Page 3 of Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 62 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.
62 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. 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. 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
The Westmark Senior Living
AL
MC
San Antonio
95
Facility 95
TX AVG 69
Rank #223 / 752
Yes
3
Facility 3
TX AVG 40
Rank #850 / 865
--Gg San Antonio Operator, LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
A-16-
Sodalis Elder Living Stone Oak Assisted Living, LLC
AL
MC
RC
San Antonio
66
Facility 66
TX AVG 69
Rank #358 / 752
Yes---Sodalis Elder Living Stone Oak Assisted Living, LLC
9
Facility 9
TX AVG 6
Rank #540 / 736
B+18-
Landon Ridge – Alamo Ranch
AL
MC
San Antonio
152
Facility 152
TX AVG 69
Rank #33 / 752
Yes---Tcg Communities, LLC
7
Facility 7
TX AVG 6
Rank #449 / 736
A-16-
Carol Ann’s Home Assisted Living
AL
HOS
MC
San Antonio (Northwest Side)
15
Facility 15
TX AVG 69
Rank #639 / 752
No
42
Facility 42
TX AVG 40
Rank #403 / 865
--Carol Ann's Home Inc
12
Facility 12
TX AVG 6
Rank #608 / 736
B-210Private / Semi-Private Rooms
Elmcroft of Windcrest
AL
MC
RC
San Antonio (Northeast Side)
105
Facility 105
TX AVG 69
Rank #179 / 752
Yes
14
Facility 14
TX AVG 40
Rank #739 / 865
8
Facility 8
TX AVG 17
Rank #299 / 410
-Ec Opco Windcrest, LLC
26
Facility 26
TX AVG 6
Rank #722 / 736
C224-
Always For You Assisted Living
AL
San Antonio (Far West Side)
6
Facility 6
TX AVG 69
Rank #731 / 752
No
47
Facility 47
TX AVG 40
Rank #342 / 865
---
11
Facility 11
TX AVG 6
Rank #597 / 736
B-101-
Discovery Village Stone Oak
AL
IL
MC
San Antonio
125
Facility 125
TX AVG 69
Rank #89 / 752
No
5
Facility 5
TX AVG 40
Rank #827 / 865
--Vop Encino Commons, LLC
18
Facility 18
TX AVG 6
Rank #685 / 736
D+711-
Marinas Assisted Living
AL
RESC
San Antonio (Vance Jackson)
10
Facility 10
TX AVG 69
Rank #670 / 752
No
67
Facility 67
TX AVG 40
Rank #94 / 865
14
Facility 14
TX AVG 17
Rank #184 / 410
A+Marina's Assisted Living LLC
2
Facility 2
TX AVG 6
Rank #156 / 736
-2-Private / Semi-Private Rooms
Independence Hill
AL
IL
San Antonio (Stone Oak)
115
Facility 115
TX AVG 69
Rank #134 / 752
Yes
61
Facility 61
TX AVG 40
Rank #151 / 865
39
Facility 39
TX AVG 17
Rank #45 / 410
A+Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #540 / 736
?-9Studio / 1 Bed / 2 Bed / Cottage
Gemstone Senior Living at Castle Hills
AL
HOS
MC
San Antonio
160
Facility 160
TX AVG 69
Rank #22 / 752
No
54
Facility 54
TX AVG 40
Rank #231 / 865
25
Facility 25
TX AVG 17
Rank #82 / 410
D+Peridot Health LLC----Studio / 1 Bed

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 62 analyzed for San Antonio. See how we rank facilities

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Overview of Desert Sands Assisted Living

Desert Sands Assisted Living provides assisted living and adult day care in San Antonio, Texas. Assisted living supports residents who need help with daily living activities, and the community serves residents with a mental health diagnosis. It may be a good fit for an adult with a mental health diagnosis who needs assistance with daily tasks.

The community opened in 1989 and has 42 beds. Transportation is provided for doctor’s appointments and for a weekly trip to HEB or Walmart, giving residents rides for those specific needs. Residents receive three home-cooked meals each day, prepared by a Certified Kitchen Manager from menus created by a Registered Dietician.

