Page 5 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. 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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 Forum at Lincoln Heights
AL
IL
MC
San Antonio
88
Facility 88
TX AVG 69
Rank #255 / 752
Yes
68
Facility 68
TX AVG 40
Rank #80 / 865
-Snh Longhorn Tenant LLC
6
Facility 6
TX AVG 6
Rank #400 / 736
-6Suite / 1 Bed / 2 Bed
Ingram Assisted Living LLC
AL
MC
San Antonio (Inner West Side)
5
Facility 5
TX AVG 69
Rank #747 / 752
No
43
Facility 43
TX AVG 40
Rank #393 / 865
3
Facility 3
TX AVG 17
Rank #382 / 410
Ingram Assisted Living, LLC
6
Facility 6
TX AVG 6
Rank #400 / 736
6-Private / Semi-Private Rooms
Bella Groves
AL
MC
RESC
Bulverde
16
Facility 16
TX AVG 69
Rank #565 / 752
No
4
Facility 4
TX AVG 40
Rank #840 / 865
-Bella Groves, Inc
2
Facility 2
TX AVG 6
Rank #156 / 736
2-studio / 1 bed
The Army Residence Community Health Care Center
AL
IL
MC
NH
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 69
Rank #547 / 752
Yes
6
Facility 6
TX AVG 40
Rank #814 / 865
39
Facility 39
TX AVG 17
Rank #45 / 410
The Army Retirement Residence Foundation San Antonio Inc
7
Facility 7
TX AVG 6
Rank #449 / 736
16-
Juniper Village at Lincoln Heights
AL
NH
SNF
San Antonio
97
Facility 97
TX AVG 69
Rank #212 / 752
No
75
Facility 75
TX AVG 40
Rank #34 / 865
-S-H Opco Lincoln Heights, LLC
5
Facility 5
TX AVG 6
Rank #341 / 736
-5-
Premier Assisted Living Residential Care Home
AL
San Antonio (Uptown Central)
6
Facility 6
TX AVG 69
Rank #731 / 752
No
36
Facility 36
TX AVG 40
Rank #495 / 865
-Premier Assisted Living, LLC
0
Facility 0
TX AVG 6
Rank #1 / 736
--Private Rooms
Carol Ann’s Home
AL
HOS
MC
San Antonio
16
Facility 16
TX AVG 69
Rank #565 / 752
No
23
Facility 23
TX AVG 40
Rank #649 / 865
-Carol Ann's Home Inc
1
Facility 1
TX AVG 6
Rank #82 / 736
14Private Rooms
Chapters Living of San Antonio
AL
IL
MC
NH
SNF
San Antonio (Far West Side)
64
Facility 64
TX AVG 69
Rank #377 / 752
Yes
20
Facility 20
TX AVG 40
Rank #674 / 865
-Ivq San Antonio Opco, LP
1
Facility 1
TX AVG 6
Rank #82 / 736
14-
Camino Real
AL
CCRC
IL
MC
NH
SNF
San Antonio (Uptown Central)
-Yes
72
Facility 72
TX AVG 40
Rank #51 / 865
40
Facility 40
TX AVG 17
Rank #45 / 410
----Studio / 1 Bed
Independence Hill Assisted Living
AL
IL
San Antonio
115
Facility 115
TX AVG 69
Rank #134 / 752
Yes
35
Facility 35
TX AVG 40
Rank #508 / 865
-Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #540 / 736
-9-

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 Forum at Lincoln Heights

Nestled in a beautiful neighborhood in Bexar County, San Antonio, TX, The Forum at Lincoln Heights is a classic senior living community that offers independent living, assisted living, and memory care. Choose from a variety of studios, one-bedroom, and two-bedroom floor plans, with easy access to convenient care services and delightful amenities. Residents needing memory care and rehabilitative services are given access to Five Star’s award-winning Bridge to Rediscovery Alzheimer’s and dementia care program and a reliable third-party provider of rehabilitation and fitness training solutions.

Residents enjoy utmost hospitality and a carefree lifestyle with an attentive team that handles housekeeping, dining, social activities, transportation, and security. The community conducts a wide range of social and recreational events that foster social connection, enjoyment, and leisure. Amenities like a spacious activity center, a full-service barber and beauty salon, and restaurant-style dining, makes living at The Forum at Lincoln Heights a more relaxing and comfortable experience.

Contact The Forum at Lincoln Heights

Overview of Ingram Assisted Living

Set in San Antonio, TX, Ingram Assisted Living is a well-established assisted living community with over 10 years of extensive experience in care. The community stands out with its well-kept accommodations and reliable assistance with daily living activities. Residents enjoy the peace of mind provided by having a well-experienced care team 24 hours a day and 7 days a week. With convenient access to local amenities and a great medical center, residents lead a convenient lifestyle within a safe neighborhood.

Residents’ days are filled with various activities and programs for their enrichment like games, arts and crafts, and more. Meals are carefully prepared to satisfy residents’ unique dietary requirements and preferences. Most of the residents’ chores like housekeeping are also handled to ensure residents have plenty of time to focus on living their lives however they want.

Contact Ingram Assisted Living LLC

Overview of Bella Groves

Bella Groves is dedicated to creating a joyful and supportive community for families impacted by dementia. Their mission encompasses providing comprehensive memory care services in San Antonio, Texas, along with education, resources, and a sense of belonging for all involved in the dementia care journey. Offering different levels of memory care services, from educational sessions to long-term residential care, Bella Groves stays on top in the memory care industry.

