
Compare Assisted Living around San Antonio (Metro Area)
The information below is reported by the Texas Health and Human Services Commission.
| Brookdale Medical Center Whitby | AL IL MC NH SNF | San Antonio (Northwest Side) | 60
Facility
60
TX AVG
80
Rank
#572 / 976 | Yes |
38
Facility
38
TX AVG
41
Rank
#782 / 1389 | 48
Facility
48
TX AVG
22
Rank
#47 / 584 | A+ | Febc-Alt Holdings Inc | 0
Facility
0
TX AVG
6
Rank
#1 / 823 | - | - | Suite |
| Saint Francis Nursing Home | AL IL NH | San Antonio (Midtown) | 116
Facility
116
TX AVG
80
Rank
#270 / 976 | No |
71
Facility
71
TX AVG
41
Rank
#124 / 1389 | 54
Facility
54
TX AVG
22
Rank
#1 / 584 | - | - | 4
Facility
4
TX AVG
6
Rank
#245 / 823 | 2 | 2 | - |
| The Army Residence Community Health Care Center | AL IL MC NH SNF | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
80
Rank
#771 / 976 | No |
6
Facility
6
TX AVG
41
Rank
#1284 / 1389 | 39
Facility
39
TX AVG
22
Rank
#119 / 584 | - | The Army Retirement Residence Foundation San Antonio Inc | 7
Facility
7
TX AVG
6
Rank
#586 / 823 | 1 | 6 | - |
| Blue Skies of Texas East | AL HOS IL MC NH SNF | San Antonio (Valley High North) | 24
Facility
24
TX AVG
80
Rank
#786 / 976 | No |
47
Facility
47
TX AVG
41
Rank
#585 / 1389 | 14
Facility
14
TX AVG
22
Rank
#326 / 584 | - | Bst Health Services Corp | 1
Facility
1
TX AVG
6
Rank
#151 / 823 | 1 | - | - |
| Bella Groves | AL MC RESC | Bulverde | 16
Facility
16
TX AVG
80
Rank
#797 / 976 | No |
4
Facility
4
TX AVG
41
Rank
#1315 / 1389 | - | - | Bella Groves, Inc | 0
Facility
0
TX AVG
6
Rank
#1 / 823 | - | - | studio / 1 bed |
| Isle at Watercrest – Dominion | AL IL MC | San Antonio (Northwest Side) | 148
Facility
148
TX AVG
80
Rank
#69 / 976 | No |
9
Facility
9
TX AVG
41
Rank
#1239 / 1389 | - | - | Dsl Tenant II, LLC | 0
Facility
0
TX AVG
6
Rank
#1 / 823 | - | - | Studio / 1 Bed / 2 Bed |
| Brookdale Maltsberger | AL | San Antonio (Uptown Central) | 60
Facility
60
TX AVG
80
Rank
#572 / 976 | Yes |
30
Facility
30
TX AVG
41
Rank
#927 / 1389 | 48
Facility
48
TX AVG
22
Rank
#47 / 584 | A+ | Brookdale Senior Living Communities, Inc | 1
Facility
1
TX AVG
6
Rank
#151 / 823 | 1 | - | Suite |
| The Gardens of Castle Hills | AL MC | San Antonio (Jackson Keller Road) | 31
Facility
31
TX AVG
80
Rank
#768 / 976 | No |
54
Facility
54
TX AVG
41
Rank
#407 / 1389 | 7
Facility
7
TX AVG
22
Rank
#493 / 584 | - | Peridot Health LLC | 1
Facility
1
TX AVG
6
Rank
#151 / 823 | 1 | - | Studio / Alcove / Suite / 1 Bed |
| Brookdale Medical Center Kingsley | AL MC | San Antonio (Northwest Side) | 136
Facility
136
TX AVG
80
Rank
#101 / 976 | Yes |
44
Facility
44
TX AVG
41
Rank
#645 / 1389 | 48
Facility
48
TX AVG
22
Rank
#47 / 584 | A+ | Brookdale Senior Living Inc | 2
Facility
2
TX AVG
6
Rank
#245 / 823 | - | 2 | Studio |
| The Village at Incarnate Word | AL HC IL MC NH SNF | San Antonio (Willshire Terrace) | 60
Facility
60
TX AVG
80
Rank
#572 / 976 | No |
75
Facility
75
TX AVG
41
Rank
#67 / 1389 | 7
Facility
7
TX AVG
22
Rank
#493 / 584 | A+ | Incarnate Word Retirement Community, Inc | 0
Facility
0
TX AVG
6
Rank
#1 / 823 | - | - | - |
| EdenHill Communities | AL HOS IL MC NH RC SNF | New Braunfels (Landa Park Estates) | 64
Facility
64
TX AVG
80
Rank
#554 / 976 | No |
5
Facility
5
TX AVG
41
Rank
#1301 / 1389 | - | - | Eden Home, Inc | 1
Facility
1
TX AVG
6
Rank
#151 / 823 | 1 | - | - |
| Chapters Living of San Antonio | AL IL MC NH SNF | San Antonio (Far West Side) | 64
Facility
64
TX AVG
80
Rank
#554 / 976 | Yes |
20
Facility
20
TX AVG
41
Rank
#1092 / 1389 | - | - | Ivq San Antonio Opco, LP | 1
Facility
1
TX AVG
6
Rank
#151 / 823 | 1 | - | - |
