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Page 4 of Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 54 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
Jul 2026
We analyzed
54 homes
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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: 71The 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.

Brookdale Medical Center Whitby
AL
IL
MC
NH
SNF
San Antonio (Northwest Side)
60
Facility 60
TX AVG 80
Rank #572 / 976
Yes
38
Facility 38
TX AVG 41
Rank #782 / 1389
48
Facility 48
TX AVG 22
Rank #47 / 584
A+Febc-Alt Holdings Inc
0
Facility 0
TX AVG 6
Rank #1 / 823
--Suite
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #270 / 976
No
71
Facility 71
TX AVG 41
Rank #124 / 1389
54
Facility 54
TX AVG 22
Rank #1 / 584
--
4
Facility 4
TX AVG 6
Rank #245 / 823
22-
The Army Residence Community Health Care Center
AL
IL
MC
NH
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 80
Rank #771 / 976
No
6
Facility 6
TX AVG 41
Rank #1284 / 1389
39
Facility 39
TX AVG 22
Rank #119 / 584
-The Army Retirement Residence Foundation San Antonio Inc
7
Facility 7
TX AVG 6
Rank #586 / 823
16-
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 80
Rank #786 / 976
No
47
Facility 47
TX AVG 41
Rank #585 / 1389
14
Facility 14
TX AVG 22
Rank #326 / 584
-Bst Health Services Corp
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Bella Groves
AL
MC
RESC
Bulverde
16
Facility 16
TX AVG 80
Rank #797 / 976
No
4
Facility 4
TX AVG 41
Rank #1315 / 1389
--Bella Groves, Inc
0
Facility 0
TX AVG 6
Rank #1 / 823
--studio / 1 bed
Isle at Watercrest – Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 80
Rank #69 / 976
No
9
Facility 9
TX AVG 41
Rank #1239 / 1389
--Dsl Tenant II, LLC
0
Facility 0
TX AVG 6
Rank #1 / 823
--Studio / 1 Bed / 2 Bed
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 80
Rank #572 / 976
Yes
30
Facility 30
TX AVG 41
Rank #927 / 1389
48
Facility 48
TX AVG 22
Rank #47 / 584
A+Brookdale Senior Living Communities, Inc
1
Facility 1
TX AVG 6
Rank #151 / 823
1-Suite
The Gardens of Castle Hills
AL
MC
San Antonio (Jackson Keller Road)
31
Facility 31
TX AVG 80
Rank #768 / 976
No
54
Facility 54
TX AVG 41
Rank #407 / 1389
7
Facility 7
TX AVG 22
Rank #493 / 584
-Peridot Health LLC
1
Facility 1
TX AVG 6
Rank #151 / 823
1-Studio / Alcove / Suite / 1 Bed
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 80
Rank #101 / 976
Yes
44
Facility 44
TX AVG 41
Rank #645 / 1389
48
Facility 48
TX AVG 22
Rank #47 / 584
A+Brookdale Senior Living Inc
2
Facility 2
TX AVG 6
Rank #245 / 823
-2Studio
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio (Willshire Terrace)
60
Facility 60
TX AVG 80
Rank #572 / 976
No
75
Facility 75
TX AVG 41
Rank #67 / 1389
7
Facility 7
TX AVG 22
Rank #493 / 584
A+Incarnate Word Retirement Community, Inc
0
Facility 0
TX AVG 6
Rank #1 / 823
---
EdenHill Communities
AL
HOS
IL
MC
NH
RC
SNF
New Braunfels (Landa Park Estates)
64
Facility 64
TX AVG 80
Rank #554 / 976
No
5
Facility 5
TX AVG 41
Rank #1301 / 1389
--Eden Home, Inc
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Chapters Living of San Antonio
AL
IL
MC
NH
SNF
San Antonio (Far West Side)
64
Facility 64
TX AVG 80
Rank #554 / 976
Yes
20
Facility 20
TX AVG 41
Rank #1092 / 1389
--Ivq San Antonio Opco, LP
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Gemstone Senior Living at Oakwell
AL
MC
San Antonio (San Antonio International Airport Vicinity)
16
Facility 16
TX AVG 80
Rank #797 / 976
Yes
15
Facility 15
TX AVG 41
Rank #1165 / 1389
22
Facility 22
TX AVG 22
Rank #209 / 584
-Wholehearted Care Senior Living At Oakwell
2
Facility 2
TX AVG 6
Rank #245 / 823
11Private / Semi-Private Rooms
Pipestone Place
AL
MC
San Antonio (Oak Haven Heights)
16
Facility 16
TX AVG 80
Rank #797 / 976
No
22
Facility 22
TX AVG 41
Rank #1062 / 1389
--Sev, Inc
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Seasons Alzheimer’s Care
AL
MC
San Antonio (Uptown Central)
16
Facility 16
TX AVG 80
Rank #797 / 976
No
54
Facility 54
TX AVG 41
Rank #407 / 1389
12
Facility 12
TX AVG 22
Rank #370 / 584
-The Seasons On Tezel
4
Facility 4
TX AVG 6
Rank #398 / 823
13Private / Semi-Private
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Overview of Brookdale Hamilton Wolfe

Located in the historic and vibrant city of San Antonio, TX, Brookdale Hamilton Wolfe offers a luxurious senior living experience with a focus on assisted living and memory care. The community provides a supportive environment where seniors can enjoy pet-friendly apartments, cozy common areas, and restaurant-style dining. With a variety of vacation-style amenities, residents can indulge in a life of leisure and comfort. If a resident’s needs change, transitioning to memory care within the same community is seamless, ensuring continuous and personalized care.

