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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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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 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 Parkway Assisted Living LLC

Enjoy the tranquility of Parkway Drive, San Antonio, TX, Parkway Assisted Living is a distinguished community that focuses on assisted living. With its commitment to residents’ well-being, the community delivers care and assistance tailored to their needs and preferences. Residents are entitled to purposely designed amenities and emergency response systems, ensuring their comfort and safety.

Join fun activities and live as you prefer with the community’s robust calendar of leisure and wellness programs. Here, residents enjoy mealtimes with delicious and healthy home-cooked meals with special diets accommodated. The community goes above and beyond to provide residents with a holistic approach to care and a warm and inviting environment for them to easily adapt and feel a sense of belongingness.

Contact Parkway Assisted Living LLC

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

Laurelhurst Assisted Living

5683 Verbena Rd, San Antonio, TX 78240
Overview of Laurelhurst Assisted Living

Laurelhurst Assisted Living is an assisted living community in San Antonio, TX, that offers assistance with daily living activities. The community’s home-like atmosphere ensures older adults can keep their peace of mind during their stay. With 24-hour care, meal preparation, and hospice care, residents can maintain their independence with ease. Through a collaborative effort with families, doctors, and residents, the community ensures residents receive the utmost care tailored to their needs and preferences.

Pet therapy, arts and crafts, and pizza-making are among the many activities dedicated to helping residents live actively and explore new interests. Cozy living spaces and accessible communal areas ensure residents can relax and interact with friends comfortably. Residents also have a stress-free retirement, with its ideal setting in the serene neighborhood of San Antonio. This assisted living community is one of the best options for senior living in Texas, providing excellent services to help older adults live comfortably in retirement.

Contact Laurelhurst Assisted Living

Always For You Assisted Living

5305 Blackberry Dr, San Antonio, TX 78238
Overview of Always for You Assisted Living

Always for Your Assisted Living is a compassionate assisted living community in San Antonio, TX, that offers personal care. The community ensures older adults can find a home away from home in their later years, especially with its warm and home-like environment. Meal preparation, 24/7 emergency care, and physical therapy are also offered to enrich residents’ living experiences. Through personalized care plans, residents receive exceptional care for their unique needs and preferences.

Arts and crafts, tennis, and social gatherings allow residents to explore new interests and have fun. With its cozy living spaces and lively communal areas, residents can connect with friends and relax. Residents have quick access to their necessities and leisure, especially with its convenient location in San Antonio. This assisted living community is a great choice for senior living in Texas, as it has exceptional standards of care that aim to help older adults thrive in their later years.

Contact Always For You Assisted Living

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 Landon Ridge – Alamo Ranch

Landon Ridge – Alamo Ranch is a licensed assisted living and memory care community in San Antonio, Texas, that provides both assisted living and Alzheimer ‘s-certified memory support. Managed by TCG Communities, LLC with a Type B license, the community stands as a major residential choice on the expanding northwest side of San Antonio. This 152-bed community also provides a helpful and energetic social setting for older adults in Bexar County.

Regarding state oversight, this community maintains a remarkably strong record of compliance. The latest thorough evaluation, performed on January 26, 2024, concluded with zero findings, meaning no Health Code or Life Safety Code deficiencies were documented. There are no enforcement actions on file, which compares positively to the Texas state average. This clean 2024 review serves as a significant mark of reliability for families who value regulatory excellence when exploring residential care options.

A library, hair salon, exercise room, greenhouse, cinema, strolling trails, and a space for games are among the available features. Chef-prepared meals in communal dining areas are covered by the monthly fee. Planned social gatherings and festivities with active schedules are created to encourage participation among both the assisted living and memory care groups.

Landon Ridge – Alamo Ranch is a good match for older adults and their families seeking a large, feature-rich environment with a history of regulatory success and competitive rates for various care levels in the Alamo Ranch and northwest San Antonio region.

Contact Landon Ridge – Alamo Ranch

Overview of Brookdale Hamilton Wolfe

Brookdale Hamilton Wolfe is a licensed assisted living and memory care community in San Antonio, Texas, that offers assisted living and memory support. Maintaining a Type A license in Bexar County, the community is operated by ESC III LP, a subsidiary of the nationally recognized Brookdale Senior Living organization. This pet-friendly community has a 96-bed capacity and holds an Alzheimer’s certification, making it a comprehensive option for individuals who value both companionship and structured cognitive care in northwest San Antonio.

Short-term respite stays are also available, offering flexibility for caregivers who need temporary support or transitional care arrangements.

The community’s latest inspection, completed on July 2, 2024, identified six state standard violations related to Life Safety Code requirements rather than direct resident care concerns. These violations included smoking policy compliance, fire alarm and smoke detection systems, ventilation requirements, and hazardous area construction standards. The correction dates associated with these findings ranged from January through March 2019, suggesting the records may reflect historical compliance items. Additionally, no Health Code violations or enforcement actions were reported, which compares favorably with the Texas average.

