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Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 53 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
Jun 2026
We analyzed
53 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: 68The 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.

Independence Hill
AL
IL
San Antonio (Stone Oak)
115
Facility 115
TX AVG 80
Rank #284 / 988
Yes
61
Facility 61
TX AVG 41
Rank #269 / 1391
39
Facility 39
TX AVG 22
Rank #122 / 583
A+Stone Oak Villas II Ltd
17
Facility 17
TX AVG 6
Rank #796 / 834
116Studio / 1 Bed / 2 Bed / Cottage
Brookdale Medical Center Whitby
AL
IL
MC
NH
San Antonio (Northwest Side)
60
Facility 60
TX AVG 80
Rank #583 / 988
Yes
38
Facility 38
TX AVG 41
Rank #784 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Febc-Alt Holdings Inc
0
Facility 0
TX AVG 6
Rank #1 / 834
--Suite
Discovery Village At Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 80
Rank #69 / 988
No
1
Facility 1
TX AVG 41
Rank #1346 / 1391
12
Facility 12
TX AVG 22
Rank #369 / 583
A+Dsl Tenant II, LLC----
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 80
Rank #583 / 988
Yes
30
Facility 30
TX AVG 41
Rank #929 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Brookdale Senior Living Communities, Inc
1
Facility 1
TX AVG 6
Rank #150 / 834
1-Suite
Heritage Creek
AL
NH
San Antonio (Northwest Side)
52
Facility 52
TX AVG 80
Rank #664 / 988
No
9
Facility 9
TX AVG 41
Rank #1241 / 1391
13
Facility 13
TX AVG 22
Rank #349 / 583
A+Heritage Creek Assisted Living Inc
4
Facility 4
TX AVG 6
Rank #403 / 834
4--
Brookdale Oakwell
AL
MC
San Antonio (San Antonio International Airport Vicinity)
136
Facility 136
TX AVG 80
Rank #102 / 988
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1391
26
Facility 26
TX AVG 22
Rank #181 / 583
-Emeritus Properties IV, Inc
13
Facility 13
TX AVG 6
Rank #756 / 834
67Studio / Alcove
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 80
Rank #102 / 988
Yes
44
Facility 44
TX AVG 41
Rank #647 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Brookdale Senior Living Inc
2
Facility 2
TX AVG 6
Rank #244 / 834
-2Studio
Heartis San Antonio
AL
MC
San Antonio (San Antonio International Airport Vicinity)
186
Facility 186
TX AVG 80
Rank #23 / 988
Yes
49
Facility 49
TX AVG 41
Rank #543 / 1391
-C-Heartis San Antonio Partners LP
15
Facility 15
TX AVG 6
Rank #784 / 834
105Studio / 1 Bed / 2 Bed
The Inn at Los Patios
AL
IL
San Antonio (Macarthur Park)
30
Facility 30
TX AVG 80
Rank #782 / 988
Yes
37
Facility 37
TX AVG 41
Rank #808 / 1391
37
Facility 37
TX AVG 22
Rank #126 / 583
-Inn At Patios LLC
6
Facility 6
TX AVG 6
Rank #529 / 834
15Studio / 1 Bed / 2 Bed
Gemstone Senior Living at Oakwell
AL
MC
San Antonio (San Antonio International Airport Vicinity)
16
Facility 16
TX AVG 80
Rank #809 / 988
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1391
22
Facility 22
TX AVG 22
Rank #209 / 583
-Wholehearted Care Senior Living At Oakwell
2
Facility 2
TX AVG 6
Rank #244 / 834
11Private / Semi-Private Rooms
Seasons Alzheimer’s Care
AL
MC
San Antonio (Uptown Central)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
54
Facility 54
TX AVG 41
Rank #409 / 1391
12
Facility 12
TX AVG 22
Rank #369 / 583
-The Seasons On Tezel
4
Facility 4
TX AVG 6
Rank #403 / 834
13Private / Semi-Private
BeeHive Homes of Babcock Ridge
AL
RC
San Antonio (Northwest Side)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
56
Facility 56
TX AVG 41
Rank #367 / 1391
6
Facility 6
TX AVG 22
Rank #514 / 583
-Td Assisted Living LLC
6
Facility 6
TX AVG 6
Rank #529 / 834
6-Private Rooms
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
36
Facility 36
TX AVG 41
Rank #832 / 1391
7
Facility 7
TX AVG 22
Rank #488 / 583
-Parkway Assisted Living LLC---Suite
Brookdale Hamilton Wolfe
AL
MC
San Antonio (Northwest Side)
96
Facility 96
TX AVG 80
Rank #387 / 988
Yes
70
Facility 70
TX AVG 41
Rank #138 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Esc III LP
6
Facility 6
TX AVG 6
Rank #529 / 834
-6Studio / Suite / 1 Bed / 2 Bed
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
45
Facility 45
TX AVG 41
Rank #628 / 1391
7
Facility 7
TX AVG 22
Rank #488 / 583
-Parkway Assisted Living LLC
0
Facility 0
TX AVG 6
Rank #1 / 834
--Private / Semi-Private / Companion Suites
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Overview of Discovery Village at Dominion