Brookdale Hamilton Wolfe is committed to enriching its residents’ lives through tailored activities and programs. Residents can enjoy art classes, gratitude journaling, and social events like Wine Down Wednesdays. The memory care program includes engaging activities such as karaoke, birdwatching, and yoga, all designed to foster a sense of purpose and belonging. With 24/7 on-site availability to address emergencies and exceptional dining experiences, Brookdale Hamilton Wolfe offers a welcoming and nurturing environment for all its residents.

Contact Brookdale Hamilton Wolfe

Overview of The Westmark Senior Living

Operating under a Type B license in Bexar County, The Westmark Senior Living is a licensed assisted living and memory care community in San Antonio, TX, offering assistance with daily living, as well as specialized support for those living with memory-related conditions. The community also provides supportive care services for up to 95 residents. It has also earned recognition through an Executive Director of the Year award from the Texas Assisted Living Association, highlighting leadership quality and operational excellence.

The most recent state inspection, conducted on August 25, 2022, resulted in three Health Code citations related to food storage and dishwashing procedures. No Life Safety Code deficiencies were identified, and all corrective actions were completed within one week. Additionally, no enforcement actions have been reported. Compared with the Texas state average of six citations, the community’s compliance history reflects a comparatively strong regulatory standing.

The community offers 24-hour staffing, Alzheimer’s certification, respite care services, and a wheelchair-accessible environment equipped with emergency alert systems. A wide range of amenities designed to encourage comfort, engagement, and active living are also available, including a library, concierge services, beauty and barber salon, greenhouse and gardening club, landscaped courtyards, walking paths, art studio, game room, piano, private dining areas, Wi-Fi access, and community gathering spaces. Three daily meals and refreshments are included, while the Engaged Living Program provides structured wellness, recreational, and social activities. Volunteer opportunities and pet-friendly accommodations further contribute to a community-oriented atmosphere.

Combining accessible pricing, award-recognized leadership, comprehensive activity programming, and supportive accommodations, The Westmark Senior Living is a good option for older adults seeking assisted living or memory care within an amenity-rich and socially active environment in the San Antonio area, particularly those who value both care support and an engaging lifestyle.

Contact The Westmark Senior Living

Overview of Brookdale Oakwell

San Antonio, Texas is home to the lively senior living community, Brookdale Oakwell which offers both assisted living and memory care options for seniors seeking a fun and engaging retirement. Situated conveniently near major city attractions yet nestled in a serene residential neighborhood, it provides a balance of accessibility and tranquility. Seniors can enjoy the assistance they need with daily tasks such as medication management and grooming, alongside services like cooking, cleaning, and transportation, allowing them more time to pursue personal interests and hobbies.

The community features pet-friendly apartments filled with natural light, ensuring a comfortable and welcoming environment. Residents can engage in a diverse range of activities including crafting workshops, dancing classes, and themed social events like happy hours, fostering social connections and personal fulfillment. With a commitment to personalized care and a secure memory care program, Brookdale Oakwell supports seniors at every stage, offering peace of mind and a meaningful lifestyle.

Contact Brookdale Oakwell

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 Grandview of Westover Hills

Conveniently located in the harmonious neighborhood of San Antonio, TX, Grandview of Westover Hills is a trusted community that offers assisted living and memory care. Residents, including those with cognitive conditions, enjoy the highest quality of care for their unique needs with a respectful and highly trained team available around the clock. The community strives to meet residents’ needs with a registered nurse on site.

Here, residents will not feel lonely with plenty of fun recreational activities and engaging programs for their leisure and wellness. Delightful and healthy meals are also served for residents to have the finest dining experience that caters to their dietary needs and preferences. Amenities include a barber shop, a fitness center, a theater, and a beauty parlor, creating the perfect setting for residents to live a worry-free retirement.

Contact Grandview of Westover Hills

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 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

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 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

Family Tree Private Care – San Antonio

901 Ne Interstate 410 Loop Suite 300, San Antonio, TX 78209
Overview of Family Tree Private Care – San Antonio

Family Tree Private Care is an exceptional in-home care provider that offers Care Giving, Private Nursing, and Care Management. With a team comprised of professional caregivers, private nurses, care managers, advisors, and dedicated people, Family Tree ensures a better quality of life within the comfort of home. Providing care for over a decade, Family Tree also provides long-term insurance and round-the-clock nursing support.

Family Tree combines compassion and professionalism in delivering the utmost care that seniors deserve. Assistance and care recognized in the industry, Family Tree Care fosters a family-like relationship with the team and seniors.

Contact Family Tree Private Care – San Antonio

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.