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
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
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-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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
Cornerstone Assisted Living
AL
NH
San Antonio (Canyon Creek Estates)
6
Facility 6
TX AVG 73
Rank #853 / 874
No
39
Facility 39
TX AVG 42
Rank #686 / 1,232
9
Facility 9
TX AVG 19
Rank #368 / 517
Cornerstone Alf LLC
5
Facility 5
TX AVG 6
Rank #372 / 839
23Studio / 1 Bed / 2 Bed
The Forum at Lincoln Heights
AL
IL
MC
San Antonio
88
Facility 88
TX AVG 73
Rank #324 / 874
Yes
68
Facility 68
TX AVG 42
Rank #145 / 1,232
-Snh Longhorn Tenant LLC
6
Facility 6
TX AVG 6
Rank #442 / 839
-6Suite / 1 Bed / 2 Bed
Discovery Village At Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 73
Rank #51 / 874
No-
9
Facility 9
TX AVG 19
Rank #368 / 517
Dsl Tenant II, LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
13-
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 73
Rank #682 / 874
No
36
Facility 36
TX AVG 42
Rank #754 / 1,232
7
Facility 7
TX AVG 19
Rank #422 / 517
Parkway Assisted Living LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
-4Suite
Juniper Village at Lincoln Heights
AL
NH
SNF
San Antonio
97
Facility 97
TX AVG 73
Rank #272 / 874
No
75
Facility 75
TX AVG 42
Rank #61 / 1,232
-S-H Opco Lincoln Heights, LLC
5
Facility 5
TX AVG 6
Rank #372 / 839
-5-
The Lodge at Leon Springs
AL
IL
RC
San Antonio (Northwest Side)
14
Facility 14
TX AVG 73
Rank #766 / 874
No
45
Facility 45
TX AVG 42
Rank #572 / 1,232
18
Facility 18
TX AVG 19
Rank #198 / 517
Leon Springs Lodge LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
61-
Isle at Watercrest – Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 73
Rank #51 / 874
No
9
Facility 9
TX AVG 42
Rank #1,131 / 1,232
-Dsl Tenant II, LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
13Studio / 1 Bed / 2 Bed
Ingram Assisted Living LLC
AL
MC
San Antonio (Inner West Side)
5
Facility 5
TX AVG 73
Rank #869 / 874
No
43
Facility 43
TX AVG 42
Rank #606 / 1,232
3
Facility 3
TX AVG 19
Rank #487 / 517
Ingram Assisted Living, LLC
6
Facility 6
TX AVG 6
Rank #442 / 839
6-Private / Semi-Private Rooms
Bella Groves
AL
MC
RESC
Bulverde
16
Facility 16
TX AVG 73
Rank #682 / 874
No
4
Facility 4
TX AVG 42
Rank #1,204 / 1,232
-Bella Groves, Inc
2
Facility 2
TX AVG 6
Rank #172 / 839
2-studio / 1 bed
The Army Residence Community Health Care Center
AL
IL
MC
NH
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 73
Rank #659 / 874
Yes
6
Facility 6
TX AVG 42
Rank #1,174 / 1,232
39
Facility 39
TX AVG 19
Rank #68 / 517
The Army Retirement Residence Foundation San Antonio Inc
7
Facility 7
TX AVG 6
Rank #498 / 839
16-

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 59 analyzed for San Antonio. See how we rank facilities

Rows per page:
View all Nearby Homes
1234...6
Overview of Cornerstone Assisted Living

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.

Contact Cornerstone Assisted Living

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 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 Parkway Assisted Living

Parkway Assisted Living is a small, 16-bed senior care home located on Parkway Drive in San Antonio’s Inner West Side. Managed by Sylvia Mendoza, this single-story house offers suite-style rooms for seniors who prefer a tight-knit, family-like environment over a massive, crowded facility.

The staff is in the building around the clock, providing hands-on care in private and semi-private rooms. Each room comes set up with emergency call buttons, individual closets, wall-mounted TVs, and direct bathroom access. The home only houses a small group of residents, so the kitchen team can easily tailor their home-cooked meals to fit specific medical diets. They also have an open-door feel that encourages family members to drop by and join in on daily activities or meals. Over its seven years in business, the home has maintained a solid track record with state inspectors, consistently meeting Texas health and safety rules.

The surrounding neighborhood is somewhat walkable, meaning you might be able to reach a few local spots on foot, but you’ll still need a car or transit for most errands and doctor visits. There is easy parking out front for visitors. Families are welcome to stop by for a visit to see the single-story setup, check out the suites, or chat about how the team handles daily care. It’s the best way to get a feel for the house and see if the smaller, quieter pace is what your family is looking for.

Contact Parkway Assisted Living LLC

Overview of Juniper Village at Lincoln Heights

Juniper Village at Lincoln Heights offers assisted living and skilled nursing care in San Antonio, Texas. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident remains in their own living space. Skilled nursing provides licensed nursing care for residents who need a higher level of medical support. Having both care levels in one community may suit a resident whose needs could change over time without requiring a move to a different community.

The community has 97 beds. Respite care supports a short stay when a usual caregiver needs to travel or recover, while short term rehabilitation provides temporary care during recovery. Rehabilitation services and long term skilled care are also available for residents who need nursing support beyond a brief recovery period.

Total nurse staffing is 4 hours and 13 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare may help cover short term skilled care after a hospital stay, while private pay means the family or resident pays directly for care. S H Opco Lincoln Heights operates the community. A Walk Score of 75 places the area in the very walkable range, so most errands can be completed on foot and a resident who no longer drives may still be able to get out independently.

Contact Juniper Village at Lincoln Heights

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

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 Ingram Assisted Living

Set in San Antonio, TX, Ingram Assisted Living 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

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 The Army Residence Community Health Care Center

The Army Residence Community Healthcare Center is the premier veteran retirement home in San Antonio– welcoming all retired or honorably discharged officers; also housing senior-level federal employees of GS-14 and above, including their spouses. Reflected in their excellent service, the non-profit life plan community has maintained an active, social, and carefree lifestyle for their residents for over 30 years. The Army Residence is the place to live your golden years to the fullest, create memories, and achieve dreams. 
The life plan community boasts its exclusive program called the Army Residence Community (ARC), where residents can come together and be part of engaging activities. Retirees can choose to live in high-rise apartments or lakeside duplexes– all beautifully furnished.

Contact The Army Residence Community Health Care Center

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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.