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
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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.
59 homes
Other senior care options in San Antonio:

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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-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. 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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.
Desert Sands Assisted Living LLC
AL
ADC
San Antonio
42
Facility 42
TX AVG 73
Rank #612 / 874
No
42
Facility 42
TX AVG 42
Rank #620 / 1,232
--Desert Sands Assisted Living LLC
11
Facility 11
TX AVG 6
Rank #664 / 839
110
Landon Ridge – Alamo Ranch
AL
MC
San Antonio
152
Facility 152
TX AVG 73
Rank #46 / 874
Yes---Tcg Communities, LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
16
EdenHill Communities
AL
HOS
IL
MC
NH
RC
SNF
New Braunfels (Landa Park Estates)
64
Facility 64
TX AVG 73
Rank #455 / 874
Yes
5
Facility 5
TX AVG 42
Rank #1,190 / 1,232
--Eden Home, Inc
12
Facility 12
TX AVG 6
Rank #680 / 839
111
Family Tree Private Care – San Antonio
AL
HC
MC
NH
San Antonio
-No
59
Facility 59
TX AVG 42
Rank #284 / 1,232
14
Facility 14
TX AVG 19
Rank #250 / 517
A+----
Independence Hill Assisted Living
AL
IL
San Antonio
115
Facility 115
TX AVG 73
Rank #190 / 874
Yes
35
Facility 35
TX AVG 42
Rank #769 / 1,232
--Stone Oak Villas II Ltd
9
Facility 9
TX AVG 6
Rank #602 / 839
-9
Pipestone Place
AL
MC
San Antonio (Oak Haven Heights)
16
Facility 16
TX AVG 73
Rank #682 / 874
No
22
Facility 22
TX AVG 42
Rank #964 / 1,232
--Sev, Inc
15
Facility 15
TX AVG 6
Rank #731 / 839
115
Sodalis Elder Living Stone Oak Assisted Living, LLC
AL
MC
RC
San Antonio
66
Facility 66
TX AVG 73
Rank #434 / 874
Yes---Sodalis Elder Living Stone Oak Assisted Living, LLC
9
Facility 9
TX AVG 6
Rank #602 / 839
18
Always For You Assisted Living
AL
San Antonio (Far West Side)
6
Facility 6
TX AVG 73
Rank #853 / 874
No
47
Facility 47
TX AVG 42
Rank #531 / 1,232
---
11
Facility 11
TX AVG 6
Rank #664 / 839
101
Villa de San Antonio
AL
IL
San Antonio (Northwest Side)
-Yes
51
Facility 51
TX AVG 42
Rank #437 / 1,232
-A-----
Red Oak Memory Care
AL
MC
San Antonio (Arboretum)
10
Facility 10
TX AVG 73
Rank #792 / 874
No
46
Facility 46
TX AVG 42
Rank #554 / 1,232
3
Facility 3
TX AVG 19
Rank #487 / 517
-----

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 59 analyzed for San Antonio. See how we rank facilities

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Overview of Desert Sands Assisted Living

Desert Sands Assisted Living 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 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 Landon Ridge – Alamo Ranch

Landon Ridge, Alamo Ranch offers assisted living and memory care in San Antonio, TX. Assisted living provides help with daily tasks, while memory care provides a secured setting with supervision for someone at risk of wandering. With both care levels available in one community, Landon Ridge, Alamo Ranch may be a good fit for a resident whose care needs may grow over time because moving between assisted living and memory care does not require leaving the community.

The community has 152 beds. Starting prices are $3,595 for assisted living and $3,495 for memory care, giving families care-specific figures for initial cost planning. Respite care is available for short stays, which can help when a family caregiver needs temporary coverage. Tcg Communities operates the community.

Chef-prepared meals are served in shared dining spaces, giving residents prepared meals in a communal setting. A greenhouse and walking paths provide places for gardening and outdoor walks. The beauty salon, theatre, library, game room and fitness center offer on-site options for personal care, entertainment, reading, games and exercise. Pets are allowed, so a resident may continue living with a pet.

A culinary program gives residents a food-focused activity, and rehabilitation services are available for residents who need therapy as part of their care.

Contact Landon Ridge – Alamo Ranch

Overview of EdenHill Communities

EdenHill Communities offers independent living, assisted living, and memory care with additional options such as skilled nursing and rehabilitation. For over 100 years, the life plan community has gained the trust of many families over the years, as proven by their excellent and dignified service. This faith-based and non-profit community is dedicated to enriching the lives of seniors to continue living purposeful lives while growing as individuals. EdenHill is a place where residents can thrive, where their needs are being satisfied, and where goals are being achieved. 
EdenHill’s Communities is spread over their beautiful 27-acre campus which creates a home-like atmosphere for seniors to feel a sense of belonging. The team at EdenHill proudly provides a list of helpful amenities and services that encourage a wonderful social life– a private dining room for family gatherings, restaurant-style dining, bingo activities, fitness activities, and other special events or celebrations for all residents to take part in. Management allows visitations and overnight stays for the families of residents. 

