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Page 3 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
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: 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 Brookdale Oakwell

San Antonio, Texas is home to the lively senior living community, Brookdale Oakwell which offers both assisted living and memory care options for seniors seeking a fun and engaging retirement. Situated conveniently near major city attractions yet nestled in a serene residential neighborhood, it provides a balance of accessibility and tranquility. Seniors can enjoy the assistance they need with daily tasks such as medication management and grooming, alongside services like cooking, cleaning, and transportation, allowing them more time to pursue personal interests and hobbies.

The community features pet-friendly apartments filled with natural light, ensuring a comfortable and welcoming environment. Residents can engage in a diverse range of activities including crafting workshops, dancing classes, and themed social events like happy hours, fostering social connections and personal fulfillment. With a commitment to personalized care and a secure memory care program, Brookdale Oakwell supports seniors at every stage, offering peace of mind and a meaningful lifestyle.

Contact Brookdale Oakwell

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 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 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 Brookdale Hamilton Wolfe

Located in the historic and vibrant city of San Antonio, TX, Brookdale Hamilton Wolfe offers a luxurious senior living experience with a focus on assisted living and memory care. The community provides a supportive environment where seniors can enjoy pet-friendly apartments, cozy common areas, and restaurant-style dining. With a variety of vacation-style amenities, residents can indulge in a life of leisure and comfort. If a resident’s needs change, transitioning to memory care within the same community is seamless, ensuring continuous and personalized care.

Brookdale Hamilton Wolfe is committed to enriching its residents’ lives through tailored activities and programs. Residents can enjoy art classes, gratitude journaling, and social events like Wine Down Wednesdays. The memory care program includes engaging activities such as karaoke, birdwatching, and yoga, all designed to foster a sense of purpose and belonging. With 24/7 on-site availability to address emergencies and exceptional dining experiences, Brookdale Hamilton Wolfe offers a welcoming and nurturing environment for all its residents.

Contact Brookdale Hamilton Wolfe

Overview of Discovery Village at Dominion

Discovery Village at Dominion is nestled in the stunning hill country of San Antonio, Texas. This vibrant senior living community caters to residents seeking exceptional care and a fulfilling lifestyle. For those valuing independence alongside a carefree lifestyle, residents delight in chef-prepared, restaurant-style dining, spacious and accessible suites, and a robust calendar filled with enriching activities. Designed for individuals with dementia and Alzheimer’s, this community provides a secure environment where compassionate staff deliver specialized care, ensuring safety and promoting overall well-being.
At Discovery Village at Dominion, personalized care meets comfort in a compassionate haven where seniors receive tailored support while preserving their autonomy. High-quality dining options, top-notch amenities, and a shared community campus foster a strong sense of belonging. Beyond just a residence, Discovery Village at Dominion is a thriving home where residents flourish. Whether exploring the San Antonio Art Museum or strolling along the San Antonio River Walk, every moment presents opportunities for joy and connection. With its hill country charm and convenient city access, Dominion embodies exceptional senior living.

Contact Discovery Village At Dominion

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 Elmcroft of Windcrest

Elmcroft of Windcrest is a single-story nursing home on Crestway Drive in the Northeast Side of San Antonio. It operates 113 beds across nursing home, assisted living, memory care, and respite care, and holds an Alzheimer’s certification for its memory care program. Jill Belsher is the executive director. The neighborhood has a Walk Score of 14, which means a car is needed for virtually everything. Methodist Hospital Northeast is about two miles out.

The facility has been running for eight years and accepts Medicare, Medicaid, and private pay. Of the 113 beds, 69 are currently filled, putting occupancy at 61%. The average stay runs 149 days, which tracks with a community whose caseload skews toward long-term residents rather than short-stay rehab. Pets are allowed; transportation and fitness programming are available on-site; and the Resident Council meets regularly to give residents a structured voice in facility decisions.

On the staffing side, total nursing hours come to 2 hours and 25 minutes per resident per day. RNs contribute 21 minutes of that; nurse aides cover 2 hours and 22 minutes. Physical therapists appear in the staffing data, supporting the physical therapy services described by the community. Coverage is 24 hours a day. State inspections have addressed areas including medication management and resident rights and protections.

For families considering long-term care or memory care in San Antonio’s Northeast Side, Elmcroft of Windcrest is a mid-size, single-story community with a certified memory care program, broad payment acceptance, and a care range that covers the full continuum from assisted living through nursing home-level care.

Contact Elmcroft of Windcrest

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 The Lodge at Leon Springs

A family-oriented home committed to providing compassionate and genuine care for residents, The Lodge at Leon Springs strives to deliver a service that will enhance you or your loved one’s life. Through their independent living and assisted living, The Lodge provides individualized care that is uniquely designed for each individual based on their needs. Cottages are exclusively for independent living residents where they have a full, private bathroom; laundry room. As for residents of assisted living, residents have their own designated apartment-style room which include assistance with eating, bathing , grooming, and ambulating; as well as having medication management and access to other medical services. Both independent and assisted living residents get weekly housekeeping and laundry services– as well as the liberty to join exercise and wellness programs and receive meals everyday in the dining areas. The Lodge at Leon Springs may be a tight-knit community but the bond among residents and staff is massive, as commended by families. 
The Lodge at Leon Springs, as an independent living and assisted living community, is beautifully-designed to meet the needs of each unique individual. Residents of The Lodge comprises adults around the age of 50 up to seniors of the age 100-years-old; with an equal number of men and women in the community. Residents are encouraged to socialize and build relationships among other residents and staff through their enriching programs and activities in the community. The Lodge at Leon Springs aims to bring adults and seniors together in an inclusive community that aims to help residents live a full life.

Contact The Lodge at Leon Springs

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.