
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 | 2 | 2 | - |
| 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 | 1 | 6 | - |
| 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 | - | 2 | Studio |
| 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 | 1 | 1 | Private / 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 | 1 | 3 | Private / Semi-Private |
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.
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.
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.
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.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
01
Resident & Family Experience 35%
The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.
- Includes
- Review Sentiment
- Review Volume
02
Regulatory & Safety Record 25%
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
- Includes
- State Inspections
- Citations/Inspection
- % Inspections w/ Citations
- Complaint Visits
- Accreditations
- BBB Rating
03
Visual Media & Transparency 15%
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
- Includes
- Video Tours
- Virtual Walkthroughs
- Photo Quantity
- Photo Quality
04
Website & Operator Transparency 10%
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
- Includes
- Website Content
- Mobile Usability
- Staff Info Available
- Owner Info Available
05
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
06
Environment & Pricing 5%
Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.
- Includes
- Walk Score
- Pricing Transparency
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Frequently Asked Questions about Assisted Living in San Antonio, TX
What is the average cost of assisted living in San Antonio, TX?
The average monthly cost of assisted living in San Antonio, TX is approximately $3,900. Actual rates vary by community, level of care, and floorplan.
What is the price range for assisted living in San Antonio, TX?
Assisted living in San Antonio, TX typically ranges from $3,500–$6,400 per month, depending on the community, room type, and care needs.
What is the typical staff-to-resident ratio at assisted living facilities in San Antonio, TX?
Assisted living facilities in San Antonio, TX typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.
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.













