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Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 53 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
Jun 2026
We analyzed
53 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: 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: 68The 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.

Independence Hill
AL
IL
San Antonio (Stone Oak)
115
Facility 115
TX AVG 80
Rank #284 / 988
Yes
61
Facility 61
TX AVG 41
Rank #269 / 1391
39
Facility 39
TX AVG 22
Rank #122 / 583
A+Stone Oak Villas II Ltd
17
Facility 17
TX AVG 6
Rank #796 / 834
116Studio / 1 Bed / 2 Bed / Cottage
Brookdale Medical Center Whitby
AL
IL
MC
NH
San Antonio (Northwest Side)
60
Facility 60
TX AVG 80
Rank #583 / 988
Yes
38
Facility 38
TX AVG 41
Rank #784 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Febc-Alt Holdings Inc
0
Facility 0
TX AVG 6
Rank #1 / 834
--Suite
Discovery Village At Dominion
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 80
Rank #69 / 988
No
1
Facility 1
TX AVG 41
Rank #1346 / 1391
12
Facility 12
TX AVG 22
Rank #369 / 583
A+Dsl Tenant II, LLC----
Brookdale Maltsberger
AL
San Antonio (Uptown Central)
60
Facility 60
TX AVG 80
Rank #583 / 988
Yes
30
Facility 30
TX AVG 41
Rank #929 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Brookdale Senior Living Communities, Inc
1
Facility 1
TX AVG 6
Rank #150 / 834
1-Suite
Heritage Creek
AL
NH
San Antonio (Northwest Side)
52
Facility 52
TX AVG 80
Rank #664 / 988
No
9
Facility 9
TX AVG 41
Rank #1241 / 1391
13
Facility 13
TX AVG 22
Rank #349 / 583
A+Heritage Creek Assisted Living Inc
4
Facility 4
TX AVG 6
Rank #403 / 834
4--
Brookdale Oakwell
AL
MC
San Antonio (San Antonio International Airport Vicinity)
136
Facility 136
TX AVG 80
Rank #102 / 988
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1391
26
Facility 26
TX AVG 22
Rank #181 / 583
-Emeritus Properties IV, Inc
13
Facility 13
TX AVG 6
Rank #756 / 834
67Studio / Alcove
Brookdale Medical Center Kingsley
AL
MC
San Antonio (Northwest Side)
136
Facility 136
TX AVG 80
Rank #102 / 988
Yes
44
Facility 44
TX AVG 41
Rank #647 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Brookdale Senior Living Inc
2
Facility 2
TX AVG 6
Rank #244 / 834
-2Studio
Heartis San Antonio
AL
MC
San Antonio (San Antonio International Airport Vicinity)
186
Facility 186
TX AVG 80
Rank #23 / 988
Yes
49
Facility 49
TX AVG 41
Rank #543 / 1391
-C-Heartis San Antonio Partners LP
15
Facility 15
TX AVG 6
Rank #784 / 834
105Studio / 1 Bed / 2 Bed
The Inn at Los Patios
AL
IL
San Antonio (Macarthur Park)
30
Facility 30
TX AVG 80
Rank #782 / 988
Yes
37
Facility 37
TX AVG 41
Rank #808 / 1391
37
Facility 37
TX AVG 22
Rank #126 / 583
-Inn At Patios LLC
6
Facility 6
TX AVG 6
Rank #529 / 834
15Studio / 1 Bed / 2 Bed
Gemstone Senior Living at Oakwell
AL
MC
San Antonio (San Antonio International Airport Vicinity)
16
Facility 16
TX AVG 80
Rank #809 / 988
Yes
15
Facility 15
TX AVG 41
Rank #1167 / 1391
22
Facility 22
TX AVG 22
Rank #209 / 583
-Wholehearted Care Senior Living At Oakwell
2
Facility 2
TX AVG 6
Rank #244 / 834
11Private / Semi-Private Rooms
Seasons Alzheimer’s Care
AL
MC
San Antonio (Uptown Central)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
54
Facility 54
TX AVG 41
Rank #409 / 1391
12
Facility 12
TX AVG 22
Rank #369 / 583
-The Seasons On Tezel
4
Facility 4
TX AVG 6
Rank #403 / 834
13Private / Semi-Private
BeeHive Homes of Babcock Ridge
AL
RC
San Antonio (Northwest Side)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
56
Facility 56
TX AVG 41
Rank #367 / 1391
6
Facility 6
TX AVG 22
Rank #514 / 583
-Td Assisted Living LLC
6
Facility 6
TX AVG 6
Rank #529 / 834
6-Private Rooms
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
36
Facility 36
TX AVG 41
Rank #832 / 1391
7
Facility 7
TX AVG 22
Rank #488 / 583
-Parkway Assisted Living LLC---Suite
Brookdale Hamilton Wolfe
AL
MC
San Antonio (Northwest Side)
96
Facility 96
TX AVG 80
Rank #387 / 988
Yes
70
Facility 70
TX AVG 41
Rank #138 / 1391
48
Facility 48
TX AVG 22
Rank #46 / 583
A+Esc III LP
6
Facility 6
TX AVG 6
Rank #529 / 834
-6Studio / Suite / 1 Bed / 2 Bed
Parkway Assisted Living LLC
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 80
Rank #809 / 988
No
45
Facility 45
TX AVG 41
Rank #628 / 1391
7
Facility 7
TX AVG 22
Rank #488 / 583
-Parkway Assisted Living LLC
0
Facility 0
TX AVG 6
Rank #1 / 834
--Private / Semi-Private / Companion Suites
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Overview of Sodalis Elder Living Stone Oak Assisted Living, LLC

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, LLC, 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

Overview of The Village at Incarnate Word

The Village at Incarnate Word is a 60-bed nursing and rehabilitation community in San Antonio, Texas. It is operated by Incarnate Word Retirement Community, Inc., a voluntary nonprofit founded by the Sisters of Charity of the Incarnate Word. The facility offers nursing and rehabilitation, assisted living, independent living, memory care, and respite care. It accepts Medicare, Medicaid, and private pay. The facility holds a 5-star CMS overall rating, placing it among the top performers in the state. Across three inspections since 2023, the facility recorded 13 citations, roughly half the Texas average of 25.9, with zero critical or serious findings and no federal penalties in that period. Total nurse staffing averages 4 hours and 23 minutes per resident per day, 16% above the Texas average, with certified nurse aide staffing 36% above the state benchmark, ranking the facility 49th out of 289 Texas SNFs for total adjusted nursing hours. The occupancy rate is 91%, well above the Texas average of 63.5% and ranks 15th statewide, reflecting consistent local demand. The community has been voted the #1 Best Senior Living in San Antonio for three consecutive years from 2023 to 2025 by San Antonio Express-News Readers’ Choice. Long-stay hospitalization and emergency department rates are among the clearest clinical signals for the facility. Hospitalizations are 1.02 per 1,000 resident days, 52% below the state average, and ED visits are 0.60 per 1,000 resident days, 71% below the state average. The campus includes a Spiritual Life program, an active resident council, and a CCRC structure spanning multiple levels of care. In-home care services are also available. The Village at Incarnate Word fits older adults seeking a nonprofit, faith-affiliated continuum of care in San Antonio, from short-term rehabilitation through long-term skilled nursing and memory care, within a community that maintains strong staffing and a low-acuity compliance record.

Contact The Village at Incarnate Word

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

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.

How many licensed assisted living facilities are there in San Antonio, TX?

According to state licensing records, there are approximately ~80–100 licensed assisted living facilities in San Antonio, TX.

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.