| Gemstone Senior Living at Oakwell | AL MC | San Antonio (San Antonio International Airport Vicinity) | 16
Facility
16
TX AVG
80
Rank
#797 / 976 | Yes |
15
Facility
15
TX AVG
41
Rank
#1165 / 1389 | 22
Facility
22
TX AVG
22
Rank
#209 / 584 | - | Wholehearted Care Senior Living At Oakwell | 2
Facility
2
TX AVG
6
Rank
#245 / 823 | 1 | 1 | Private / Semi-Private Rooms |
| Pipestone Place | AL MC | San Antonio (Oak Haven Heights) | 16
Facility
16
TX AVG
80
Rank
#797 / 976 | No |
22
Facility
22
TX AVG
41
Rank
#1062 / 1389 | - | - | Sev, Inc | 1
Facility
1
TX AVG
6
Rank
#151 / 823 | 1 | - | - |
| Seasons Alzheimer’s Care | AL MC | San Antonio (Uptown Central) | 16
Facility
16
TX AVG
80
Rank
#797 / 976 | No |
54
Facility
54
TX AVG
41
Rank
#407 / 1389 | 12
Facility
12
TX AVG
22
Rank
#370 / 584 | - | The Seasons On Tezel | 4
Facility
4
TX AVG
6
Rank
#398 / 823 | 1 | 3 | Private / Semi-Private |
Brookdale Medical Center Whitby in San Antonio, Texas, is an inviting senior living community that offers vibrant assisted living where seniors can thrive in a supportive environment. Located conveniently near churches, hospitals, shopping, and dining spots, our community provides personalized care tailored to individual needs. Residents enjoy easy access to local attractions like the historic Alamo and the lively San Antonio RiverWalk, perfect for leisurely strolls or outings with friends.
Fostering a sense of community and shared interests, Brookdale Medical Center Whitby conducts engaging social activities, including card games, art classes, and fitness programs. The community features spacious apartments, available in various floor plans with options for studios, private suites, or companion living, featuring amenities like private baths and kitchenettes. Pets are welcome, enhancing the home-like atmosphere where residents can personalize their living spaces with cherished belongings. With delicious meals prepared by a dedicated culinary team, customizable menus, and nutritional support available, dining at Brookdale Medical Center Whitby is a delightful experience.
Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.
At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.
The Army Residence Community Healthcare Center is the premier veteran retirement home in San Antonio– welcoming all retired or honorably discharged officers; also housing senior-level federal employees of GS-14 and above, including their spouses. Reflected in their excellent service, the non-profit life plan community has maintained an active, social, and carefree lifestyle for their residents for over 30 years. The Army Residence is the place to live your golden years to the fullest, create memories, and achieve dreams.
The life plan community boasts its exclusive program called the Army Residence Community (ARC), where residents can come together and be part of engaging activities. Retirees can choose to live in high-rise apartments or lakeside duplexes– all beautifully furnished.
Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.
Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.
What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.
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.
Bella Groves is dedicated to creating a joyful and supportive community for families impacted by dementia. Their mission encompasses providing comprehensive memory care services in San Antonio, Texas, along with education, resources, and a sense of belonging for all involved in the dementia care journey. Offering different levels of memory care services, from educational sessions to long-term residential care, Bella Groves stays on top in the memory care industry.
