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Page 6 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
Other senior care options in San Antonio:

Video Tour: Top-rated Assisted Living facilities in San Antonio, Texas.

Watch this Video to see San Antonio's Top-rated Senior Communities
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 Grandview of Westover Hills

Conveniently located in the harmonious neighborhood of San Antonio, TX, Grandview of Westover Hills is a trusted community that offers assisted living and memory care. Residents, including those with cognitive conditions, enjoy the highest quality of care for their unique needs with a respectful and highly trained team available around the clock. The community strives to meet residents’ needs with a registered nurse on site.

Here, residents will not feel lonely with plenty of fun recreational activities and engaging programs for their leisure and wellness. Delightful and healthy meals are also served for residents to have the finest dining experience that caters to their dietary needs and preferences. Amenities include a barber shop, a fitness center, a theater, and a beauty parlor, creating the perfect setting for residents to live a worry-free retirement.

Contact Grandview of Westover Hills

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

Overview of Discovery Village Stone Oak

Discovery Village Stone Oak is a senior living community in San Antonio, Texas, within Bexar County. Managed by VOP Encino Commons, LLC, this 125-bed community stands as one of the more expansive options in the north San Antonio region, providing active retirement living, assisted living, and memory support in a single location. The official Alzheimer’s certification validates its formal ability to assist residents facing dementia and other cognitive challenges.

The atmosphere is geared toward an energetic lifestyle filled with diverse features. Culinary options include meals crafted by professional chefs with table service and a private area for celebrations, often accompanied by happy hours and live musical performances. For recreation, older adults have access to a specialized gym, an outdoor pool offering water exercise, a cinema, a library, and a space for spiritual reflection. A hair salon, paved walking trails, concierge assistance, and scheduled transportation are also provided. Essential services like cleaning, laundry, and property upkeep are part of the monthly package, and a specific support program for veterans is a highlighted feature. The community is also pet-friendly.

State evaluations are performed by the Texas HHSC, with eight findings documented across different inspections. Two of these were health-related items, specifically involving the absence of a yearly fire marshal review and the proper handling of expired medications. The other six points concerned safety standards, such as kitchen protection measures, the storage of flammable materials, and oxygen handling protocols. These issues were addressed and resolved between late 2022 and early 2024. No administrative penalties were issued following this review.

Discovery Village Stone Oak is an excellent choice for families in the north San Antonio area looking for a comprehensive campus that allows residents to transition from independent housing to more intensive support without changing their address. Its resort-style setting and wide-ranging activity schedule also appeal to those who value social interaction, organized events, and high-end hospitality services alongside their personal care.

Contact Discovery Village Stone Oak

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 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

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 Landon Ridge Alamo Ranch Assisted Living & Memory Care

Regarded as US News’ Best Assisted Living from 2023 to 2024, Landon Ridge Alamo Ranch Assisted Living and Memory Care is an extraordinary senior living community set in the ethereal Alamo Ranch Parkway, San Antonio, TX, providing assisted living and memory care. Live in comfort and luxury within the snug and sophisticated residences of the community with its various studio, one-bedroom, and two-bedroom floor plans. A competent and highly qualified team provides top-tier care and support for seniors to maximize their freedom and experience new things during retirement.

Landon Ridge Alamo Ranch promotes a bright and inviting community, paving the way for seniors to interact with the community and lead a meaningful life. With engaging activities and exciting events, residents discover new interests and relive past hobbies for leisure and wellness. Have the finest dining experience with delectable and nutritious meals catering to dietary needs and tastes. Spend your golden years creating unforgettable moments within the elegant spaces of Landon Ridge Alamo Ranch Assisted Living and Memory Care.

Contact Landon Ridge Alamo Ranch Assisted Living & Memory Care

Overview of Sodalis Elder Living Stone Oak Assisted Living

Sodalis Elder Living Stone Oak is a licensed Type B senior living community in San Antonio, TX, offering assisted living, short-term respite care, and specialized memory support. Managed by Sodalis Elder Living Stone Oak Assisted Living, this 66-bed community holds a formal Alzheimer’s certification, ensuring a dedicated standard of care for those with cognitive loss. While the Stone Oak location is fully car-dependent with a walk score of 0, essential transportation services are provided for residents to manage off-campus errands and appointments.

Daily life within this community is anchored by Texas-inspired dining, where three meals a day and snacks, customized to residents’ dietary needs, are provided. A variety of social and wellness features, including a bistro, a TV lounge, a chapel, and an on-site therapy room, are also available. For personal care, a spa-like salon and barber shop are available, while the outdoors feature a landscaped courtyard and covered patio. The community is pet-friendly and maintains a wireless emergency response system for added security. Activities are coordinated by a dedicated director to ensure older adults stay engaged across all levels of care.

The community has received eight citations throughout its current operation, with the majority of which related to Life Safety Codes, such as smoke detector maintenance and fire alarm documentation. However, a more significant administrative penalty was issued in May 2024. This action addressed concerns regarding medication administration and the protection of residents against abuse or neglect. While earlier safety findings were largely historical, this recent penalty focuses on core care obligations, and families are encouraged to speak directly with the leadership team about the specific improvements made since 2024.

For families in Bexar County seeking a mid-sized setting with certified memory support, Sodalis Elder Living Stone Oak offers a robust amenity package in a professional environment. Those considering this community should balance the comprehensive on-site therapy and dining programs with a focused review of recent state reports.

Contact Sodalis Elder Living Stone Oak Assisted Living, LLC

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

Weighting overview

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

Resident & Family Experience 35%

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

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

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

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

Visual Media & Transparency 15%

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

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

Website & Operator Transparency 10%

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

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

Community Stability 10%

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

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

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

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.