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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
Other senior care options in San Antonio:

Video Tour: Top-rated Assisted Living facilities in San Antonio, Texas.

Watch this Video to see San Antonio's Top-rated Senior Communities
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 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

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 Bella Groves

Bella Groves is dedicated to creating a joyful and supportive community for families impacted by dementia. Their mission encompasses providing comprehensive memory care services in San Antonio, Texas, along with education, resources, and a sense of belonging for all involved in the dementia care journey. Offering different levels of memory care services, from educational sessions to long-term residential care, Bella Groves stays on top in the memory care industry.

The community offers a range of memory care amenities and services tailored to meet the diverse needs of individuals and families affected by dementia. From residential care options to dementia navigation and learning centers, they provide personalized support and assistance every step of the way. With a commitment to quality of life and ongoing progress, Bella Groves strives to ensure that no one faces dementia alone.

Contact Bella Groves

Overview of Premier Assisted Living Residential Care Home

Helping residents achieve maximum independence, Premier Assisted Living is a tight-knit senior living community in Bexar County, San Antonio, TX, offering assisted living services. Residents here enjoy round-the-clock personalized care in a safe, comfortable, and nurturing environment. The community welcomes its residents into fully furnished private resident rooms, with convenient access to a wide array of amenities and services. Boasting a high caregiver-to-resident ratio, the community ensures residents receive focused and attentive care that they deserve.

The community makes sure their team members stay up to date with the best care and infection control practices through continuous training, ensuring consistent high-quality care provision. Residents can trade the tedious chores for more free time for enjoyment with housekeeping and laundry services handled by a dedicated team. Three deliciously prepared meals and snacks are served daily to satisfy residents’ nutritional needs and cravings. With 24-hour security cameras, monitored fire alarm & fire sprinkler systems, and round-the-clock care and supervision, residents are guaranteed to live a safe and comfortable life.

Contact Premier Assisted Living Residential Care Home

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

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 Red Oak Memory Care

Red Oak Memory Care tops the list as a reliable choice when it comes to residential assisted living for dementia patients, offering specialized and licensed care tailored to seniors diagnosed with memory impairement. Their commitment to providing excellent services includes professional medication management and 24/7 CCTV security for residents’ safety. With comfortable private suites, a home air purification system, and dedicated staff, this facility also ensures a secure and homelike environment where residents and their families can feel at ease.
Situated in a peaceful neighborhood, Red Oak Memory Care prioritizes the dignity and respect of residents facing dementia challenges. Families seeking compassionate care for their loved ones will surely find reassurance in the facility’s dementia-friendly approach, proving itself as a trusted senior home and memory care provider in San Antonio, Texas.

Contact Red Oak Memory Care

Overview of Franklin Park Tpc Parkway

Whether individuals seek an independent living, assisted living places, or memory care, Franklin Park Tpc Parkway in San Antonio offers a stunning neighborhood for seniors to enjoy their golden years. The residence boasts an artistic design that surpasses expectations, seamlessly blending style and functionality.

They have a multitude of recreational amenities, including an activity center, fitness center, and various other offerings. Residents can find solace and inspiration in the chapel and library conveniently located on-site while benefiting from the convenience of concierge services and an on-site medical office. The dining experience is elevated with the serving of hometown favorites and traditional recipes that delight the palate. Positioned in the northeast area of San Antonio, the community is also surrounded by charming attractions, such as The Shops at La Cantera and The Village at Stone Oak, providing ample opportunities for exploration and leisure.

Contact Franklin Park TPC Parkway

Overview of Ingram Assisted Living LLC

Set in San Antonio, TX, Ingram Assisted Living LLC is a well-established assisted living community with over 10 years of extensive experience in care. The community stands out with its well-kept accommodations and reliable assistance with daily living activities. Residents enjoy the peace of mind provided by having a well-experienced care team 24 hours a day and 7 days a week. With convenient access to local amenities and a great medical center, residents lead a convenient lifestyle within a safe neighborhood.

Residents’ days are filled with various activities and programs for their enrichment like games, arts and crafts, and more. Meals are carefully prepared to satisfy residents’ unique dietary requirements and preferences. Most of the residents’ chores like housekeeping are also handled to ensure residents have plenty of time to focus on living their lives however they want.

Contact Ingram Assisted Living LLC

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.