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Page 5 of Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 59 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
Reviewed by
Last updated
Jul 2026
We analyzed
59 homes
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Video Tour: Top-rated Assisted Living facilities in San Antonio, Texas.

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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: 39/ 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: 73The 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)

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 to lowest based on our ranking methodology.

The Army Residence Community Health Care Center
AL
IL
MC
NH
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 78
Rank #766 / 981
Yes
6
Facility 6
TX AVG 42
Rank #1287 / 1346
39
Facility 39
TX AVG 21
Rank #102 / 586
-The Army Retirement Residence Foundation San Antonio Inc
7
Facility 7
TX AVG 6
Rank #499 / 840
16-
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 78
Rank #258 / 981
No
71
Facility 71
TX AVG 42
Rank #124 / 1346
54
Facility 54
TX AVG 21
Rank #1 / 586
--
2
Facility 2
TX AVG 6
Rank #172 / 840
22-
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 78
Rank #780 / 981
Yes
47
Facility 47
TX AVG 42
Rank #586 / 1346
14
Facility 14
TX AVG 21
Rank #306 / 586
-Bst Health Services Corp
3
Facility 3
TX AVG 6
Rank #220 / 840
21-
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 78
Rank #94 / 981
Yes
44
Facility 44
TX AVG 42
Rank #647 / 1346
21
Facility 21
TX AVG 21
Rank #194 / 586
A+Brookdale Senior Living Inc
9
Facility 9
TX AVG 6
Rank #603 / 840
45Studio
Gemstone Senior Living at Castle Hills
AL
HOS
MC
San Antonio (Jackson Keller Road)
160
Facility 160
TX AVG 78
Rank #40 / 981
No
54
Facility 54
TX AVG 42
Rank #407 / 1346
25
Facility 25
TX AVG 21
Rank #170 / 586
D+Peridot Health LLC---Studio / 1 Bed
Brookdale Medical Center Whitby
AL
IL
MC
NH
SNF
San Antonio (Northwest Side)
136
Facility 136
TX AVG 78
Rank #94 / 981
Yes
38
Facility 38
TX AVG 42
Rank #785 / 1346
48
Facility 48
TX AVG 21
Rank #47 / 586
A+Febc-Alt Holdings Inc
9
Facility 9
TX AVG 6
Rank #603 / 840
45Suite
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 78
Rank #567 / 981
Yes
30
Facility 30
TX AVG 42
Rank #930 / 1346
48
Facility 48
TX AVG 21
Rank #47 / 586
A+Brookdale Senior Living Communities, Inc
17
Facility 17
TX AVG 6
Rank #755 / 840
215Suite
Independence Hill
AL
IL
San Antonio (Stone Oak)
115
Facility 115
TX AVG 78
Rank #267 / 981
Yes
61
Facility 61
TX AVG 42
Rank #267 / 1346
39
Facility 39
TX AVG 21
Rank #102 / 586
A+Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #603 / 840
-9Studio / 1 Bed / 2 Bed / Cottage
Camino Real
AL
IL
MC
NH
SNF
San Antonio (Uptown Central)
-Yes
72
Facility 72
TX AVG 42
Rank #108 / 1346
39
Facility 39
TX AVG 21
Rank #102 / 586
-----Studio / 1 Bed
Adante Assisted Living
AL
MC
San Antonio (San Antonio International Airport Vicinity)
90
Facility 90
TX AVG 78
Rank #397 / 981
No
43
Facility 43
TX AVG 42
Rank #665 / 1346
14
Facility 14
TX AVG 21
Rank #306 / 586
-Welltower Tcg Ridea Tenant, LLC
7
Facility 7
TX AVG 6
Rank #499 / 840
16Studio / 1 Bed / 2 Bed
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio (Willshire Terrace)
60
Facility 60
TX AVG 78
Rank #567 / 981
No
75
Facility 75
TX AVG 42
Rank #67 / 1346
7
Facility 7
TX AVG 21
Rank #491 / 586
A+Incarnate Word Retirement Community, Inc
13
Facility 13
TX AVG 6
Rank #709 / 840
49-
Heartis San Antonio
AL
MC
RC
San Antonio (San Antonio International Airport Vicinity)
186
Facility 186
TX AVG 78
Rank #21 / 981
Yes
49
Facility 49
TX AVG 42
Rank #541 / 1346
-CHeartis San Antonio Partners LP
15
Facility 15
TX AVG 6
Rank #732 / 840
105Studio / 1 Bed / 2 Bed
Isle at Watercrest – Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 78
Rank #64 / 981
No
9
Facility 9
TX AVG 42
Rank #1242 / 1346
--Dsl Tenant II, LLC
4
Facility 4
TX AVG 6
Rank #293 / 840
13Studio / 1 Bed / 2 Bed
Gemstone Senior Living at Northstar
AL
MC
San Antonio (North Central)
-Yes
62
Facility 62
TX AVG 42
Rank #248 / 1346
------Private / Semi-Private Rooms
Franklin Park Sonterra
AL
IL
San Antonio (Stone Oak)
70
Facility 70
TX AVG 78
Rank #499 / 981
No
53
Facility 53
TX AVG 42
Rank #431 / 1346
15
Facility 15
TX AVG 21
Rank #295 / 586
-Fam Sonterra Ltd
3
Facility 3
TX AVG 6
Rank #220 / 840
12-
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Overview of Sisters Care

