
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 | 2 | 2 | - |
| 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 | 1 | 6 | - |
| 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 | - | 2 | Studio |
| 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 | 1 | 1 | Private / 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 | 1 | 3 | Private / Semi-Private |
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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.



















