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Page 2 of 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
Other senior care options in San Antonio:

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 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 The Village at Incarnate Word

The Village at Incarnate Word is a 60-bed nursing and rehabilitation community in San Antonio, Texas. It is operated by Incarnate Word Retirement Community, Inc., a voluntary nonprofit founded by the Sisters of Charity of the Incarnate Word. The facility offers nursing and rehabilitation, assisted living, independent living, memory care, and respite care. It accepts Medicare, Medicaid, and private pay. The facility holds a 5-star CMS overall rating, placing it among the top performers in the state. Across three inspections since 2023, the facility recorded 13 citations, roughly half the Texas average of 25.9, with zero critical or serious findings and no federal penalties in that period. Total nurse staffing averages 4 hours and 23 minutes per resident per day, 16% above the Texas average, with certified nurse aide staffing 36% above the state benchmark, ranking the facility 49th out of 289 Texas SNFs for total adjusted nursing hours. The occupancy rate is 91%, well above the Texas average of 63.5% and ranks 15th statewide, reflecting consistent local demand. The community has been voted the #1 Best Senior Living in San Antonio for three consecutive years from 2023 to 2025 by San Antonio Express-News Readers’ Choice. Long-stay hospitalization and emergency department rates are among the clearest clinical signals for the facility. Hospitalizations are 1.02 per 1,000 resident days, 52% below the state average, and ED visits are 0.60 per 1,000 resident days, 71% below the state average. The campus includes a Spiritual Life program, an active resident council, and a CCRC structure spanning multiple levels of care. In-home care services are also available. The Village at Incarnate Word fits older adults seeking a nonprofit, faith-affiliated continuum of care in San Antonio, from short-term rehabilitation through long-term skilled nursing and memory care, within a community that maintains strong staffing and a low-acuity compliance record.

Contact The Village at Incarnate Word

Overview of EdenHill Communities

EdenHill Communities offers independent living, assisted living, and memory care with additional options such as skilled nursing and rehabilitation. For over 100 years, the life plan community has gained the trust of many families over the years, as proven by their excellent and dignified service. This faith-based and non-profit community is dedicated to enriching the lives of seniors to continue living purposeful lives while growing as individuals. EdenHill is a place where residents can thrive, where their needs are being satisfied, and where goals are being achieved. 
EdenHill’s Communities is spread over their beautiful 27-acre campus which creates a home-like atmosphere for seniors to feel a sense of belonging. The team at EdenHill proudly provides a list of helpful amenities and services that encourage a wonderful social life– a private dining room for family gatherings, restaurant-style dining, bingo activities, fitness activities, and other special events or celebrations for all residents to take part in. Management allows visitations and overnight stays for the families of residents. 

Contact EdenHill Communities

Overview of Chapters Living of San Antonio

Experience an exceptional stay with the Chapters Living of San Antonio located in the neighborhood of Town Center Dr. San Antonio, TX. This peculiar senior living community offers assisted living and memory care tailored to the immediate needs of its residents. Spacious yet cozy accommodations with several floor plans suited for individual tastes of its residents are available to further enhance comfort and relaxation. The community offers customized care plans and a memory care program devised to treat Dementia and Alzheimer’s Disease.

Driven by the goal for its residents to live life to the fullest, the community provides excellent amenities such as dining, social activities, neighborhoods, health and wellness, and a salon or barbershop. Enjoy meeting new people of the same passion and building long lasting relationships. At the Chapters Living of San Antonio, seniors are guaranteed a promising retirement.

Contact Chapters Living of San Antonio

Overview of Gemstone Senior Living at Oakwell

Tucked away in the neighborhood of San Antonio, TX, Gemstone Senior Living at Oakwell is an excellent environment for those needing assisted living or memory care. Recognized as one of the Best Assisted Living communities by the US News & World Report, the community guarantees residents receive comprehensive support in their daily lives. With a dependable team of caregivers available any time of the day, residents can rest easy knowing their needs will be met.

Residents can keep in touch with their old interests and past times with a broad range of activities held regularly. Numerous amenities like an art studio, game room, and salon are also available for further convenience. The community also ensures its residents’ healthcare needs are well-coordinated, ensuring they enjoy a wholesome and healthy living experience.

