Page 4 of Best Assisted Living in San Antonio, TX

Other senior care options in San Antonio:
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.

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Overview of The Village at Incarnate Word

The Village at Incarnate Word offers nursing home, assisted living, home care, independent living, memory care, nursing care, and skilled nursing in San Antonio, Texas. Independent living provides private living with community services and no daily care, while assisted living offers 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. Nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock, while home care brings support to a person’s residence. Several care levels can suit a resident whose needs grow over time, allowing a move between levels without leaving the community or starting over socially.

Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community opened in 1988 and is operated by Incarnate Word Retirement Community. It has 60 beds, with total nurse staffing of 4 hours and 15 minutes per resident per day, representing the daily hands on nursing time assigned to each resident.

Medicaid, Medicare, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence. A Walk Score of 75 out of 100 places the area in the very walkable band, meaning most errands can be completed on foot; a resident who no longer drives can still reach nearby shops, pharmacies, or cafes independently.

The community has a salon or spa and rehabilitation services, giving residents access to grooming and rehabilitation without arranging those services elsewhere. Religious services and a Spiritual Life program are also available for residents who want to participate.

Contact The Village at Incarnate Word

Overview of The Gardens of Castle Hills

Gemstone Senior Living at Castle Hills sits on Jackson Keller Road in San Antonio, about six miles from downtown. Run by Peridot Health LLC and managed by MG Operations LLC, the property provides assisted living, memory care, and hospice care. Administrator Norma Eagan oversees the campus, which has served local residents for 25 years.

The two-story building holds 160 beds and accepts adults age 62 and older, offering studio and one-bedroom apartments. Staffing includes licensed nurses, certified nursing assistants, and personal caregivers on site around the clock. Along with long-term care, the home offers short-term respite stays and therapy services. Monthly fees cover three daily meals, room cleaning, and scheduled recreational and exercise activities.

The surrounding neighborhood has a walk score of 54, so while a few errands are doable on foot, getting around town generally requires a car.

Families and caregivers looking into care options in Bexar County can reach out to the Jackson Keller Road main office directly to ask about current room availability, tour the building, or get details on care levels.

Contact The Gardens of Castle Hills

Overview of Franklin Park Alamo Heights

Franklin Park Alamo Heights offers independent living, assisted living, and memory care in San Antonio, TX. Independent living means private living with community services and no daily care, while assisted living helps with daily tasks as the resident keeps a private apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

All three care levels are on one campus, so the community may be a good fit for a resident whose needs could grow over time without requiring a move to another community. The community has 121 beds. An indoor pool gives residents an on-site place for aquatic activity, and the activity center and game room provide spaces for activities and recreation. A Walk Score of 61 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach select destinations independently. Tiffany Weiser serves as administrator, and Afp Alamo Heights Lessee operates the community.

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Overview of Pembroke Angel Care

Tucked away in San Antonio, TX, Pembroke Angel Care provides a warm and comforting environment for those who need quality assisted living. Residents enjoy the convenience of having a team of qualified caregivers by their side to support them with their daily routines like personal hygiene and medication reminders. An in-house doctor and various therapy services are also available to help residents maintain their health and overall well-being.

There’s a wide array of enriching indoor and outdoor activities for residents to enjoy, helping them lead a vibrant and fulfilling life. Fresh and healthy meals are also served daily to make sure residents are properly nourished and energized throughout the day. With its extensive array of care services and experience in delivering care, Pembroke Angel Care ensures residents live a truly comfortable life.

Contact Pembroke Angel Care, LLC

Overview of Blue Skies of Texas East

Blue Skies of Texas East offers independent living, assisted living, memory care, nursing home and skilled nursing care, and hospice care in San Antonio, TX. Independent living provides private living with community services and no daily care. Assisted living supports daily tasks such as bathing, dressing, and medication management, while memory care provides a secured setting with supervision. Nursing home and skilled nursing care provide licensed nursing support on site around the clock, and hospice care focuses on comfort for someone with a life limiting illness.

The community has 24 beds, creating a smaller setting where staff and residents can get to know each other. Respite care provides a short stay for someone whose usual caregiver needs to travel or recover. Several care levels may also allow a resident whose needs change to remain in the same community. Blue Skies of Texas East may be a good fit for someone who wants the possibility of changing care levels without leaving the community.

Total nurse staffing is 5 hours and 34 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. A pool, salon, community garden, dog park, outdoor walking trails, transportation, and rehabilitation services give residents options for swimming, personal care, outdoor activities, and therapy without arranging services elsewhere. Pets are allowed, and dining venues use fresh, seasonal ingredients with a made from scratch approach.

The area has a Walk Score of 47 and is car dependent, so most errands require a car or a ride. Medicare and private pay are accepted. Bj Williamson serves as administrator, and Bst Health Services operates the community.

Contact Blue Skies of Texas East

Overview of Parkway Assisted Living

Parkway Assisted Living is a small, 16-bed assisted living community located at 4331 Parkway Drive in San Antonio, Texas. Operated by Parkway Assisted Living and administered by Sylvia Mendoza, the single-story home has served seniors in the city’s Inner West Side neighborhood for seven years.

The facility offers private and semi-private suite-style rooms, each featuring personal closets, direct bathroom access, wall-mounted televisions, and built-in emergency response systems. Daily operations are structured around a quiet, home-like environment where resident families are encouraged to participate in activities and meals. Staff are present on-site 24 hours a day to provide individualized support, and a dedicated kitchen team prepares home-cooked meals made to accommodate unique dietary restrictions.

The surrounding residential neighborhood is somewhat car-dependent, carrying a walk score of 36, meaning most errands and family visits require a vehicle. Records from the Texas Health and Human Services Commission show that the community maintains its Type B assisted living license with a solid compliance history and no active enforcement penalties.

Families seeking a collaborative residential senior care option in West San Antonio can contact the administrative office to discuss current suite openings.

Contact Parkway Assisted Living LLC

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

Overview of BeeHive Homes of Babcock Ridge

Enjoy a worry-free lifestyle with Bee Hive Assisted Living of Babcock Ridge, an exceptional community in San Antonio, TX, offering assisted living and respite care. The community is committed to improving residents’ well-being, providing the highest quality of care tailored to their unique needs around the clock. Here, residents do not have to worry about housekeeping and maintenance with the community’s help.

With well-thought-out life enrichment activities, residents will not feel lonely and can meet new friends. Mealtimes promote social interactions and satisfy dietary needs with delicious and well-balanced dining options. The community has a secure outdoor courtyard where residents can relax and interact with their friends, ensuring a worry-free retirement.

Contact BeeHive Homes of Babcock Ridge

Overview of OneStone Oak Senior Living

At OneStone Oak Senior Living, in the Stone Oak neighborhood of San Antonio, TX, the available care is assisted living. In practice, staff assist with bathing, dressing, and transitioning from bed to chair, the everyday tasks a resident can no longer handle easily on their own. Each room is private, so no one shares with a roommate.

There are just 16 beds. A home of that size enables staff to quickly understand each resident’s routines, and it’s suitable for individuals who might feel lost in long corridors. Supervision runs around the clock, ensuring that someone is alert and available both overnight and throughout the day. That matters for anyone who needs someone watching at odd hours.

Vl Development LLC operates the community. A beauty salon handles haircuts on-site, and for outdoor relaxation, the property has its own garden and patio.

Contact OneStone Oak Senior Living

Rankings on this page follow the same method as page 1: see how we rank these communities.

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: 72The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90