Page 4 of Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 62 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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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.
62 homes
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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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio
60
Facility 60
TX AVG 69
Rank #388 / 752
No
75
Facility 75
TX AVG 40
Rank #34 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
Incarnate Word Retirement Community, Inc
13
Facility 13
TX AVG 6
Rank #632 / 736
49-
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 69
Rank #129 / 752
No
71
Facility 71
TX AVG 40
Rank #59 / 865
55
Facility 55
TX AVG 17
Rank #1 / 410
-
9
Facility 9
TX AVG 6
Rank #540 / 736
63-
The Gardens of Castle Hills
AL
MC
San Antonio
31
Facility 31
TX AVG 69
Rank #544 / 752
No
54
Facility 54
TX AVG 40
Rank #231 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
Peridot Health LLC
1
Facility 1
TX AVG 6
Rank #82 / 736
1-Studio / Alcove / Suite / 1 Bed
Franklin Park Alamo Heights
AL
IL
MC
San Antonio
121
Facility 121
TX AVG 69
Rank #104 / 752
No
61
Facility 61
TX AVG 40
Rank #151 / 865
9
Facility 9
TX AVG 17
Rank #273 / 410
Afp Alamo Heights Lessee, LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
34-
Pembroke Angel Care, LLC
AL
RESC
San Antonio (Northwest Side)
13
Facility 13
TX AVG 69
Rank #653 / 752
No
28
Facility 28
TX AVG 40
Rank #576 / 865
10
Facility 10
TX AVG 17
Rank #254 / 410
Pembroke Angel Care LLC
2
Facility 2
TX AVG 6
Rank #156 / 736
-2Private / Semi-Private Rooms
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 69
Rank #558 / 752
Yes
47
Facility 47
TX AVG 40
Rank #342 / 865
14
Facility 14
TX AVG 17
Rank #184 / 410
Bst Health Services Corp
3
Facility 3
TX AVG 6
Rank #200 / 736
21-
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
45
Facility 45
TX AVG 40
Rank #368 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
Parkway Assisted Living LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
-4Private / Semi-Private / Companion Suites
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
36
Facility 36
TX AVG 40
Rank #495 / 865
7
Facility 7
TX AVG 17
Rank #321 / 410
Parkway Assisted Living LLC
4
Facility 4
TX AVG 6
Rank #268 / 736
-4Suite
BeeHive Homes of Babcock Ridge
AL
RC
San Antonio (Northwest Side)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
56
Facility 56
TX AVG 40
Rank #207 / 865
6
Facility 6
TX AVG 17
Rank #343 / 410
Td Assisted Living LLC
8
Facility 8
TX AVG 6
Rank #505 / 736
68Private Rooms
OneStone Oak Senior Living
AL
San Antonio (Stone Oak)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
29
Facility 29
TX AVG 40
Rank #570 / 865
-Vl Development LLC
2
Facility 2
TX AVG 6
Rank #156 / 736
-2Private Rooms

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other TX assisted living community we track that reports that metric, not just the 62 analyzed for San Antonio. See how we rank facilities

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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 19 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 Saint Francis Nursing Home

Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.

At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.

Contact Saint Francis Nursing Home

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

Tucked in the heart of San Antonio, Texas, Franklin Park Alamo Heights caters to seniors seeking a unique blend of culture, history, and timeless elegance. Residents are encouraged to feel at home in their new community as well as encouraged to socialize and make meaningful connections. The community strives to create a relaxing atmosphere where residents can feel free in doing whatever they want while also providing excellent service. With stunning landscapes, an array of amenities and services, and an exceptional staff, Franklin Park Alamo Heights is truly unparalleled.

Indulge in the inviting indoor pool, unwind in the game room and activity center, and experience the convenience of concierge services and a well-equipped business center. The community offers more than just independent living—it also provides assisted living with memory care services for a truly comprehensive retirement experience. Embrace the opportunity to create a fulfilling and rewarding retirement journey in a place that cherishes every moment. Franklin Park Alamo savors the richness of life in their immaculate independent and assisted living homes.

Contact Franklin Park Alamo Heights

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 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

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

Conveniently located near Stone Oak Parkway, San Antonio, TX, OneStone Oak Senior Living is an astounding community that provides assisted living. Residents receive top-tier care and assistance with a compassionate and highly skilled team attending to their personal needs and daily responsibilities 24/7. Enjoy a maintenance-free lifestyle with the community handling the housekeeping.


A robust calendar of enriching programs and engaging activities is conducted for residents to live actively and stay socially connected. Medication management, fall prevention program, and visiting medical practitioners are provided for residents’ healthcare needs and safety. Mealtimes are something to anticipate with healthy and delicious meals catering to dietary needs and tastes. The community fosters a vibrant and inviting environment for residents to thrive and make every moment of their golden years memorable.

Contact OneStone Oak 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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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: 67The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90
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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.