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
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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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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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
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.
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 69
Rank #558 / 752
Yes
47
Facility 47
TX AVG 40
Rank #342 / 865
14
Facility 14
TX AVG 17
Rank #182 / 410
Bst Health Services Corp
3
Facility 3
TX AVG 6
Rank #200 / 736
21-
Morningside at the Meadows
AL
IL
MC
NH
SNF
San Antonio (Sunshine Estates)
147
Facility 147
TX AVG 69
Rank #40 / 752
Yes
46
Facility 46
TX AVG 40
Rank #359 / 865
54
Facility 54
TX AVG 17
Rank #1 / 410
-----
BeeHive Homes of Babcock Ridge
AL
RC
San Antonio (Northwest Side)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
56
Facility 56
TX AVG 40
Rank #207 / 865
6
Facility 6
TX AVG 17
Rank #343 / 410
Td Assisted Living LLC
8
Facility 8
TX AVG 6
Rank #505 / 736
68Private Rooms
Heartis San Antonio
AL
MC
RC
San Antonio
186
Facility 186
TX AVG 69
Rank #12 / 752
Yes
49
Facility 49
TX AVG 40
Rank #314 / 865
-Heartis San Antonio Partners LP
15
Facility 15
TX AVG 6
Rank #652 / 736
105Studio / 1 Bed / 2 Bed
Adante Assisted Living
AL
MC
San Antonio
90
Facility 90
TX AVG 69
Rank #240 / 752
No
43
Facility 43
TX AVG 40
Rank #393 / 865
14
Facility 14
TX AVG 17
Rank #182 / 410
Welltower Tcg Ridea Tenant, LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
16Studio / 1 Bed / 2 Bed
The Inn at Los Patios
AL
IL
San Antonio (Macarthur Park)
30
Facility 30
TX AVG 69
Rank #547 / 752
Yes
37
Facility 37
TX AVG 40
Rank #480 / 865
37
Facility 37
TX AVG 17
Rank #49 / 410
Inn At Patios LLC
6
Facility 6
TX AVG 6
Rank #400 / 736
15Studio / 1 Bed / 2 Bed
Gemstone Senior Living at Oakwell
AL
MC
San Antonio
16
Facility 16
TX AVG 69
Rank #565 / 752
Yes
15
Facility 15
TX AVG 40
Rank #728 / 865
22
Facility 22
TX AVG 17
Rank #88 / 410
Wholehearted Care Senior Living At Oakwell
7
Facility 7
TX AVG 6
Rank #449 / 736
16Private / Semi-Private Rooms
Franklin Park Alamo Heights
AL
IL
MC
San Antonio
121
Facility 121
TX AVG 69
Rank #104 / 752
No
61
Facility 61
TX AVG 40
Rank #151 / 865
9
Facility 9
TX AVG 17
Rank #272 / 410
Afp Alamo Heights Lessee, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
34-
Franklin Park Sonterra
AL
IL
San Antonio (Stone Oak)
70
Facility 70
TX AVG 69
Rank #330 / 752
No
53
Facility 53
TX AVG 40
Rank #245 / 865
16
Facility 16
TX AVG 17
Rank #159 / 410
Fam Sonterra Ltd
3
Facility 3
TX AVG 6
Rank #200 / 736
12-
Seasons Alzheimer’s Care
AL
MC
San Antonio (Uptown Central)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
54
Facility 54
TX AVG 40
Rank #231 / 865
12
Facility 12
TX AVG 17
Rank #222 / 410
The Seasons On Tezel
7
Facility 7
TX AVG 6
Rank #449 / 736
16Private / Semi-Private

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other TX assisted living 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 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

Overview of The Inn at Los Patios

Administered by Susan Peters under Inn At Patios, The Inn at Los Patios is a 30-bed assisted living community in San Antonio. Operating for 37 years, the home on Post Oak Lane is housed in a three-story building and offers an array of housing sizes to suit different needs, with options for studio, one-, and two-bedroom floor plans, spanning from 423 to 1,494 square feet.

Occupants can keep their pets, which can be a vital factor for those with longtime animal companions. The location on Post Oak Lane has a Walk Score of 37, meaning the neighborhood is somewhat walkable, with a few nearby services accessible on foot. Most errands and trips, however, require transportation or a quick drive. About 7.5 miles from San Antonio’s city center is the home.

State inspections have targeted building maintenance, safety systems compliance, and overall facility upkeep. Such inspections help ensure the physical environment meets standards for resident safety and comfort.

For families examining The Inn at Los Patios, an on-site visit is valuable for learning about specific care services, dining, activities, and daily life offered there.

Contact The Inn at Los Patios

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 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 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 Seasons Alzheimer’s Care

Seasons Alzheimer’s Care provides assisted living and memory care in San Antonio, Texas. Memory care offers a secured setting with supervision for a resident living with Alzheimer’s disease or another form of dementia, while assisted living includes help with daily tasks such as dressing, bathing, and medication. The combination may be a good fit for a person whose care needs may change over time.

The community is in the Uptown Central neighborhood and has 16 beds. Its smaller size gives staff and residents more opportunity to get to know one another. Private accommodations provide an individual living space, while shared accommodations offer a semi-private option. Outdoor paths and porches give residents places to spend time outside, and rehabilitation services are available through the community. Home-cooked meals are prepared to meet residents’ nutritional needs.

A Walk Score of 54 out of 100 places the area in the somewhat walkable range. Some errands can be completed on foot, so a resident who no longer drives may be able to manage certain nearby errands independently. Mona Talukdar serves as administrator, and The Seasons On Tezel operates the community.

Contact Seasons Alzheimer’s Care

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 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 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 BeeHive Homes of Babcock Ridge

Enjoy a worry-free lifestyle with Bee Hive Assisted Living of Babcock Ridge, an exceptional community in San Antonio, TX, offering assisted living and respite care. The community is committed to improving residents’ well-being, providing the highest quality of care tailored to their unique needs around the clock. Here, residents do not have to worry about housekeeping and maintenance with the community’s help.

With well-thought-out life enrichment activities, residents will not feel lonely and can meet new friends. Mealtimes promote social interactions and satisfy dietary needs with delicious and well-balanced dining options. The community has a secure outdoor courtyard where residents can relax and interact with their friends, ensuring a worry-free retirement.

Contact BeeHive Homes of Babcock Ridge

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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Assisted Living in San Antonio at a glance

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
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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.