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Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 59 assisted living communities in San Antonio, TX using TX Health & Human Services Commission (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
59 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: 39/ 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: 73The 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)

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

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

The Army Residence Community Health Care Center
AL
IL
MC
NH
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 78
Rank #766 / 981
Yes
6
Facility 6
TX AVG 42
Rank #1287 / 1346
39
Facility 39
TX AVG 21
Rank #102 / 586
-The Army Retirement Residence Foundation San Antonio Inc
7
Facility 7
TX AVG 6
Rank #499 / 840
16-
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 78
Rank #258 / 981
No
71
Facility 71
TX AVG 42
Rank #124 / 1346
54
Facility 54
TX AVG 21
Rank #1 / 586
--
2
Facility 2
TX AVG 6
Rank #172 / 840
22-
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 78
Rank #780 / 981
Yes
47
Facility 47
TX AVG 42
Rank #586 / 1346
14
Facility 14
TX AVG 21
Rank #306 / 586
-Bst Health Services Corp
3
Facility 3
TX AVG 6
Rank #220 / 840
21-
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 78
Rank #94 / 981
Yes
44
Facility 44
TX AVG 42
Rank #647 / 1346
21
Facility 21
TX AVG 21
Rank #194 / 586
A+Brookdale Senior Living Inc
9
Facility 9
TX AVG 6
Rank #603 / 840
45Studio
Gemstone Senior Living at Castle Hills
AL
HOS
MC
San Antonio (Jackson Keller Road)
160
Facility 160
TX AVG 78
Rank #40 / 981
No
54
Facility 54
TX AVG 42
Rank #407 / 1346
25
Facility 25
TX AVG 21
Rank #170 / 586
D+Peridot Health LLC---Studio / 1 Bed
Brookdale Medical Center Whitby
AL
IL
MC
NH
SNF
San Antonio (Northwest Side)
136
Facility 136
TX AVG 78
Rank #94 / 981
Yes
38
Facility 38
TX AVG 42
Rank #785 / 1346
48
Facility 48
TX AVG 21
Rank #47 / 586
A+Febc-Alt Holdings Inc
9
Facility 9
TX AVG 6
Rank #603 / 840
45Suite
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 78
Rank #567 / 981
Yes
30
Facility 30
TX AVG 42
Rank #930 / 1346
48
Facility 48
TX AVG 21
Rank #47 / 586
A+Brookdale Senior Living Communities, Inc
17
Facility 17
TX AVG 6
Rank #755 / 840
215Suite
Independence Hill
AL
IL
San Antonio (Stone Oak)
115
Facility 115
TX AVG 78
Rank #267 / 981
Yes
61
Facility 61
TX AVG 42
Rank #267 / 1346
39
Facility 39
TX AVG 21
Rank #102 / 586
A+Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #603 / 840
-9Studio / 1 Bed / 2 Bed / Cottage
Camino Real
AL
IL
MC
NH
SNF
San Antonio (Uptown Central)
-Yes
72
Facility 72
TX AVG 42
Rank #108 / 1346
39
Facility 39
TX AVG 21
Rank #102 / 586
-----Studio / 1 Bed
Adante Assisted Living
AL
MC
San Antonio (San Antonio International Airport Vicinity)
90
Facility 90
TX AVG 78
Rank #397 / 981
No
43
Facility 43
TX AVG 42
Rank #665 / 1346
14
Facility 14
TX AVG 21
Rank #306 / 586
-Welltower Tcg Ridea Tenant, LLC
7
Facility 7
TX AVG 6
Rank #499 / 840
16Studio / 1 Bed / 2 Bed
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio (Willshire Terrace)
60
Facility 60
TX AVG 78
Rank #567 / 981
No
75
Facility 75
TX AVG 42
Rank #67 / 1346
7
Facility 7
TX AVG 21
Rank #491 / 586
A+Incarnate Word Retirement Community, Inc
13
Facility 13
TX AVG 6
Rank #709 / 840
49-
Heartis San Antonio
AL
MC
RC
San Antonio (San Antonio International Airport Vicinity)
186
Facility 186
TX AVG 78
Rank #21 / 981
Yes
49
Facility 49
TX AVG 42
Rank #541 / 1346
-CHeartis San Antonio Partners LP
15
Facility 15
TX AVG 6
Rank #732 / 840
105Studio / 1 Bed / 2 Bed
Isle at Watercrest – Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 78
Rank #64 / 981
No
9
Facility 9
TX AVG 42
Rank #1242 / 1346
--Dsl Tenant II, LLC
4
Facility 4
TX AVG 6
Rank #293 / 840
13Studio / 1 Bed / 2 Bed
Gemstone Senior Living at Northstar
AL
MC
San Antonio (North Central)
-Yes
62
Facility 62
TX AVG 42
Rank #248 / 1346
------Private / Semi-Private Rooms
Franklin Park Sonterra
AL
IL
San Antonio (Stone Oak)
70
Facility 70
TX AVG 78
Rank #499 / 981
No
53
Facility 53
TX AVG 42
Rank #431 / 1346
15
Facility 15
TX AVG 21
Rank #295 / 586
-Fam Sonterra Ltd
3
Facility 3
TX AVG 6
Rank #220 / 840
12-
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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 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 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 Brookdale Medical Center Kingsley