Contact EdenHill Communities

Family Tree Private Care – San Antonio

901 Ne Interstate 410 Loop Suite 300, San Antonio, TX 78209
Overview of Family Tree Private Care – San Antonio

Family Tree Private Care is an exceptional in-home care provider that offers Care Giving, Private Nursing, and Care Management. With a team comprised of professional caregivers, private nurses, care managers, advisors, and dedicated people, Family Tree ensures a better quality of life within the comfort of home. Providing care for over a decade, Family Tree also provides long-term insurance and round-the-clock nursing support.

Family Tree combines compassion and professionalism in delivering the utmost care that seniors deserve. Assistance and care recognized in the industry, Family Tree Care fosters a family-like relationship with the team and seniors.

Contact Family Tree Private Care – San Antonio

Overview of Independence Hill Assisted Living

Independence Hill Assisted Living offers assisted living and independent living in San Antonio, Texas. Assisted living provides help with daily tasks while a resident keeps an apartment, while independent living provides private living with community services and no daily care. Having both care levels on one campus may suit a resident whose needs could change over time, since moving from independent living to assisted living can happen without leaving the community.

The community has 115 beds, with studio and one bedroom apartments. A studio offers one private living space, while an apartment with one bedroom separates the sleeping and living areas. Respite care is available for short stays when a family caregiver needs to travel or recover.

Residents can exercise in the fitness center or swimming pool, and spend free time in the movie theater, library, coffee pub, beauty and barber shop, walking paths, or gazebo. Organized activities include games, music, movies, arts and crafts, and excursions, with options both inside and beyond the community. Restaurant style dining provides three meals a day, so residents do not need to prepare every meal themselves.

Pets are allowed, which lets residents continue living with their pets. Rehabilitation services support residents working toward mobility or other functional goals, while wheelchair accessibility helps residents who use wheelchairs move through the community. A Walk Score of 35 / 100 places the area in a car dependent setting, so most errands require a car or a ride; Stone Oak Villas Ii operates the community.

Contact Independence Hill Assisted Living

Overview of Pipestone Place

Settling in the serene Pipestone Drive, San Antonio, TX, Pipestone Place Assisted Living is a blissful senior living community offering assisted living and memory care. With round-the-clock care and assistance from a well-trained and dedicated team, the community ensures the comfort and safety of its residents. Moreover, the community provides a personalized approach to its residents and a higher resident-to-team ratio to ensure that their needs are met. A cozy and warm residence for seniors to live in a comfortable and welcoming environment.

Pipestone Place is a welcoming community that delivers a family-centered approach to ensure that its residents are well-respected and receive the proper care they need. The community serves healthy and hearty meals based on personal needs and preferences to satisfy its residents’ dietary needs and preferences. Fostering meaningful connections among the community and its residents, Pipestone Place conducts specialized programs and cognitive and recreational activities for their enjoyment and leisure.

Contact Pipestone Place

Overview of Sodalis Elder Living Stone Oak Assisted Living

Sodalis Elder Living Stone Oak Assisted Living provides assisted living, memory care, and respite care in San Antonio, Texas. Assisted living includes help with bathing, dressing, medication management, and other daily tasks while the resident lives in an apartment. Memory care offers a secured setting with supervision for someone who may be at risk of wandering, while respite care provides a short stay when a family caregiver needs temporary support.

The community has 66 beds, with studio and one bedroom apartments available. A studio offers one private living space, while a one bedroom apartment separates the sleeping area from the main living space. Having assisted living and memory care in the same community may suit a resident whose care needs grow over time without requiring a move elsewhere.

Residents can use rehabilitation services and a salon. Texas inspired cuisine and traditional home cooking can be customized for personal preferences or special dietary needs, and the landscaped courtyard and covered patio offer places to spend time outdoors. Pets are allowed, so residents may keep a pet with them.

Contact Sodalis Elder Living Stone Oak Assisted Living, LLC

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 Villa De San Antonio

Based in the tranquil neighborhood of San Antonio, TX, the Villa De San Antonio is an enticing senior living community that provides independent living and assisted living. Here, residents can choose from a wide array of spacious and pet-friendly accommodations with varying floor plans depending on their personal preferences. With its dedicated and skilled team, residents can receive round-the-clock services and in-home care.

Experience its outstanding amenities and services including restaurant-style dining with scratch-made gourmet menu and luxury cottages. Enjoy its fitness center, movie center, and beauty salon for both wellness activities and self-care. Meet new friends and create lasting connections within its beautiful space. Have fun with its jampacked, diverse and interactive social and recreational events. At Villa De San Antonio, seniors can enjoy a promising retirement.

Contact Villa de San Antonio

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

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.