A swimming pool provides an on-site place for residents to swim. Activities include karaoke, pool tournaments, cooking classes, Bingo, card games, arts and crafts, movies, and access to a computer lab. The area has a Walk Score of 42, placing it in a car-dependent category, so a resident who no longer drives would need a car or a ride for most errands. A doctor is on staff.

Contact Desert Sands Assisted Living LLC

Overview of Landon Ridge – Alamo Ranch

Landon Ridge, Alamo Ranch offers assisted living and memory care in San Antonio, TX. Assisted living provides help with daily tasks, while memory care provides a secured setting with supervision for someone at risk of wandering. With both care levels available in one community, Landon Ridge, Alamo Ranch may be a good fit for a resident whose care needs may grow over time because moving between assisted living and memory care does not require leaving the community.

The community has 152 beds. Starting prices are $3,595 for assisted living and $3,495 for memory care, giving families care-specific figures for initial cost planning. Respite care is available for short stays, which can help when a family caregiver needs temporary coverage. Tcg Communities operates the community.

Chef-prepared meals are served in shared dining spaces, giving residents prepared meals in a communal setting. A greenhouse and walking paths provide places for gardening and outdoor walks. The beauty salon, theatre, library, game room and fitness center offer on-site options for personal care, entertainment, reading, games and exercise. Pets are allowed, so a resident may continue living with a pet.

A culinary program gives residents a food-focused activity, and rehabilitation services are available for residents who need therapy as part of their care.

Contact Landon Ridge – Alamo Ranch

Overview of Carol Ann’s Home Assisted Living

Nestled in the peaceful area of San Antonio, TX, Carol Ann’s Home Assisted Living is a serene community tailored for those needing assisted living and memory care. Their professional team of caregivers is available 24/7 to support residents with their daily living activities and memory care needs. Residents’ accommodations are well-designed to foster comfort and convenience and bring everyone closer together.

The community fills residents’ days with an array of fun and stimulating activities to help them enjoy an active yet fulfilling life. They also make sure to update residents’ families on their well-being, promoting transparency and open communication. Here, residents are provided with personalized care plans that promote their comfort and autonomy.

Contact Carol Ann’s Home Assisted Living

Overview of Elmcroft of Windcrest

Elmcroft of Windcrest offers assisted living, memory care, and respite care in San Antonio, TX. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space; memory care provides a secured setting with supervision for someone at risk of wandering; and respite care provides a short stay when a usual caregiver needs to travel or recover. The combination of care levels can suit a resident whose needs may grow over time without requiring a move to another community.

The community is in the Northeast Side neighborhood and has 105 beds in a single-story building. Pets are allowed, so residents can bring a pet with them. Ec Opco Windcrest operates the community.

Contact Elmcroft of Windcrest

Overview of Marinas Assisted Living

Enjoy a stress-free retirement life in Marinas Assisted Living, a peaceful community in San Antonio, TX dedicated to assisted living. The community’s professional care team is always eager to help residents with their daily living activities, including personal care and medication management. Residents also enjoy the comfort of well-designed accommodations with housekeeping and laundry services included for their convenience.

Without the hassles of maintaining their living spaces, residents can focus on enjoying more meaningful activities and spending time with their families. Residents’ meals are carefully prepared with accommodations for special diets if needed. Here, residents are provided with everything they need to live their golden years as comfortably as possible.

Contact Marinas Assisted Living

Overview of Independence Hill

Located at the heart of Huebner Road, San Antonio, TX, Independence Hill Retirement Community at Stone Oak is a peaceful senior living community that provides assisted living, independent living, and independence village. Featuring a wide array of floor plans for different living options including one-bedroom to two-bedroom cottages for independent living residents, one-bedroom and studio for residents under assisted living, and one-bedroom to two-bedroom for seniors under independence village. Independence Hill focuses on the needs of its residents, delivering care tailored to their preferences and needs. 