Situated in San Antonio, TX, Brookdale Medical Center Kingsley is a charming senior living community that offers assisted living and memory care services. Featuring spacious, pet-friendly apartments and the peace of mind that comes with 24/7 emergency assistance, residents are guaranteed a secure and comfortable residence. For those needing memory care, Clare Bridge provides a structured daily routine with engaging activities like cognitive workouts and group exercises.

At Brookdale Medical Center Kingsley, residents can embrace a fulfilling lifestyle supported by personalized care plans and enriching amenities, making it a preferred choice for those seeking a nurturing environment where they can thrive. Whether enjoying restaurant-style dining or participating in off-campus outings, residents find fulfillment in our robust social calendar tailored to their interests. The community also offers various amenities designed for residents’ comfort and leisure, such as housekeeping services, transportation assistance, personal items delivery, beautiful common areas, a library, an arts & crafts studio and a therapy room, ensuring holistic well-being.

Contact Brookdale Medical Center Kingsley

Overview of Gemstone Senior Living at Castle Hills

Elevating seniors’ quality of life through compassionate assisted living and memory care services, Gemstone Senior Living at Castle Hills is a trusted senior living community in Bexar County, San Antonio, TX. The community is designed to offer a safe and secure environment for residents with 24-hour specialized supervision and security measures in place. Residents are given access to personal care services, such as bathing, dressing, and grooming, which help them maintain their independence and dignity.

The community encourages its residents to stay active and engaged, offering a variety of social activities and opportunities for residents to connect with each other. As a family-owned and operated community, Gemstone Senior Living warrants personalized care services with a touch of family-like atmosphere. Their team of experts include registered nurses, licensed vocational nurses, caregivers and certified nursing assistants that work round-the-clock, providing residents with peace of mind knowing that they are well cared for.

Contact Gemstone Senior Living at Castle Hills

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

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 Independence Hill

Located at the heart of Huebner Road, San Antonio, TX, Independence Hill Retirement Community at Stone Oak is a peaceful senior living community that provides assisted living, independent living, and independence village. Featuring a wide array of floor plans for different living options including one-bedroom to two-bedroom cottages for independent living residents, one-bedroom and studio for residents under assisted living, and one-bedroom to two-bedroom for seniors under independence village. Independence Hill focuses on the needs of its residents, delivering care tailored to their preferences and needs. 

With a kind, compassionate, and professional team of caregivers, the community ensures the welfare of the seniors. Independence Hill orchestrates activities and programs that highlight the physical, social, emotional, intellectual, and spiritual wellness of its residents. Here, seniors also get to satisfy their cravings with restaurant-style meals served three times daily. Residents may also opt to eat dinner in their room. Independence Hill provides a peaceful and worry-free life within its grounds with a scenic view of nature.

Contact Independence Hill

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.

Contact Camino Real

Adante Assisted Living

2739 Cembalo Blvd, San Antonio, TX 78230
Overview of Adante Assisted Living

Adante Assisted Living & Memory Care is gracefully tucked away in North of San Antonio. This extraordinary residence offers a distinctive retirement experience, tailored to meet the individualized needs of its esteemed residents. When it comes to memory care, this home exemplifies excellence. With an unwavering commitment to meeting the ever-evolving needs of residents, the community offers an array of health and wellness programs, complemented by personalized music programming and engaging life skills stations. Each element is thoughtfully orchestrated to create an immersive and enriching environment, fostering a sense of joy, connection, and purpose.

With specialized features such as pull cords and pendants, as well as round-the-clock access to nursing professionals, residents can enjoy peace of mind knowing that their well-being is safeguarded. The thoughtfully equipped bathrooms ensure convenience and safety, promoting an environment of ease. Moreover, the proximity to downtown San Antonio allows residents to effortlessly immerse themselves in the vibrant cultural tapestry of the city.

Contact Adante Assisted Living

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.