
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 | 1 | 16 | Studio / 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 | 6 | 7 | Studio / 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 | - | 2 | Studio |
| 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 | 10 | 5 | Studio / 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 | 1 | 5 | Studio / 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 | 1 | 1 | Private / 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 | 1 | 3 | Private / 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 | - | 6 | Studio / 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 |
Blue Skies of Texas East is a 24-bed nursing home at 4917 Ravenswood Dr in San Antonio’s Valley High North neighborhood, Bexar County. BST Health Services Corp. operates it; Air Force Village Inc is the owner. The community has been running for 14 years, is part of a Continuing Care Retirement Community, and accepts Medicare and private pay. Bianca Cardenas serves as Executive Director, with 13 years of experience in senior living.
Five care levels are available here: nursing home, assisted living, hospice care, independent living, and memory care. Residential options spread across a Hi-Rise, Mid-Rise, Cottages, and a development called The Hills. Occupancy sits at 68%, with 16 of 24 nursing home beds currently filled, and the average stay runs 109 days.
Nursing care totals 6 hours and 31 minutes per resident per day: 46 minutes from an RN, 1 hour and 22 minutes from an LPN or LVN, and 3 hours and 1 minute from nurse aides. Rehabilitation services, respite care, and 24-hour staffing are all on offer. CMS-recognized programs include an on-site Nurse Aide Training and Competency Evaluation Program and an Active Resident Council.
The amenity footprint is large relative to the nursing home’s 24-bed size, because this is a full CCRC campus. That means a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, outdoor walking trails, a billiard and game room, a library, a Sky Lounge, a 24-hour concierge, and interdenominational chapels. Dining draws on fresh, seasonal ingredients with a made-from-scratch approach. More than 70 activity groups are on the calendar.
State inspections by the Texas Health and Human Services Commission have covered medication management, and care planning and documentation. Walk Score is 47; the neighborhood is only somewhat walkable, and most errands require a car.
For a small nursing home, Blue Skies of Texas East presents an unusually broad care and amenity profile, which reflects its position as part of a larger campus with multiple residential tiers rather than a standalone skilled nursing facility.
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.
Based in the tranquil neighborhood of San Antonio, TX, the Villa De San Antonio is an enticing senior living community that provides independent living and assisted living. Here, residents can choose from a wide array of spacious and pet-friendly accommodations with varying floor plans depending on their personal preferences. With its dedicated and skilled team, residents can receive round-the-clock services and in-home care.
Experience its outstanding amenities and services including restaurant-style dining with scratch-made gourmet menu and luxury cottages. Enjoy its fitness center, movie center, and beauty salon for both wellness activities and self-care. Meet new friends and create lasting connections within its beautiful space. Have fun with its jampacked, diverse and interactive social and recreational events. At Villa De San Antonio, seniors can enjoy a promising retirement.
Morningside at Menger Springs is a captivating retirement community nestled on 34 acres of premier atmosphere. It offers independent living, assisted living, memory care, transitional care, and long-term care, and provides a spectrum of services and amenities that enhance the senior living experience. From on-site meals, housekeeping, and laundry services to community activities and professional landscaping, the community ensures ease and enjoyment. Safety is prioritized as well, particularly for those in need of memory care, with individualized care plans catering to various needs, including injuries, physical disabilities, and illnesses.
The competent staff and the availability of cottages alongside apartment homes further contribute to the community’s comprehensive offerings. Beyond its practical services, Morningside at Menger Springs boasts unique features such as a covered pool, library, putting green, and more, enriching the resident experience. With a commitment to creating a comfortable and engaging environment, this community stands out as an exceptional choice for seniors seeking a vibrant and supportive living space.
Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.
Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.
What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.
Embark on a journey to joyful retirement at Parkway Assisted Living, a classic senior living community based in Bexar County, San Antonio, TX, offering premiere assisted living services. The community is dedicated to giving seniors the time and attention they deserve in a tight-knit, home-like setting. They offer comfortable and spacious private and semi-private accommodations with emergency response system, individual closets, wall mounted television and direct access to bathrooms, providing utmost comfort and convenience.
Residents have access to 24/7 individualized attention, ensuring that all of their needs and emergencies are addressed immediately. Fostering a family environment, the community strongly encourages families to join residents in daily activities and social events. Residents also enjoy delicious, home-cooked meals tailored to accommodate a variety of special dietary needs. With its individualized services, compassionate guidance and support for families, and peaceful atmosphere, the community warrants an engaging environment that allows seniors to thrive in their retirement years.
Situated in the middle of San Antonio’s medical center location, The William offers endless opportunities waiting to be discovered. There is an abundance of graceful support for its residents. As an Aventine senior living home, expect that the residential assisted living and memory care housing options are trusted to provide a safe and secure environment in a home-like setting. The professional and compassionate staff is committed to providing excellence while seniors continue to pursue a purposeful life during their stay.
The William’s Aventine lifestyle revolved around the holistic wellness of its residents, making sure that the team of compassionate caregivers fully supports the needs of its residents. Assisted living residents can boost their enriching lifestyle by taking part in vibrant social activities, maintaining their sense of independence with the help of daily tasks, and being brought to scheduled medical check-ups; memory care living is inclusive of stimulating care plans, and regular access to courtyards for family visits.
Royal Estates of El Paso goes above and beyond, offering a range of living options including independent living and assisted living for seniors. With over 20 years of dedicated service to seniors, this home has perfected the art of providing an exceptional quality of life. Their team of highly skilled professionals is committed to ensuring every resident experiences the utmost comfort and care in their assisted living facilities. A variety of thoughtfully designed studio, one-bedroom, and two-bedroom units are available, allowing residents to find the perfect home that suits their individual preferences. They also offer round-the-clock care supervised by licensed nurses within their state-of-the-art assisted living facilities. From attending to daily needs to providing medication assistance and arranging doctor appointments, residents receive the utmost support in their journey to wellness.
Prepare to be captivated by the elegant and spacious common areas within this remarkable community. With modern interior designs that seamlessly blend with a classic ambiance, every corner of the assisted living facilities exudes a sense of sophistication and comfort. Royal Estates of El Paso stands as one of the finest offerings in El Paso, Texas for assisted living for seniors. It’s a community that sets the bar high, providing a haven of luxury and fulfillment for its cherished residents.
Tucked away in the neighborhood of San Antonio, TX, Gemstone at Northstar is a blissful senior living community that offers assisted living and memory care services. The community offers a dedicated 24/7 team trained to deliver personalized care in a home-like setting that provides utmost comfort and security. A compassionate memory care team undergoes continuous training to make sure they consistently deliver up to date practices in memory care.
The community also conducts a wide variety of activities geared toward engagement and socialization, fostering a nurturing and vibrant living environment. Three nutritious home-cooked meals and snacks are offered daily to make sure residents always receive their daily nourishment and sustenance. With most of the tedious daily chores handled by the community, residents are free to focus on their wellbeing and enjoyment.
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.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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.



















