-
Facility -
TX AVG
Premier Assisted Living, LLC--Private Rooms
Villa de San Antonio
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

San Antonio (Northwest Side)
-
Facility -
TX AVG 117
No
51
Facility 51
TX AVG 43
Rank #483 / 1393
-
Facility -
TX AVG
---Studio / 1 Bed / 2 Bed
Parkway Assisted Living LLC
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Inner West Side)
16
Facility 16
TX AVG 117
Rank #811 / 992
No
36
Facility 36
TX AVG 43
Rank #832 / 1393
7
Facility 7
TX AVG
Rank #484 / 581
Parkway Assisted Living LLC--Suite
Woodcrest Home for Senior Citizens
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Live Oak (Northeast Side)
10
Facility 10
TX AVG 117
Rank #917 / 992
Yes
25
Facility 25
TX AVG 43
Rank #1021 / 1393
25
Facility 25
TX AVG
Rank #189 / 581
Vilma D Stolze11Private / Semi-Private / Shared Rooms
Overview of The Waterford at Westover Hills

Residing in the enticing town of San Antonio, TX, the Waterford at Westover Hills is an idyllic senior living community that provides assisted living and memory care services. Spacious and comfortable accommodations with varying floor plans including studio, one-bedroom, and two-bedroom are available for its residents. The community ensures round-the-clock care and support to provide the highest quality of service that every senior deserves. Those with cognitive conditions like Alzheimer’s disease and dementia undergo a specialized program called Magnolia Trails providing a safe and home-like environment for them.

Having a highly equipped and dedicated team, the community offers top-of-the-line amenities and services including 3 delectable and healthy meals daily, housekeeping and linen services, regular personal care assessments, and transportation to nearby locations. Participate in a full calendar of social activities and community events to boost social engagement and life enrichment. With the Waterford at Westover Hills, seniors can enjoy a retirement worth remembering.

Contact The Waterford at Westover Hills

Overview of The Forum at Lincoln Heights

Nestled in a beautiful neighborhood in Bexar County, San Antonio, TX, The Forum at Lincoln Heights is a classic senior living community that offers independent living, assisted living, and memory care. Choose from a variety of studios, one-bedroom, and two-bedroom floor plans, with easy access to convenient care services and delightful amenities. Residents needing memory care and rehabilitative services are given access to Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program and a reliable third-party provider of rehabilitation and fitness training solutions.

Residents enjoy utmost hospitality and a carefree lifestyle with an attentive team that handles housekeeping, dining, social activities, transportation, and security. The community conducts a wide range of social and recreational events that foster social connection, enjoyment, and leisure. Amenities like a spacious activity center, a full-service barber and beauty salon, and restaurant-style dining, makes living at The Forum at Lincoln Heights a more relaxing and comfortable experience.

Contact The Forum at Lincoln Heights

Overview of Premier Assisted Living Residential Care Home

Helping residents achieve maximum independence, Premier Assisted Living is a tight-knit senior living community in Bexar County, San Antonio, TX, offering assisted living services. Residents here enjoy round-the-clock personalized care in a safe, comfortable, and nurturing environment. The community welcomes its residents into fully furnished private resident rooms, with convenient access to a wide array of amenities and services. Boasting a high caregiver-to-resident ratio, the community ensures residents receive focused and attentive care that they deserve.

The community makes sure their team members stay up to date with the best care and infection control practices through continuous training, ensuring consistent high-quality care provision. Residents can trade the tedious chores for more free time for enjoyment with housekeeping and laundry services handled by a dedicated team. Three deliciously prepared meals and snacks are served daily to satisfy residents’ nutritional needs and cravings. With 24-hour security cameras, monitored fire alarm & fire sprinkler systems, and round-the-clock care and supervision, residents are guaranteed to live a safe and comfortable life.

Contact Premier Assisted Living Residential Care Home

Overview of Villa De San Antonio

Based in the tranquil neighborhood of San Antonio, TX, the Villa De San Antonio is an enticing senior living community that provides independent living and assisted living. Here, residents can choose from a wide array of spacious and pet-friendly accommodations with varying floor plans depending on their personal preferences. With its dedicated and skilled team, residents can receive round-the-clock services and in-home care.

Experience its outstanding amenities and services including restaurant-style dining with scratch-made gourmet menu and luxury cottages. Enjoy its fitness center, movie center, and beauty salon for both wellness activities and self-care. Meet new friends and create lasting connections within its beautiful space. Have fun with its jampacked, diverse and interactive social and recreational events. At Villa De San Antonio, seniors can enjoy a promising retirement.

Contact Villa de San Antonio

Overview of Parkway Assisted Living LLC

Embark on a journey to joyful retirement at Parkway Assisted Living, a classic senior living community based in Bexar County, San Antonio, TX, offering premiere assisted living services. The community is dedicated to giving seniors the time and attention they deserve in a tight-knit, home-like setting. They offer comfortable and spacious private and semi-private accommodations with emergency response system, individual closets, wall mounted television and direct access to bathrooms, providing utmost comfort and convenience.

Residents have access to 24/7 individualized attention, ensuring that all of their needs and emergencies are addressed immediately. Fostering a family environment, the community strongly encourages families to join residents in daily activities and social events. Residents also enjoy delicious, home-cooked meals tailored to accommodate a variety of special dietary needs. With its individualized services, compassionate guidance and support for families, and peaceful atmosphere, the community warrants an engaging environment that allows seniors to thrive in their retirement years.

Contact Parkway Assisted Living LLC

Overview of Woodcrest Home for Senior Citizens

Ideally set near trusted healthcare providers in Forest Shower, Live Oak, TX, Woodcrest Home for Senior Citizens is an outstanding community that offers assisted living. The community provides top-tier care and assistance around the clock, alongside private, semi-private, and shared rooms for residents’ comfort and safety. Housekeeping, laundry, and assistance with daily living activities are provided for a maintenance-free lifestyle.

A jam-packed calendar of fun activities and enriching programs are conducted to keep residents active and socially engaged. Here, residents enjoy healthy and tasty meals that cater to dietary needs and preferences. Respite care, home health, and hospice are provided whenever necessary to ensure a hassle-free transition. The community is great for those who need additional support to live their later years comfortably with its top-tier care and purposely designed amenities.

Contact Woodcrest Home for Senior Citizens

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in Bexar County, TX

What's the difference between assisted living and memory care in Texas?

Assisted living in Texas supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover assisted living?

Texas Medicaid does not directly pay room-and-board for assisted living, but most states (including Texas) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 6 assisted living facilities in Bexar County, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Bexar County, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Bexar County, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Bexar County, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.