The community offers a range of memory care amenities and services tailored to meet the diverse needs of individuals and families affected by dementia. From residential care options to dementia navigation and learning centers, they provide personalized support and assistance every step of the way. With a commitment to quality of life and ongoing progress, Bella Groves strives to ensure that no one faces dementia alone.

Contact Bella Groves

Overview of The Army Residence Community Health Care Center

The Army Residence Community Healthcare Center is the premier veteran retirement home in San Antonio– welcoming all retired or honorably discharged officers; also housing senior-level federal employees of GS-14 and above, including their spouses. Reflected in their excellent service, the non-profit life plan community has maintained an active, social, and carefree lifestyle for their residents for over 30 years. The Army Residence is the place to live your golden years to the fullest, create memories, and achieve dreams. 
The life plan community boasts its exclusive program called the Army Residence Community (ARC), where residents can come together and be part of engaging activities. Retirees can choose to live in high-rise apartments or lakeside duplexes– all beautifully furnished.

Contact The Army Residence Community Health Care Center

Overview of Juniper Village at Lincoln Heights

Juniper Village at Lincoln Heights offers assisted living and skilled nursing care in San Antonio, Texas. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident remains in their own living space. Skilled nursing provides licensed nursing care for residents who need a higher level of medical support. Having both care levels in one community may suit a resident whose needs could change over time without requiring a move to a different community.

The community has 97 beds. Respite care supports a short stay when a usual caregiver needs to travel or recover, while short term rehabilitation provides temporary care during recovery. Rehabilitation services and long term skilled care are also available for residents who need nursing support beyond a brief recovery period.

Total nurse staffing is 4 hours and 13 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare may help cover short term skilled care after a hospital stay, while private pay means the family or resident pays directly for care. S H Opco Lincoln Heights operates the community. A Walk Score of 75 places the area in the very walkable range, so most errands can be completed on foot and a resident who no longer drives may still be able to get out independently.

Contact Juniper Village at Lincoln Heights

Overview of Premier Assisted Living Residential Care Home

Helping residents achieve maximum independence, Premier Assisted Living is a tight-knit senior living community in Bexar County, San Antonio, TX, offering assisted living services. Residents here enjoy round-the-clock personalized care in a safe, comfortable, and nurturing environment. The community welcomes its residents into fully furnished private resident rooms, with convenient access to a wide array of amenities and services. Boasting a high caregiver-to-resident ratio, the community ensures residents receive focused and attentive care that they deserve.

The community makes sure their team members stay up to date with the best care and infection control practices through continuous training, ensuring consistent high-quality care provision. Residents can trade the tedious chores for more free time for enjoyment with housekeeping and laundry services handled by a dedicated team. Three deliciously prepared meals and snacks are served daily to satisfy residents’ nutritional needs and cravings. With 24-hour security cameras, monitored fire alarm & fire sprinkler systems, and round-the-clock care and supervision, residents are guaranteed to live a safe and comfortable life.

Contact Premier Assisted Living Residential Care Home

Overview of Carol Ann’s Home

Nestled in a quiet residential area in Bexar County, San Antonio, TX, Carol Ann’s Home – Wayward is a quaint and peaceful senior living community that offers assisted living and memory care. Residents feel at home in their cozy accommodations with convenient access to a 24 hour qualified and caring team. Emergency call systems are installed throughout the community to provide residents with easy access to help during emergencies.

As a family owned and operated senior living community, Carol Ann’s Home guarantees personalized care and focused attention with a friendly and personal touch. A wide array of activities and entertainment are provided to give residents plenty of opportunities for social engagement and enjoyment. The community serves home cooked meals plus snacks throughout the day to ensure residents are always full and happy.

Contact Carol Ann’s Home

Overview of Chapters Living of San Antonio

Experience an exceptional stay with the Chapters Living of San Antonio located in the neighborhood of Town Center Dr. San Antonio, TX. This peculiar senior living community offers assisted living and memory care tailored to the immediate needs of its residents. Spacious yet cozy accommodations with several floor plans suited for individual tastes of its residents are available to further enhance comfort and relaxation. The community offers customized care plans and a memory care program devised to treat Dementia and Alzheimer’s Disease.

Driven by the goal for its residents to live life to the fullest, the community provides excellent amenities such as dining, social activities, neighborhoods, health and wellness, and a salon or barbershop. Enjoy meeting new people of the same passion and building long lasting relationships. At the Chapters Living of San Antonio, seniors are guaranteed a promising retirement.

Contact Chapters Living of San Antonio

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 Independence Hill Assisted Living

Independence Hill Assisted Living in San Antonio, Texas, combines assisted living and independent living within a single campus. Independent living offers private apartments alongside community social events, while assisted living supplies help with daily routines like bathing, dressing, and managing medications. Studio and one-bedroom apartment layouts are available across this 115-bed property.

Operated by Stone Oak Villas II, the location features on-site rehabilitation therapy, a fitness center, a swimming pool, walking paths, and a garden gazebo. Additional conveniences include restaurant-style dining, local transportation, scheduled excursions, pet-friendly accommodations, and temporary respite stays. Staffing remains active 24 hours a day. Surrounding streets carry a 35 walk score, making standard errands off campus reliant on motor transportation.

Prospective individuals can get in touch with Independence Hill Assisted Living to confirm current lease options, request details on therapy programs, or arrange a guided tour.

Contact Independence Hill 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
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.