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Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 54 assisted living communities in San Antonio, TX using Texas Health and Human Services (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in TX
Reviewed by
Last updated
Jul 2026
We analyzed
54 homes
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Video Tour: Top-rated Assisted Living facilities in San Antonio, Texas.

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Avg Monthly Cost: $5,438The average monthly cost across facilities in San Antonio, TX. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 38/ 100The average Walk Score across facilities in San Antonio, TX. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 71The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90

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
22-
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
16-
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
-2Studio
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
11Private / 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
13Private / Semi-Private
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Overview of Brookdale Medical Center Whitby

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.

Contact Brookdale Medical Center Whitby

Overview of Saint Francis Nursing Home

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.

Contact Saint Francis Nursing Home

Overview of The Army Residence Community Health Care Center

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.

Contact The Army Residence Community Health Care Center

Overview of Blue Skies of Texas East

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.

Contact Blue Skies of Texas East

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 Bella Groves

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.

Contact Bella Groves

Overview of Isle at Watercrest – Dominion

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.

Contact Isle at Watercrest – Dominion

Overview of Ingram Assisted Living

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.

Contact Ingram Assisted Living LLC

Brookdale Maltsberger

13303 Jones Maltsberger Rd, San Antonio, TX 78247
Overview of Brookdale Maltsberger

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. 

Contact Brookdale Maltsberger

Overview of The Gardens of Castle Hills

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.

Contact The Gardens of Castle Hills

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
No paid rankings Communities cannot pay to influence placement.
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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.