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Page 5 of Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 54 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
Jul 2026
We analyzed
54 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: 71The 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.

Brookdale Medical Center Whitby
AL
IL
MC
NH
SNF
San Antonio (Northwest Side)
60
Facility 60
TX AVG 80
Rank #572 / 976
Yes
38
Facility 38
TX AVG 41
Rank #782 / 1389
48
Facility 48
TX AVG 22
Rank #47 / 584
A+Febc-Alt Holdings Inc
0
Facility 0
TX AVG 6
Rank #1 / 823
--Suite
Saint Francis Nursing Home
AL
IL
NH
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #270 / 976
No
71
Facility 71
TX AVG 41
Rank #124 / 1389
54
Facility 54
TX AVG 22
Rank #1 / 584
--
4
Facility 4
TX AVG 6
Rank #245 / 823
22-
The Army Residence Community Health Care Center
AL
IL
MC
NH
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 80
Rank #771 / 976
No
6
Facility 6
TX AVG 41
Rank #1284 / 1389
39
Facility 39
TX AVG 22
Rank #119 / 584
-The Army Retirement Residence Foundation San Antonio Inc
7
Facility 7
TX AVG 6
Rank #586 / 823
16-
Blue Skies of Texas East
AL
HOS
IL
MC
NH
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 80
Rank #786 / 976
No
47
Facility 47
TX AVG 41
Rank #585 / 1389
14
Facility 14
TX AVG 22
Rank #326 / 584
-Bst Health Services Corp
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Bella Groves
AL
MC
RESC
Bulverde
16
Facility 16
TX AVG 80
Rank #797 / 976
No
4
Facility 4
TX AVG 41
Rank #1315 / 1389
--Bella Groves, Inc
0
Facility 0
TX AVG 6
Rank #1 / 823
--studio / 1 bed
Isle at Watercrest – Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 80
Rank #69 / 976
No
9
Facility 9
TX AVG 41
Rank #1239 / 1389
--Dsl Tenant II, LLC
0
Facility 0
TX AVG 6
Rank #1 / 823
--Studio / 1 Bed / 2 Bed
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 80
Rank #572 / 976
Yes
30
Facility 30
TX AVG 41
Rank #927 / 1389
48
Facility 48
TX AVG 22
Rank #47 / 584
A+Brookdale Senior Living Communities, Inc
1
Facility 1
TX AVG 6
Rank #151 / 823
1-Suite
The Gardens of Castle Hills
AL
MC
San Antonio (Jackson Keller Road)
31
Facility 31
TX AVG 80
Rank #768 / 976
No
54
Facility 54
TX AVG 41
Rank #407 / 1389
7
Facility 7
TX AVG 22
Rank #493 / 584
-Peridot Health LLC
1
Facility 1
TX AVG 6
Rank #151 / 823
1-Studio / Alcove / Suite / 1 Bed
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 80
Rank #101 / 976
Yes
44
Facility 44
TX AVG 41
Rank #645 / 1389
48
Facility 48
TX AVG 22
Rank #47 / 584
A+Brookdale Senior Living Inc
2
Facility 2
TX AVG 6
Rank #245 / 823
-2Studio
The Village at Incarnate Word
AL
HC
IL
MC
NH
SNF
San Antonio (Willshire Terrace)
60
Facility 60
TX AVG 80
Rank #572 / 976
No
75
Facility 75
TX AVG 41
Rank #67 / 1389
7
Facility 7
TX AVG 22
Rank #493 / 584
A+Incarnate Word Retirement Community, Inc
0
Facility 0
TX AVG 6
Rank #1 / 823
---
EdenHill Communities
AL
HOS
IL
MC
NH
RC
SNF
New Braunfels (Landa Park Estates)
64
Facility 64
TX AVG 80
Rank #554 / 976
No
5
Facility 5
TX AVG 41
Rank #1301 / 1389
--Eden Home, Inc
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Chapters Living of San Antonio
AL
IL
MC
NH
SNF
San Antonio (Far West Side)
64
Facility 64
TX AVG 80
Rank #554 / 976
Yes
20
Facility 20
TX AVG 41
Rank #1092 / 1389
--Ivq San Antonio Opco, LP
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Gemstone Senior Living at Oakwell
AL
MC
San Antonio (San Antonio International Airport Vicinity)
16
Facility 16
TX AVG 80
Rank #797 / 976
Yes
15
Facility 15
TX AVG 41
Rank #1165 / 1389
22
Facility 22
TX AVG 22
Rank #209 / 584
-Wholehearted Care Senior Living At Oakwell
2
Facility 2
TX AVG 6
Rank #245 / 823
11Private / Semi-Private Rooms
Pipestone Place
AL
MC
San Antonio (Oak Haven Heights)
16
Facility 16
TX AVG 80
Rank #797 / 976
No
22
Facility 22
TX AVG 41
Rank #1062 / 1389
--Sev, Inc
1
Facility 1
TX AVG 6
Rank #151 / 823
1--
Seasons Alzheimer’s Care
AL
MC
San Antonio (Uptown Central)
16
Facility 16
TX AVG 80
Rank #797 / 976
No
54
Facility 54
TX AVG 41
Rank #407 / 1389
12
Facility 12
TX AVG 22
Rank #370 / 584
-The Seasons On Tezel
4
Facility 4
TX AVG 6
Rank #398 / 823
13Private / Semi-Private
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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 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 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 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 Royal Estates of El Paso

