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Page 2 of 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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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 Village at Incarnate Word

The Village at Incarnate Word is a 60-bed community in San Antonio’s Broadway corridor, offering a full continuum of care that spans nursing and rehabilitation, assisted living, independent living, memory care, and skilled nursing, along with in-home care services. The community is operated by Incarnate Word Retirement Community, Inc., which traces its roots to the Sisters of Charity of the Incarnate Word, and is led by CEO Paul Harrison. It accepts Medicare, Medicaid, and private pay, giving families several ways to cover both short-term rehab stays and longer-term care.

Now in its seventh year of operation, the community runs close to full, with an occupancy rate of 92 percent. The average resident stays about 170 days, a timeline that reflects a mix of short-term rehabilitation and longer skilled nursing care. Total nursing care averages 4 hours and 23 minutes per resident each day, with certified nurse aides making up the largest share of that hands-on time.

State inspectors with the Texas Health and Human Services Commission have consistently found a clean compliance record here, with no violations or deficiencies in health or safety codes and no substantiated complaints. That kind of steady regulatory history is worth weighing alongside the more personal factors families usually consider first.

Faith and community life run through the campus. A Spiritual Life program and on-site religious services give residents a place to continue their spiritual practice, and an active resident council gives residents a direct voice in community life. A volunteer program also connects residents with opportunities to stay engaged.

Located a short walk from many neighborhood essentials, with a Walk Score of 75, the community sits in a very walkable part of San Antonio, making it easier for visiting family to combine errands with a stop by. Between its full continuum of care, steady staffing, and clean inspection history, The Village at Incarnate Word is built to support residents through a range of care needs without requiring a move to a different facility as those needs change.

Contact The Village at Incarnate Word

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 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 Gemstone Senior Living at Northstar

Tucked away in the neighborhood of San Antonio, TX, Gemstone at Northstar is a blissful senior living community that offers assisted living and memory care services. The community offers a dedicated 24/7 team trained to deliver personalized care in a home-like setting that provides utmost comfort and security. A compassionate memory care team undergoes continuous training to make sure they consistently deliver up to date practices in memory care.

The community also conducts a wide variety of activities geared toward engagement and socialization, fostering a nurturing and vibrant living environment. Three nutritious home-cooked meals and snacks are offered daily to make sure residents always receive their daily nourishment and sustenance. With most of the tedious daily chores handled by the community, residents are free to focus on their wellbeing and enjoyment.

Contact Gemstone Senior Living at Northstar

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 The Forum at Lincoln Heights

Nestled in a beautiful neighborhood in Bexar County, San Antonio, TX, The Forum at Lincoln Heights is a classic senior living community that offers independent living, assisted living, and memory care. Choose from a variety of studios, one-bedroom, and two-bedroom floor plans, with easy access to convenient care services and delightful amenities. Residents needing memory care and rehabilitative services are given access to Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program and a reliable third-party provider of rehabilitation and fitness training solutions.

Residents enjoy utmost hospitality and a carefree lifestyle with an attentive team that handles housekeeping, dining, social activities, transportation, and security. The community conducts a wide range of social and recreational events that foster social connection, enjoyment, and leisure. Amenities like a spacious activity center, a full-service barber and beauty salon, and restaurant-style dining, makes living at The Forum at Lincoln Heights a more relaxing and comfortable experience.

Contact The Forum at Lincoln Heights

Overview of Franklin Park Alamo Heights

Tucked in the heart of San Antonio, Texas, Franklin Park Alamo Heights caters to seniors seeking a unique blend of culture, history, and timeless elegance. Residents are encouraged to feel at home in their new community as well as encouraged to socialize and make meaningful connections. The community strives to create a relaxing atmosphere where residents can feel free in doing whatever they want while also providing excellent service. With stunning landscapes, an array of amenities and services, and an exceptional staff, Franklin Park Alamo Heights is truly unparalleled.

Indulge in the inviting indoor pool, unwind in the game room and activity center, and experience the convenience of concierge services and a well-equipped business center. The community offers more than just independent living—it also provides assisted living with memory care services for a truly comprehensive retirement experience. Embrace the opportunity to create a fulfilling and rewarding retirement journey in a place that cherishes every moment. Franklin Park Alamo savors the richness of life in their immaculate independent and assisted living homes.

Contact Franklin Park Alamo Heights

Overview of Villa De San Antonio

Based in the tranquil neighborhood of San Antonio, TX, the Villa De San Antonio is an enticing senior living community that provides independent living and assisted living. Here, residents can choose from a wide array of spacious and pet-friendly accommodations with varying floor plans depending on their personal preferences. With its dedicated and skilled team, residents can receive round-the-clock services and in-home care.

Experience its outstanding amenities and services including restaurant-style dining with scratch-made gourmet menu and luxury cottages. Enjoy its fitness center, movie center, and beauty salon for both wellness activities and self-care. Meet new friends and create lasting connections within its beautiful space. Have fun with its jampacked, diverse and interactive social and recreational events. At Villa De San Antonio, seniors can enjoy a promising retirement.

Contact Villa de San Antonio

Family Tree Private Care – San Antonio

901 Ne Interstate 410 Loop Suite 300, San Antonio, TX 78209
Overview of Family Tree Private Care – San Antonio

Family Tree Private Care is an exceptional in-home care provider that offers Care Giving, Private Nursing, and Care Management. With a team comprised of professional caregivers, private nurses, care managers, advisors, and dedicated people, Family Tree ensures a better quality of life within the comfort of home. Providing care for over a decade, Family Tree also provides long-term insurance and round-the-clock nursing support.

Family Tree combines compassion and professionalism in delivering the utmost care that seniors deserve. Assistance and care recognized in the industry, Family Tree Care fosters a family-like relationship with the team and seniors.

Contact Family Tree Private Care – San Antonio

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

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.