With a kind, compassionate, and professional team of caregivers, the community ensures the welfare of the seniors. Independence Hill orchestrates activities and programs that highlight the physical, social, emotional, intellectual, and spiritual wellness of its residents. Here, seniors also get to satisfy their cravings with restaurant-style meals served three times daily. Residents may also opt to eat dinner in their room. Independence Hill provides a peaceful and worry-free life within its grounds with a scenic view of nature.

Contact Independence Hill

Overview of Sodalis Elder Living Stone Oak Assisted Living

Sodalis Elder Living Stone Oak Assisted Living provides assisted living, memory care, and respite care in San Antonio, Texas. Assisted living includes help with bathing, dressing, medication management, and other daily tasks while the resident lives in an apartment. Memory care offers a secured setting with supervision for someone who may be at risk of wandering, while respite care provides a short stay when a family caregiver needs temporary support.

The community has 66 beds, with studio and one bedroom apartments available. A studio offers one private living space, while a one bedroom apartment separates the sleeping area from the main living space. Having assisted living and memory care in the same community may suit a resident whose care needs grow over time without requiring a move elsewhere.

Residents can use rehabilitation services and a salon. Texas inspired cuisine and traditional home cooking can be customized for personal preferences or special dietary needs, and the landscaped courtyard and covered patio offer places to spend time outdoors. Pets are allowed, so residents may keep a pet with them.

Contact Sodalis Elder Living Stone Oak Assisted Living, LLC

Overview of Discovery Village Stone Oak

Discovery Village Stone Oak offers assisted living, independent living, and memory care in San Antonio, Texas. Independent living provides private living with community services and no daily care, while assisted living includes help with dressing, bathing, medication, and other daily tasks. Memory care provides a secured setting with supervision, and having all three care levels in one community may be a good fit for a resident whose care needs may grow over time.

The community has 125 beds. Chef-prepared meals with tableside service are prepared and served on site, and the senior-focused fitness center gives residents a dedicated place to exercise. An outdoor swimming pool and walking paths support outdoor recreation, while the beauty salon and barber shop let residents arrange grooming on site. Complimentary scheduled transportation provides a way to attend planned outings without arranging a personal ride, pets are allowed so residents may be able to keep a pet with them, and Vop Encino Commons operates the community.

Contact Discovery Village Stone Oak

Always For You Assisted Living

5305 Blackberry Dr, San Antonio, TX 78238
Overview of Always for You Assisted Living

Always for Your Assisted Living is a compassionate assisted living community in San Antonio, TX, that offers personal care. The community ensures older adults can find a home away from home in their later years, especially with its warm and home-like environment. Meal preparation, 24/7 emergency care, and physical therapy are also offered to enrich residents’ living experiences. Through personalized care plans, residents receive exceptional care for their unique needs and preferences.

Arts and crafts, tennis, and social gatherings allow residents to explore new interests and have fun. With its cozy living spaces and lively communal areas, residents can connect with friends and relax. Residents have quick access to their necessities and leisure, especially with its convenient location in San Antonio. This assisted living community is a great choice for senior living in Texas, as it has exceptional standards of care that aim to help older adults thrive in their later years.

Contact Always For You Assisted Living

Overview of Gemstone Senior Living at Castle Hills

Elevating seniors’ quality of life through compassionate assisted living and memory care services, Gemstone Senior Living at Castle Hills is a trusted senior living community in Bexar County, San Antonio, TX. The community is designed to offer a safe and secure environment for residents with 24-hour specialized supervision and security measures in place. Residents are given access to personal care services, such as bathing, dressing, and grooming, which help them maintain their independence and dignity.

The community encourages its residents to stay active and engaged, offering a variety of social activities and opportunities for residents to connect with each other. As a family-owned and operated community, Gemstone Senior Living warrants personalized care services with a touch of family-like atmosphere. Their team of experts include registered nurses, licensed vocational nurses, caregivers and certified nursing assistants that work round-the-clock, providing residents with peace of mind knowing that they are well cared for.

Contact Gemstone Senior Living at Castle Hills

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: 40/ 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: 67The 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.