Page 4 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
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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:

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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. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Morningside at the Meadows
AL
IL
MC
NH
SNF
San Antonio (Sunshine Estates)
147
Facility 147
TX AVG 73
Rank #56 / 874
Yes
46
Facility 46
TX AVG 42
Rank #554 / 1,232
54
Facility 54
TX AVG 19
Rank #1 / 517
-----
Premier Assisted Living Residential Care Home
AL
San Antonio (Uptown Central)
6
Facility 6
TX AVG 73
Rank #853 / 874
No
36
Facility 36
TX AVG 42
Rank #754 / 1,232
-Premier Assisted Living, LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
--Private Rooms
Carol Ann’s Home
AL
HOS
MC
San Antonio
16
Facility 16
TX AVG 73
Rank #682 / 874
No
23
Facility 23
TX AVG 42
Rank #960 / 1,232
-Carol Ann's Home Inc
1
Facility 1
TX AVG 6
Rank #87 / 839
14Private Rooms
The Haven & The Laurels in Stone Oak
AL
MC
San Antonio (Stone Oak)
62
Facility 62
TX AVG 73
Rank #466 / 874
Yes
37
Facility 37
TX AVG 42
Rank #731 / 1,232
-Snh Longhorn Tenant LLC
9
Facility 9
TX AVG 6
Rank #602 / 839
45Studio / 1 Bed / 2 Bed / Private / Companion Suite
Elmcroft of Windcrest
AL
MC
RC
San Antonio (Northeast Side)
105
Facility 105
TX AVG 73
Rank #238 / 874
Yes
14
Facility 14
TX AVG 42
Rank #1,074 / 1,232
8
Facility 8
TX AVG 19
Rank #396 / 517
Ec Opco Windcrest, LLC
26
Facility 26
TX AVG 6
Rank #811 / 839
224-
Brookdale Hamilton Wolfe
AL
MC
San Antonio
96
Facility 96
TX AVG 73
Rank #275 / 874
Yes
35
Facility 35
TX AVG 42
Rank #769 / 1,232
-Esc III LP
9
Facility 9
TX AVG 6
Rank #602 / 839
18-
Chapters Living of San Antonio
AL
IL
MC
NH
SNF
San Antonio (Far West Side)
64
Facility 64
TX AVG 73
Rank #455 / 874
Yes
20
Facility 20
TX AVG 42
Rank #993 / 1,232
-Ivq San Antonio Opco, LP
1
Facility 1
TX AVG 6
Rank #87 / 839
14-
Camino Real
AL
CCRC
IL
MC
NH
SNF
San Antonio (Uptown Central)
-Yes
72
Facility 72
TX AVG 42
Rank #97 / 1,232
39
Facility 39
TX AVG 19
Rank #68 / 517
----Studio / 1 Bed
Discovery Village Stone Oak
AL
IL
MC
San Antonio
125
Facility 125
TX AVG 73
Rank #120 / 874
No
5
Facility 5
TX AVG 42
Rank #1,190 / 1,232
-Vop Encino Commons, LLC
18
Facility 18
TX AVG 6
Rank #769 / 839
711-
The Westmark Senior Living
AL
MC
San Antonio
95
Facility 95
TX AVG 73
Rank #284 / 874
Yes
3
Facility 3
TX AVG 42
Rank #1,217 / 1,232
-Gg San Antonio Operator, LLC
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

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Overview of Morningside at the Meadows

Located in San Antonio, Texas, Morningside at the Meadows stands as a distinguished continuing care senior living community devoted to meeting the diverse needs of older adults. Providing an array of independent living options, Morningside at the Meadows creates an environment where seniors can relish the comforts of home without the burdens of maintenance. Whether one seeks independent living, assisted living, long-term care, or transitional care, Morningside at the Meadows provides a welcoming and enriching environment for seniors to embrace as their home.
Conveniently situated on Babcock Road, The Meadows radiates warmth, friendliness, and relaxation, seamlessly blending with the essence of senior living. Residents find elegant living spaces within the four-story Atrium Apartments, including studios and one- or two-bedroom residences. Accessible amenities encompass a state-of-the-art theater room, a modern gym, and delightful cuisine served at the Meadowlark Restaurant. The community is embraced by acres of scenic grounds, fostering a tranquil atmosphere. The outdoor experience is enhanced by picturesque gardens and well-maintained lawns, offering a serene setting.