Sisters Care provides specialized non-medical home care directly to older adults residing throughout the Uptown Central area of San Antonio, Texas. Rather than utilizing a central campus or care facility layout, this visiting agency brings support directly into a client’s private house, enabling seniors to stay in comfortable, familiar surroundings. Caregivers adapt to individual household routines by offering flexible assistance schedules that range from brief daytime visits to round-the-clock supervision.

The neighborhood surrounding the agency’s regional office holds a walkability score of 62 out of 100, meaning local coordinators and visiting relatives can manage a handful of basic retail tasks on foot. Care plans cover essential day-to-day operations like bathing, grooming, oral hygiene, medication reminders, meal preparation, and light laundry chores.

The organization extends its core services to cover short-term post-operative recovery, temporary family caregiver respite, and supportive palliative or hospice care during serious or advanced illness.

Interested individuals can get in touch with the San Antonio office to verify current service availability and request an hourly rate structure.

Contact Sisters Care

Overview of Morningside at the Meadows

Located in San Antonio, Texas, Morningside at the Meadows stands as a distinguished continuing care senior living community devoted to meeting the diverse needs of older adults. Providing an array of independent living options, Morningside at the Meadows creates an environment where seniors can relish the comforts of home without the burdens of maintenance. Whether one seeks independent living, assisted living, long-term care, or transitional care, Morningside at the Meadows provides a welcoming and enriching environment for seniors to embrace as their home.
Conveniently situated on Babcock Road, The Meadows radiates warmth, friendliness, and relaxation, seamlessly blending with the essence of senior living. Residents find elegant living spaces within the four-story Atrium Apartments, including studios and one- or two-bedroom residences. Accessible amenities encompass a state-of-the-art theater room, a modern gym, and delightful cuisine served at the Meadowlark Restaurant. The community is embraced by acres of scenic grounds, fostering a tranquil atmosphere. The outdoor experience is enhanced by picturesque gardens and well-maintained lawns, offering a serene setting.

Contact Morningside at the Meadows

Overview of Franklin Park Tpc Parkway

Franklin Park Tpc Parkway is a senior living community located at 21802 Encino Commons in San Antonio, Texas. Built in 2011, the campus provides independent living, assisted living, and specialized memory care, allowing residents to transition between levels of support.

The property is licensed for 125 beds, offering private cottages and apartments in layouts ranging from studios to three-bedroom options. Daily life is supported by an active life enrichment program, an exercise room, an outdoor pool, an on-site chapel, a library, and restaurant-style dining. For convenience, residents have access to concierge services, scheduled transportation, and visits from healthcare professionals, including podiatrists and dentists. The community welcomes pets and carries a walk score of 36, meaning the immediate neighborhood is mostly car-dependent.