Discovery Village at Dominion is nestled in the stunning hill country of San Antonio, Texas. This vibrant senior living community caters to residents seeking exceptional care and a fulfilling lifestyle. For those valuing independence alongside a carefree lifestyle, residents delight in chef-prepared, restaurant-style dining, spacious and accessible suites, and a robust calendar filled with enriching activities. Designed for individuals with dementia and Alzheimer’s, this community provides a secure environment where compassionate staff deliver specialized care, ensuring safety and promoting overall well-being.
At Discovery Village at Dominion, personalized care meets comfort in a compassionate haven where seniors receive tailored support while preserving their autonomy. High-quality dining options, top-notch amenities, and a shared community campus foster a strong sense of belonging. Beyond just a residence, Discovery Village at Dominion is a thriving home where residents flourish. Whether exploring the San Antonio Art Museum or strolling along the San Antonio River Walk, every moment presents opportunities for joy and connection. With its hill country charm and convenient city access, Dominion embodies exceptional senior living.

Contact Discovery Village At Dominion

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 Heritage Creek

Heritage Creek, located in San Antonio, Texas, is assisted living at its best, fostering a community where luxuries and accommodations meet personalized, friendly service. As a family-owned facility, the community values creating a warm and fulfilling environment for residents and maintaining good staff-to-resident ratios for individualized assisted living. Heritage Creek aims to provide a seamless, family-oriented experience, ensuring residents receive the care they need precisely when needed.

The assisted living community distinguishes itself through various amenities and facilities that enhance residents’ lives. The community offers chef-prepared dining options with a full-time executive chef., ensuring delicious and nutritious meals. An on-site salon and barber shop provide convenient grooming services, adding to the overall experience. The living spaces are spacious and serene, promoting peaceful and cozy living. Heritage Creek emphasizes creating a family, treating residents with the utmost care, and providing them an exciting life full of activities.

Contact Heritage Creek

Overview of Brookdale Oakwell

San Antonio, Texas is home to the lively senior living community, Brookdale Oakwell which offers both assisted living and memory care options for seniors seeking a fun and engaging retirement. Situated conveniently near major city attractions yet nestled in a serene residential neighborhood, it provides a balance of accessibility and tranquility. Seniors can enjoy the assistance they need with daily tasks such as medication management and grooming, alongside services like cooking, cleaning, and transportation, allowing them more time to pursue personal interests and hobbies.

The community features pet-friendly apartments filled with natural light, ensuring a comfortable and welcoming environment. Residents can engage in a diverse range of activities including crafting workshops, dancing classes, and themed social events like happy hours, fostering social connections and personal fulfillment. With a commitment to personalized care and a secure memory care program, Brookdale Oakwell supports seniors at every stage, offering peace of mind and a meaningful lifestyle.

Contact Brookdale Oakwell

Overview of Morningside at the Meadows

Located in San Antonio, Texas, Morningside at The Meadows stands as a distinguished continuing care senior living community devoted to meeting the diverse needs of older adults. Providing an array of independent living options, Morningside at The Meadows creates an environment where seniors can relish the comforts of home without the burdens of maintenance. Whether one seeks independent living, assisted living, long-term care, or transitional care, Morningside at The Meadows provides a welcoming and enriching environment for seniors to embrace as their home.
Conveniently situated on Babcock Road, The Meadows radiates warmth, friendliness, and relaxation, seamlessly blending with the essence of senior living. Residents find elegant living spaces within the four-story Atrium Apartments, including studios and one- or two-bedroom residences. Accessible amenities encompass a state-of-the-art theater room, a modern gym, and delightful cuisine served at the Meadowlark Restaurant. The community is embraced by acres of scenic grounds, fostering a tranquil atmosphere. The outdoor experience is enhanced by picturesque gardens and well-maintained lawns, offering a serene setting.