The community offers a range of memory care amenities and services tailored to meet the diverse needs of individuals and families affected by dementia. From residential care options to dementia navigation and learning centers, they provide personalized support and assistance every step of the way. With a commitment to quality of life and ongoing progress, Bella Groves strives to ensure that no one faces dementia alone.
Isle at Watercrest – Dominion is an assisted living and memory care community that Dsl Tenant Ii operates on Heuermann Road in the Northwest Side of San Antonio. It caters to 148 residents across a two-story building with a set of housing options: studios, one-bedroom units, and two-bedroom apartments. This variety of floor plans lets families select the layout that works best for their dearest one’s needs and wants.
The home offers three care levels: assisted living, independent living, and memory care, so it’s a pragmatic choice for seniors at different life stages or changing care needs. Occupants can select the support level appropriate to their situation, whether they’re seeking assistance with daily activities, a maintenance-focused retirement living option, or specialized memory care. Isle at Watercrest – Dominion sits in an area with a Walk Score of 9, so most errands in the car-dependent neighborhood demand a car. For families and visitors, this suburban setting may offer a calmer residential atmosphere than a more walkable urban neighborhood.
State inspections by the Texas Health Department have found no health code or life safety code violations in their facility examination.
The home’s assisted living, independent living, and memory care availability make it a grounded choice for seniors at different stages of life or changing care needs. Families wanting to learn more about specific amenities, dining options, activities, and resident services must contact the home directly to arrange a tour and discuss its offerings for their loved one.
Set in San Antonio, TX, Ingram Assisted Living is a well-established assisted living community with over 10 years of extensive experience in care. The community stands out with its well-kept accommodations and reliable assistance with daily living activities. Residents enjoy the peace of mind provided by having a well-experienced care team 24 hours a day and 7 days a week. With convenient access to local amenities and a great medical center, residents lead a convenient lifestyle within a safe neighborhood.
Residents’ days are filled with various activities and programs for their enrichment like games, arts and crafts, and more. Meals are carefully prepared to satisfy residents’ unique dietary requirements and preferences. Most of the residents’ chores like housekeeping are also handled to ensure residents have plenty of time to focus on living their lives however they want.
Brookdale Maltsberger located in the peaceful neighborhood of Jones Maltsberger Road, San Antonio, TX, is an exceptional senior living community that offers assisted living. With three different suites to choose from, the community ensures a comfortable and cozy residence. Focusing on the well-being of seniors, Brookdale Maltsberger provides customized care created to suit their needs and preferences.
The community fosters meaningful connections among its residents and conducts various activities and programs that enable them to interact. Through the refreshing outdoor walk paths and relaxing front porches, seniors may enjoy their time conversing with other residents. Moreover, seniors enjoy nutritious and hearty meals with the culinary team’s well-prepared dishes. Brookdale Maltsberger provides a therapy room, a game room, a beauty and barber shop, a courtyard and garden, and a greenhouse for the residents’ enjoyment and leisure.
The Gardens of Castle Hills is an admirable gated community in San Antonio that offers a variety of living options to meet the unique needs and preferences of their residents. For assisted living, they provide studio, alcove, and one-bedroom layouts, while memory care residents can choose from semi-private or private suites. Regardless of their living arrangements, residents can expect personalized attention and care from the home’s compassionate staff.
The team is dedicated to providing top-notch security and support to their residents. They offer 24/7 emergency response, housekeeping, assistance with daily activities, and medication management to ensure that their residents are comfortable and safe at all times. In addition, the home boasts a wide range of amenities to enhance the quality of life for their residents. These include a library, walking paths, fireside living room, dog park, guest suites, and delicious dining options. They also offer a variety of programs and activities to promote overall well-being, such as day trips, fitness classes, and musical events.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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 San Antonio, TX
What is the average cost of assisted living in San Antonio, TX?
The average monthly cost of assisted living in San Antonio, TX is approximately $3,900. Actual rates vary by community, level of care, and floorplan.
What is the price range for assisted living in San Antonio, TX?
Assisted living in San Antonio, TX typically ranges from $3,500–$6,400 per month, depending on the community, room type, and care needs.
What is the typical staff-to-resident ratio at assisted living facilities in San Antonio, TX?
Assisted living facilities in San Antonio, TX typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.
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.



















