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
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We analyzed These are the facilities in San Antonio, TX our team has analyzed — not a count of every assisted living provider in San Antonio, TX.
59 homes
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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-ranked to lowest-ranked based on our methodology.

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. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Total count of citations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
Citations tied to health-related standards (as categorized by the state). Subset of overall citation activity.
Citations tied to life safety or environmental standards (as categorized by the state). Often distinct from health-line citations.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Brookdale Hamilton Wolfe
AL
MC
San Antonio (Northwest Side)
96
Facility 96
TX AVG 73
Rank #275 / 874
Yes
70
Facility 70
TX AVG 42
Rank #127 / 1,232
48
Facility 48
TX AVG 19
Rank #19 / 517
A+Esc III LP
9
Facility 9
TX AVG 6
Rank #602 / 839
18Studio / Suite / 1 Bed / 2 Bed
Independence Hill
AL
IL
San Antonio (Stone Oak)
115
Facility 115
TX AVG 73
Rank #190 / 874
Yes
61
Facility 61
TX AVG 42
Rank #246 / 1,232
39
Facility 39
TX AVG 19
Rank #68 / 517
A+Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #602 / 839
-9Studio / 1 Bed / 2 Bed / Cottage
Brookdale Medical Center Whitby
AL
CCRC
IL
MC
NH
SNF
San Antonio (Northwest Side)
136
Facility 136
TX AVG 73
Rank #73 / 874
Yes
38
Facility 38
TX AVG 42
Rank #712 / 1,232
48
Facility 48
TX AVG 19
Rank #19 / 517
A+Febc-Alt Holdings Inc
9
Facility 9
TX AVG 6
Rank #602 / 839
45Suite
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 73
Rank #73 / 874
Yes
44
Facility 44
TX AVG 42
Rank #590 / 1,232
21
Facility 21
TX AVG 19
Rank #147 / 517
A+Brookdale Senior Living Inc
9
Facility 9
TX AVG 6
Rank #602 / 839
45Studio
Gemstone Senior Living at Castle Hills
AL
HOS
MC
San Antonio
160
Facility 160
TX AVG 73
Rank #32 / 874
No
54
Facility 54
TX AVG 42
Rank #372 / 1,232
25
Facility 25
TX AVG 19
Rank #123 / 517
D+Peridot Health LLC---Studio / 1 Bed
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio
60
Facility 60
TX AVG 73
Rank #470 / 874
No
75
Facility 75
TX AVG 42
Rank #61 / 1,232
7
Facility 7
TX AVG 19
Rank #422 / 517
A+Incarnate Word Retirement Community, Inc
13
Facility 13
TX AVG 6
Rank #708 / 839
49-
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 73
Rank #183 / 874
No
71
Facility 71
TX AVG 42
Rank #113 / 1,232
54
Facility 54
TX AVG 19
Rank #1 / 517
--
2
Facility 2
TX AVG 6
Rank #172 / 839
22-
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 73
Rank #470 / 874
Yes
30
Facility 30
TX AVG 42
Rank #840 / 1,232
48
Facility 48
TX AVG 19
Rank #19 / 517
A+Brookdale Senior Living Communities, Inc
17
Facility 17
TX AVG 6
Rank #754 / 839
215Suite
The Gardens of Castle Hills
AL
MC
San Antonio
31
Facility 31
TX AVG 73
Rank #656 / 874
No
54
Facility 54
TX AVG 42
Rank #372 / 1,232
7
Facility 7
TX AVG 19
Rank #422 / 517
-Peridot Health LLC
1
Facility 1
TX AVG 6
Rank #87 / 839
1-Studio / Alcove / Suite / 1 Bed
Adante Assisted Living
AL
MC
San Antonio
90
Facility 90
TX AVG 73
Rank #304 / 874
No
43
Facility 43
TX AVG 42
Rank #606 / 1,232
14
Facility 14
TX AVG 19
Rank #250 / 517
-Welltower Tcg Ridea Tenant, LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
16Studio / 1 Bed / 2 Bed

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 59 analyzed for San Antonio. See how we rank facilities

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Overview of Brookdale Hamilton Wolfe

Located in the historic and vibrant city of San Antonio, TX, Brookdale Hamilton Wolfe offers a luxurious senior living experience with a focus on assisted living and memory care. The community provides a supportive environment where seniors can enjoy pet-friendly apartments, cozy common areas, and restaurant-style dining. With a variety of vacation-style amenities, residents can indulge in a life of leisure and comfort. If a resident’s needs change, transitioning to memory care within the same community is seamless, ensuring continuous and personalized care.

Brookdale Hamilton Wolfe is committed to enriching its residents’ lives through tailored activities and programs. Residents can enjoy art classes, gratitude journaling, and social events like Wine Down Wednesdays. The memory care program includes engaging activities such as karaoke, birdwatching, and yoga, all designed to foster a sense of purpose and belonging. With 24/7 on-site availability to address emergencies and exceptional dining experiences, Brookdale Hamilton Wolfe offers a welcoming and nurturing environment for all its residents.

Contact Brookdale Hamilton Wolfe

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 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 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 The Village at Incarnate Word

The Village at Incarnate Word offers nursing home, assisted living, home care, independent living, memory care, nursing care, and skilled nursing in San Antonio, Texas. Independent living provides private living with community services and no daily care, while assisted living offers help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment.

Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock, while home care brings support to a person’s residence. Several care levels can suit a resident whose needs grow over time, allowing a move between levels without leaving the community or starting over socially.

Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community opened in 1988 and is operated by Incarnate Word Retirement Community. It has 60 beds, with total nurse staffing of 4 hours and 19 minutes per resident per day, representing the daily hands on nursing time assigned to each resident.

Medicaid, Medicare, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence. A Walk Score of 75 out of 100 places the area in the very walkable band, meaning most errands can be completed on foot; a resident who no longer drives can still reach nearby shops, pharmacies, or cafes independently.

The community has a salon or spa and rehabilitation services, giving residents access to grooming and rehabilitation without arranging those services elsewhere. Religious services and a Spiritual Life program are also available for residents who want to participate.

Contact The Village at Incarnate Word

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

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

Gemstone Senior Living at Castle Hills sits on Jackson Keller Road in San Antonio, about six miles from downtown. Run by Peridot Health LLC and managed by MG Operations LLC, the property provides assisted living, memory care, and hospice care. Administrator Norma Eagan oversees the campus, which has served local residents for 25 years.

The two-story building holds 160 beds and accepts adults age 62 and older, offering studio and one-bedroom apartments. Staffing includes licensed nurses, certified nursing assistants, and personal caregivers on site around the clock. Along with long-term care, the home offers short-term respite stays and therapy services. Monthly fees cover three daily meals, room cleaning, and scheduled recreational and exercise activities.

The surrounding neighborhood has a walk score of 54, so while a few errands are doable on foot, getting around town generally requires a car.

Families and caregivers looking into care options in Bexar County can reach out to the Jackson Keller Road main office directly to ask about current room availability, tour the building, or get details on care levels.

Contact The Gardens of Castle Hills

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
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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.