Contact Morningside at the Meadows

Overview of Isle at Watercrest – Dominion

Discover the warmth, elegance, and variety of choices at Isle at Watercrest – Dominion, a luxurious senior community on Heuermann Rd in San Antonio, TX. Designed for hassle-free living, this community provides a safe, attractive setting where residents can embrace independence with dignity. With multiple levels of care, residents have the freedom to age in place with services tailored to their health needs over time.

This community offers a truly unique approach to retirement, where seniors live life on their terms, surrounded by refined living and superior health services. With a focus on independence, residents enjoy luxurious accommodations, customizable lifestyle options, and top-notch personalized care. Here, the inspiring environment and exceptional services provide a fresh perspective on retirement, allowing seniors to thrive and be themselves in every way.

Contact Isle at Watercrest – Dominion

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

Heartis San Antonio

15430 Huebner Rd, San Antonio, Tx 78248, Usa
Overview of Heartis San Antonio

Situated in historic San Antonio, Texas, Heartis San Antonio offers a stunning retirement community for individuals looking for a warm and welcoming assisted living or memory care home. Savor the golden years from the comfort of a resort-style community that pays homage to its Hispanic and Latin roots through beautiful architectural design.

Residents at Heartis can enjoy a stunning campus as they lead stress-free lives thanks to 24-hour assistance and support from an expert team that handles daily living activities and medical management. A bistro, bar & lounge, movie theater, library, and fitness center are among many amenities that residents have access to for personal leisure and socialization, for a complete retirement experience.

Contact Heartis San Antonio

Overview of The Inn at Los Patios

The Inn at Los Patios is a remarkable retirement community located in Post Oak Ln, San Antonio, TX providing independent living, assisted living, and memory care for active adults 62 years and above. With over 30 years of delivering high-quality care, the community features a wide range of floor plans such as one-bedroom and two-bedroom apartments. The Inn at Los Patios is conveniently placed a few minutes away from the neighborhood amenities like groceries, churches, banks, and other necessary amenities.

Residents and guests may enjoy nature with the residences’ twelve acres of wonderful trees and clear water of Salado Creek. With the Inn at Los Patios’ round-the-clock assistance, the comfort and safety of the seniors are ensured. Moreover, the community serves three healthy and delicious meals daily for assisted living residents. Pets may also stay in the community upon approval. Amenities include an activity room, a media room, and private areas for family gatherings.

Contact The Inn at Los Patios

Overview of The Lodge at Leon Springs

A family-oriented home committed to providing compassionate and genuine care for residents, The Lodge at Leon Springs strives to deliver a service that will enhance you or your loved one’s life. Through their independent living and assisted living, The Lodge provides individualized care that is uniquely designed for each individual based on their needs. Cottages are exclusively for independent living residents where they have a full, private bathroom; laundry room. As for residents of assisted living, residents have their own designated apartment-style room which include assistance with eating, bathing , grooming, and ambulating; as well as having medication management and access to other medical services. Both independent and assisted living residents get weekly housekeeping and laundry services– as well as the liberty to join exercise and wellness programs and receive meals everyday in the dining areas. The Lodge at Leon Springs may be a tight-knit community but the bond among residents and staff is massive, as commended by families. 
The Lodge at Leon Springs, as an independent living and assisted living community, is beautifully-designed to meet the needs of each unique individual. Residents of The Lodge comprises adults around the age of 50 up to seniors of the age 100-years-old; with an equal number of men and women in the community. Residents are encouraged to socialize and build relationships among other residents and staff through their enriching programs and activities in the community. The Lodge at Leon Springs aims to bring adults and seniors together in an inclusive community that aims to help residents live a full life.

Contact The Lodge at Leon Springs

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.

How many licensed assisted living facilities are there in San Antonio, TX?

According to state licensing records, there are approximately ~80–100 licensed assisted living facilities in San Antonio, 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.