A fitness center, theater room, library, arts and crafts studio, café and bistro area, chapel, private dining space, landscaped courtyard, walking paths, guest accommodations, and a beauty and barber salon are among the amenities available. Structured daily activities also include wellness classes, creative workshops, games, and community events. Notably, the Clare Bridge memory care program provides specialized support and purposeful engagement for residents living with Alzheimer’s disease or other forms of dementia. The community also maintains wheelchair accessibility, emergency alert systems, and secured areas for resident safety.

With a combination of specialized dementia programming, pet-friendly policies, competitive pricing, and extensive resident amenities, Brookdale Hamilton Wolfe appeals to older adults seeking assisted living or memory care within a larger, amenity-rich setting operated by an established national provider in the San Antonio area.

Contact Brookdale Hamilton Wolfe

Overview of Desert Sands Assisted Living LLC

Desert Sands Assisted Living LLC is a licensed Type A assisted living community in San Antonio, Texas, offering personal care. This community is independently managed and owned by Desert Sands Assisted Living LLC in Bexar County, with 42 licensed beds. Focusing on helping older adults who manage mental health conditions while requiring support with their daily routines, the community provides a specialized residential mental health option within the local San Antonio senior care market.

The HHSC identified six total findings throughout the community’s operational history, which included four health-related issues and two safety-related matters. The health concerns involved gaps in fire extinguisher instruction, incomplete records for employee ongoing training, and missing documentation for electronic oversight. Every issue was resolved within 13 days of the visit, finalized by July 23, 2024. Notably, no enforcement penalties have been issued against the community, and the final count of six citations is in line with the typical average across the state of Texas.

The community provides 24-hour staffing and employs a physician on-site, a level of clinical supervision that is not common in many residential settings. A thorough daily service plan featuring three home-style meals designed by a registered dietitian is also provided, along with transit to healthcare visits, cleaning services, and laundry assistance. Additional services include medication supervision, complimentary cable television, wireless internet, and a swimming pool. The social schedule is active, with karaoke, billiards competitions, culinary lessons, bingo, card tournaments, creative workshops, cinema screenings, and access to a technology center.

Desert Sands Assisted Living is an excellent option for families looking for a local assisted living environment for adults navigating mental health challenges who need organized daily support in San Antonio. The presence of medical professionals on the premises, along with various social events and emphasis on mental health, establishes a setting built for comprehensive wellness.

Contact Desert Sands Assisted Living LLC

Overview of Independence Hill Assisted Living

Independence Hill Assisted Living is a 115-bed Type A senior living in San Antonio, Texas, providing independent living, assisted living services, short-term respite stays, rehabilitation, and a dedicated memory care neighborhood. Established in 1987, this securely gated and beautifully landscaped campus stands as one of the pioneering choices for supportive care in the northern sector of the city, located less than two miles from Methodist Stone Oak Hospital. It also earned distinction as a 2026 Caring Star Best Senior Living recipient.

The community offers a remarkably diverse selection of amenities for a Texas residential care setting, with on-site features that include a modern fitness center, a swimming pool, a movie theater, a pair of libraries, a technology center, a social coffee pub, an on-site beauty and barber shop, manicured walking paths, a gazebo, and dedicated suites for visiting guests. Furthermore, older adults living here receive special privileges at The Club at Sonterra, granting them access to golf, tennis, and expanded social and fitness events. The activities calendar boasts over 150 monthly life-enrichment opportunities, ranging from water aerobics and tai chi to arts, crafts, choir, gardening, and dedicated card and game rooms. Regular group excursions to cultural landmarks around San Antonio are also scheduled. Dining is presented restaurant-style, featuring three daily meals for those in the supportive care program, supplemented by all-day bistro choices and special themed dinners. Notably, monthly fees conveniently bundle all utilities, weekly housekeeping, linen laundering, and scheduled local transportation. Safety operations include round-the-clock staffing, a 24-hour emergency alert system, and a secure perimeter. Pets are also welcome.

A total of 17 state standard violations have been recorded, 16 of which were categorized as Life Safety Code deficiencies, while just 1 fell under the Health Code. The Life Safety citations focused on physical plant and fire safety protocols, including portable extinguisher compliance, fire alarm and smoke detection systems, and mandatory sprinkler testing schedules, alongside general maintenance like exit signs, illumination levels, and HVAC operations. Documentation reveals that multiple Life Safety items listed correction dates spanning March to May 2020. No regulatory penalties or enforcement actions were issued following the review. While the 16 life safety citations register higher than the Texas statewide average of 6, the overall trend points toward building infrastructure and fire protection hardware rather than issues with direct resident care or clinical oversight. The single health-related citation, combined with a total absence of state enforcement actions, indicates that daily resident care practices were functioning in substantial compliance during the evaluation.

Independence Hill Assisted Living is well-suited for active older adults aged 55 and above seeking a vibrant, amenity-rich environment in a premier north San Antonio location, offering a seamless transition to higher levels of supportive care or memory assistance if health needs change over time.

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
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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.