Contact Gemstone Senior Living at Oakwell

Overview of Pipestone Place

Settling in the serene Pipestone Drive, San Antonio, TX, Pipestone Place Assisted Living is a blissful senior living community offering assisted living and memory care. With round-the-clock care and assistance from a well-trained and dedicated team, the community ensures the comfort and safety of its residents. Moreover, the community provides a personalized approach to its residents and a higher resident-to-team ratio to ensure that their needs are met. A cozy and warm residence for seniors to live in a comfortable and welcoming environment.

Pipestone Place is a welcoming community that delivers a family-centered approach to ensure that its residents are well-respected and receive the proper care they need. The community serves healthy and hearty meals based on personal needs and preferences to satisfy its residents’ dietary needs and preferences. Fostering meaningful connections among the community and its residents, Pipestone Place conducts specialized programs and cognitive and recreational activities for their enjoyment and leisure.

Contact Pipestone Place

Overview of Cornerstone Assisted Living

Enjoy a maintenance-free lifestyle with Cornerstone Assisted Living in San Antonio, TX, which provides assisted living, continence care, and memory care. With a strong dedication to increasing seniors’ quality of life, the community works hard to develop a care plan that meets their specific requirements and preferences. This community offers a one-bedroom apartment layout that provides a homey feel to the residents.

Spend opportune moments with friends and relax through a jam-packed calendar of engaging activities and programs, including cooking classes, live dance performances, pet-friendly events, and more. The community also offers healthy, delicious meals designed to meet individual dietary needs and preferences. Cornerstone Assisted Living is ideal for seniors seeking genuine independence while receiving the care and support they need.

Contact Cornerstone Assisted Living

Overview of Seasons Alzheimer’s Care

Located across San Antonio, TX, Seasons Alzheimer’s Care and Assisted Living is a paradisal senior living community that provides a variety of living options. These include Alzheimer’s care, memory care, dementia care, assisted living, nursing homes, senior living, and senior housing. Focusing on Alzheimer’s and dementia, the community ensures comfortable and safe residences for seniors supported by round-the-clock care and assistance from a skilled and compassionate team. With 16 private and semi-private bedrooms, residents experience the utmost care and assistance they deserve.

Seasons Alzheimer’s Care emphasizes the well-being of its residents, delivering holistic treatment to the mental, social, emotional, and physical needs of its residents. Moreover, the community provides one caregiver for every five residents to ensure that their needs are taken care of. Fostering a warm and welcoming environment, the seniors enjoy activities and programs with other residents. Alongside meaningful conversations, the community serves delicious and healthy meals to satisfy the residents. Amenities include ethereal outdoor paths and porches for residents’ relaxation and leisure.

Contact Seasons Alzheimer’s Care

Overview of Franklin Park Sonterra

A member of the Franklin Park group, Franklin Park Sonterra provides a welcoming community for independent living and assisted living senior residences. Management and staff promote a safe and secure atmosphere for its residents, making them feel more comfortable in a luxurious resort-style setting. As a premier community in San Antonio, Franklin Park Sonterra strives to create a relaxing atmosphere where residents can maintain freedom and individuality in a home that enhances and enriches retirement living for a graceful aging experience.

Franklin Park Sonterra ensures that residents can enjoy what the community offers through their well-thought-of features designed into the beautiful senior living home. Its premier accommodations include concierge, transportation, fitness, salon, and medical services, a full-service kitchen in some apartments, an activity center, a fitness center, a library, and a theatre.

Contact Franklin Park Sonterra

Overview of Carol Ann’s Home

Nestled in a quiet residential area in Bexar County, San Antonio, TX, Carol Ann’s Home – Wayward is a quaint and peaceful senior living community that offers assisted living and memory care. Residents feel at home in their cozy accommodations with convenient access to a 24 hour qualified and caring team. Emergency call systems are installed throughout the community to provide residents with easy access to help during emergencies.

As a family owned and operated senior living community, Carol Ann’s Home guarantees personalized care and focused attention with a friendly and personal touch. A wide array of activities and entertainment are provided to give residents plenty of opportunities for social engagement and enjoyment. The community serves home cooked meals plus snacks throughout the day to ensure residents are always full and happy.

Contact Carol Ann’s Home

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.