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Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 53 assisted living communities in San Antonio, TX using Texas Health and Human Services (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in TX
Reviewed by
Last updated
Jun 2026
We analyzed
53 homes
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Video Tour: Top-rated Assisted Living facilities in San Antonio, Texas.

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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: 38/ 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: 68The 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)

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
116Studio / 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
67Studio / 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
-2Studio
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
105Studio / 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
15Studio / 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
11Private / 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
13Private / 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
-6Studio / 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
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Overview of Blue Skies East Campus

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.

Contact Blue Skies East Campus

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 Villa De San Antonio

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.

Contact Villa de San Antonio

Overview of Morningside at Menger Springs

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.

Contact Morningside at Menger Springs

Overview of Blue Skies of Texas East

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.

Contact Blue Skies of Texas East

Overview of Parkway Assisted Living LLC

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.

Contact Parkway Assisted Living LLC

Overview of The William Senior Living

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.

Contact The William Senior Living

Overview of Royal Estates of El Paso

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.

Contact Royal Estates of El Paso

Overview of Gemstone Senior Living at Northstar

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.

Contact Gemstone Senior Living at Northstar

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

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.