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
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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
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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
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 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 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

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

Overview of Franklin Park Tpc Parkway

Franklin Park Tpc Parkway is a senior living community located at 21802 Encino Commons in San Antonio, Texas. Built in 2011, the campus provides independent living, assisted living, and specialized memory care, allowing residents to transition between levels of support.

The property is licensed for 125 beds, offering private cottages and apartments in layouts ranging from studios to three-bedroom options. Daily life is supported by an active life enrichment program, an exercise room, an outdoor pool, an on-site chapel, a library, and restaurant-style dining. For convenience, residents have access to concierge services, scheduled transportation, and visits from healthcare professionals, including podiatrists and dentists. The community welcomes pets and carries a walk score of 36, meaning the immediate neighborhood is mostly car-dependent.

Interested families can contact the Encino Commons administrative office directly to discuss care plans, check current apartment pricing, or arrange a personal tour.

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

Offering independent living, assisted living, memory care, and both transitional and long-term nursing care, Morningside at Menger Springs is a senior living community in the Cottages Under the Oaks neighborhood of Boerne, Texas. The community is set on 34 acres, giving residents the option to move between levels of care without relocating to a different community.

Residents can choose between cottages and apartment homes. This gives them the option of a more private, house-style setting or a traditional apartment layout. Daily life includes chef-prepared meals, housekeeping, laundry services, professional landscaping, and a regular calendar of community activities. Residents in memory care receive individualized care plans based on their specific needs, including support for injuries, physical disabilities, or illness.

The community has a covered pool, a library, and a putting green, giving residents different ways to stay active and socialize close to home. The area has a Walk Score of 24 out of 100, which is car-dependent. Most errands and outings require a car.

Families considering Morningside at Menger Springs should take a tour of the cottages and apartment homes to see which setting best fits their needs.

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

Overview of Sisters Care

Sisters Care provides specialized non-medical home care directly to older adults residing throughout the Uptown Central area of San Antonio, Texas. Rather than utilizing a central campus or care facility layout, this visiting agency brings support directly into a client’s private house, enabling seniors to stay in comfortable, familiar surroundings. Caregivers adapt to individual household routines by offering flexible assistance schedules that range from brief daytime visits to round-the-clock supervision.

The neighborhood surrounding the agency’s regional office holds a walkability score of 62 out of 100, meaning local coordinators and visiting relatives can manage a handful of basic retail tasks on foot. Care plans cover essential day-to-day operations like bathing, grooming, oral hygiene, medication reminders, meal preparation, and light laundry chores.

The organization extends its core services to cover short-term post-operative recovery, temporary family caregiver respite, and supportive palliative or hospice care during serious or advanced illness.

Interested individuals can get in touch with the San Antonio office to verify current service availability and request an hourly rate structure.

Contact Sisters 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.