Contact Morningside at the Meadows

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 Carol Ann’s Home

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.

Contact Carol Ann’s Home

Overview of The Haven & the Laurels in Stone Oak

Situated in San Antonio, TX, The Haven & The Laurels in Stone Oak is a welcoming senior living community offering assisted living, memory care, and respite care. Located in a residential area, the community provides a homelike environment with a range of thoughtfully designed apartments, including alcove studios, one-bedroom, and two-bedroom apartments. Residents can enjoy a refined sense of warmth and receive personalized care from a dedicated team of caregivers.

With housekeeping and laundry services handled, residents can fully enjoy their retirement. The expansive dining room offers restaurant-style dining with delicious and nutritious meals served daily. Residents can enjoy cozy common areas, a stretch of main street shops, and a beauty salon. Moreover, engaging activities such as cooking and art classes, happy hours, and educational presentations promote lifelong learning and enjoyment.

Contact The Haven & The Laurels in Stone Oak

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 Brookdale Hamilton Wolfe

Brookdale Hamilton Wolfe is a licensed assisted living and memory care community in San Antonio, Texas, that offers assisted living and memory support. Maintaining a Type A license in Bexar County, the community is operated by ESC III LP, a subsidiary of the nationally recognized Brookdale Senior Living organization. This pet-friendly community has a 96-bed capacity and holds an Alzheimer’s certification, making it a comprehensive option for individuals who value both companionship and structured cognitive care in northwest San Antonio.

Short-term respite stays are also available, offering flexibility for caregivers who need temporary support or transitional care arrangements.

The community’s latest inspection, completed on July 2, 2024, identified six state standard violations related to Life Safety Code requirements rather than direct resident care concerns. These violations included smoking policy compliance, fire alarm and smoke detection systems, ventilation requirements, and hazardous area construction standards. The correction dates associated with these findings ranged from January through March 2019, suggesting the records may reflect historical compliance items. Additionally, no Health Code violations or enforcement actions were reported, which compares favorably with the Texas average.

A fitness center, theater room, library, arts and crafts studio, café and bistro area, chapel, private dining space, landscaped courtyard, walking paths, guest accommodations, and a beauty and barber salon are among the amenities available. Structured daily activities also include wellness classes, creative workshops, games, and community events. Notably, the Clare Bridge memory care program provides specialized support and purposeful engagement for residents living with Alzheimer’s disease or other forms of dementia. The community also maintains wheelchair accessibility, emergency alert systems, and secured areas for resident safety.

With a combination of specialized dementia programming, pet-friendly policies, competitive pricing, and extensive resident amenities, Brookdale Hamilton Wolfe appeals to older adults seeking assisted living or memory care within a larger, amenity-rich setting operated by an established national provider in the San Antonio area.

Contact Brookdale Hamilton Wolfe

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 Camino Real

Located in historic and culture-rich San Antonio, Texas, Camino Real Senior Living offers an engaging assisted living community that provides residents with a carefree life. The community, conveniently located on Rio Doro Street near Nacogdoches Road, offers personalized assistance with daily tasks like bathing, dressing, and medication management, allowing residents to maintain their independence while receiving the support they need.

Camino Real Senior Living’s engaging social life and activities calendar pull residents away from the TV and into a world of fun and connection. Residents can enjoy card and board games, happy hour socials, fitness classes, art projects, and lively meals, all while making new friends and staying active. The community’s culinary team prepares flavorful, restaurant-style meals served in the dining room, allowing residents to order what they want and enjoy conversation with others at their table.

Contact Camino Real

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

Overview of The Westmark Senior Living

The Westmark Senior Living offers assisted living and memory care in San Antonio, TX, with respite care also available. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

Having both assisted living and memory care on one campus allows a resident to move between care levels without leaving the community if needs grow over time. Respite care provides short stays, which can suit a family caregiver who needs temporary support while traveling or recovering.

The community has 95 beds. Its starting price is $2,995, although the facts do not assign that figure to assisted living or memory care. Pets are allowed, so residents may keep their pets in the community.

A salon and spa gives residents access to personal grooming services on site, while the courtyard, garden, and walking paths provide outdoor spaces to use within the community. The Engaged Living Program, wellness programs, and dining experiences provide scheduled program and meal offerings for residents. The community is operated by Gg San Antonio Operator, and Ross Christensen is its director.

Contact The Westmark Senior Living

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.