Royal Estates of El Paso offers assisted and independent living in the Northwest El Paso neighborhood, where occupants and families can easily access from surrounding areas. It has served seniors for 28 years, developing profound experience in personalized residential care. Residents can select from studio, one-bedroom, and two-bedroom units, each thoughtfully designed to give them a home that matches their individual lifestyle and preferences.

For those needing daily living support, the facility provides 24/7 care under licensed nurses’ supervision. This means professional staff work at any hour to help with medication management, coordinate medical appointments, and assist with daily living activities. The staffing level lets residents feel secure knowing care is present all the time. The community’s common areas mirror a blend of modern design with classic touches, creating spaces that feel current and warm. Such areas serve as gathering places where occupants can socialize, join communal activities, and spend time together. The thoughtful design extends facility-wide, making the everyday environment delightful and cozy. The somewhat walkable neighborhood has a Walk Score of 41. Some nearby services are then within walking distance, with most outings and errands requiring transportation. For families visiting from around the greater El Paso area, the location is easy to reach and explore.

Contact Royal Estates of El Paso

Overview of Gemstone Senior Living at Northstar

Tucked away in the neighborhood of San Antonio, TX, Gemstone at Northstar is a blissful senior living community that offers assisted living and memory care services. The community offers a dedicated 24/7 team trained to deliver personalized care in a home-like setting that provides utmost comfort and security. A compassionate memory care team undergoes continuous training to make sure they consistently deliver up to date practices in memory care.

The community also conducts a wide variety of activities geared toward engagement and socialization, fostering a nurturing and vibrant living environment. Three nutritious home-cooked meals and snacks are offered daily to make sure residents always receive their daily nourishment and sustenance. With most of the tedious daily chores handled by the community, residents are free to focus on their wellbeing and enjoyment.

Contact Gemstone Senior Living at Northstar

Overview of Franklin Park Tpc Parkway

Whether individuals seek an independent living, assisted living places, or memory care, Franklin Park Tpc Parkway in San Antonio offers a stunning neighborhood for seniors to enjoy their golden years. The residence boasts an artistic design that surpasses expectations, seamlessly blending style and functionality.

They have a multitude of recreational amenities, including an activity center, fitness center, and various other offerings. Residents can find solace and inspiration in the chapel and library conveniently located on-site while benefiting from the convenience of concierge services and an on-site medical office. The dining experience is elevated with the serving of hometown favorites and traditional recipes that delight the palate. Positioned in the northeast area of San Antonio, the community is also surrounded by charming attractions, such as The Shops at La Cantera and The Village at Stone Oak, providing ample opportunities for exploration and leisure.

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 Morningside at Menger Springs

Morningside at Menger Springs is a captivating retirement community nestled on 34 acres of premier atmosphere. It offers independent living, assisted living, memory care, transitional care, and long-term care, and provides a spectrum of services and amenities that enhance the senior living experience. From on-site meals, housekeeping, and laundry services to community activities and professional landscaping, the community ensures ease and enjoyment. Safety is prioritized as well, particularly for those in need of memory care, with individualized care plans catering to various needs, including injuries, physical disabilities, and illnesses.
The competent staff and the availability of cottages alongside apartment homes further contribute to the community’s comprehensive offerings. Beyond its practical services, Morningside at Menger Springs boasts unique features such as a covered pool, library, putting green, and more, enriching the resident experience. With a commitment to creating a comfortable and engaging environment, this community stands out as an exceptional choice for seniors seeking a vibrant and supportive living space.

Contact Morningside at Menger Springs

Overview of The William Senior Living

About 8.9 miles from the city center, The William Senior Living is part of Aventine’s network of senior living communities and is located at 9203 Cinnamon Hill Dr in San Antonio’s Northwest Side neighborhood. It offers residential assisted living and memory care housing choices in a home-like setting tailored with safety and security in mind.

Residents benefit from a professional and compassionate care team dedicated to bolstering holistic wellness. The facility’s approach underscores meaningful engagement. Assisted living occupants can stay independent through support with daily tasks, access to vibrant social activities, and help with scheduled medical appointments. Memory care residents receive stimulating care plans tailored to individual needs, with regular access to courtyards and outdoor space for family visits and activities. The community stands near essential services, with Foundation Surgical Hospital of San Antonio only 0.44 miles away. The car-dependent area bears a Walk Score of 24. This means most errands and outings demand a vehicle, though the medical center location is near quality healthcare services.

For updated data about room availability, specific care services, pricing, and to arrange a tour, families can directly contact the home.

Contact The William Senior Living

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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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.