Interested families can contact the Encino Commons administrative office directly to discuss care plans, check current apartment pricing, or arrange a personal tour.

Contact Franklin Park TPC Parkway

Overview of Blue Skies East Campus

Blue Skies of Texas East is a 24-bed nursing home at 4917 Ravenswood Dr in San Antonio’s Valley High North neighborhood, Bexar County. BST Health Services Corp. operates it; Air Force Village Inc is the owner. The community has been running for 14 years, is part of a Continuing Care Retirement Community, and accepts Medicare and private pay. Bianca Cardenas serves as Executive Director, with 13 years of experience in senior living.

Five care levels are available here: nursing home, assisted living, hospice care, independent living, and memory care. Residential options spread across a Hi-Rise, Mid-Rise, Cottages, and a development called The Hills. Occupancy sits at 68%, with 16 of 24 nursing home beds currently filled, and the average stay runs 109 days.

Nursing care totals 6 hours and 31 minutes per resident per day: 46 minutes from an RN, 1 hour and 22 minutes from an LPN or LVN, and 3 hours and 1 minute from nurse aides. Rehabilitation services, respite care, and 24-hour staffing are all on offer. CMS-recognized programs include an on-site Nurse Aide Training and Competency Evaluation Program and an Active Resident Council.

The amenity footprint is large relative to the nursing home’s 24-bed size, because this is a full CCRC campus. That means a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, outdoor walking trails, a billiard and game room, a library, a Sky Lounge, a 24-hour concierge, and interdenominational chapels. Dining draws on fresh, seasonal ingredients with a made-from-scratch approach. More than 70 activity groups are on the calendar.

State inspections by the Texas Health and Human Services Commission have covered medication management, and care planning and documentation. Walk Score is 47; the neighborhood is only somewhat walkable, and most errands require a car.

For a small nursing home, Blue Skies of Texas East presents an unusually broad care and amenity profile, which reflects its position as part of a larger campus with multiple residential tiers rather than a standalone skilled nursing facility.

Contact Blue Skies East Campus

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 Red Oak Memory Care

Red Oak Memory Care tops the list as a reliable choice when it comes to residential assisted living for dementia patients, offering specialized and licensed care tailored to seniors diagnosed with memory impairement. Their commitment to providing excellent services includes professional medication management and 24/7 CCTV security for residents’ safety. With comfortable private suites, a home air purification system, and dedicated staff, this facility also ensures a secure and homelike environment where residents and their families can feel at ease.
Situated in a peaceful neighborhood, Red Oak Memory Care prioritizes the dignity and respect of residents facing dementia challenges. Families seeking compassionate care for their loved ones will surely find reassurance in the facility’s dementia-friendly approach, proving itself as a trusted senior home and memory care provider in San Antonio, Texas.

Contact Red Oak Memory Care

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 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 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 Morningside at Menger Springs

Offering independent living, assisted living, memory care, and both transitional and long-term nursing care, Morningside at Menger Springs is a senior living community in the Cottages Under the Oaks neighborhood of Boerne, Texas. The community is set on 34 acres, giving residents the option to move between levels of care without relocating to a different community.

Residents can choose between cottages and apartment homes. This gives them the option of a more private, house-style setting or a traditional apartment layout. Daily life includes chef-prepared meals, housekeeping, laundry services, professional landscaping, and a regular calendar of community activities. Residents in memory care receive individualized care plans based on their specific needs, including support for injuries, physical disabilities, or illness.

The community has a covered pool, a library, and a putting green, giving residents different ways to stay active and socialize close to home. The area has a Walk Score of 24 out of 100, which is car-dependent. Most errands and outings require a car.

Families considering Morningside at Menger Springs should take a tour of the cottages and apartment homes to see which setting best fits their needs.

Contact Morningside at Menger Springs

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.