Page 6 of Best Assisted Living in San Antonio, TX

Why trust this guide? Our editorial team analyzed 62 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.
62 homes
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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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Red Oak Memory Care
AL
MC
San Antonio (Arboretum)
10
Facility 10
TX AVG 69
Rank #670 / 752
No
46
Facility 46
TX AVG 40
Rank #359 / 865
3
Facility 3
TX AVG 17
Rank #382 / 410
--
Pipestone Place
AL
MC
San Antonio (Oak Haven Heights)
16
Facility 16
TX AVG 69
Rank #565 / 752
No
22
Facility 22
TX AVG 40
Rank #653 / 865
---
Family Tree Private Care – San Antonio
AL
HC
MC
NH
San Antonio
-No
59
Facility 59
TX AVG 40
Rank #175 / 865
14
Facility 14
TX AVG 17
Rank #184 / 410
A+-
Villa de San Antonio
AL
IL
San Antonio (Northwest Side)
-Yes
51
Facility 51
TX AVG 40
Rank #276 / 865
-A-Studio / 1 Bed / 2 Bed
Landon Ridge Alamo Ranch Assisted Living & Memory Care
AL
MC
San Antonio (Far West Side)
-No
29
Facility 29
TX AVG 40
Rank #570 / 865
-AStudio / 1 Bed / 2 Bed
Gemstone Senior Living at Northstar
AL
MC
San Antonio (North Central)
-Yes
62
Facility 62
TX AVG 40
Rank #139 / 865
--Private / Semi-Private Rooms
Grandview of Westover Hills
AL
MC
San Antonio (Far West Side)
-No
33
Facility 33
TX AVG 40
Rank #529 / 865
--Studio / 1 Bed / 2 Bed / Semi-Private Rooms
Laurelhurst Assisted Living
AL
HOS
PC
San Antonio (Northwest Side)
-No
17
Facility 17
TX AVG 40
Rank #706 / 865
--Private Rooms
Franklin Park TPC Parkway
AL
IL
MC
San Antonio (Far North Central)
-Yes
36
Facility 36
TX AVG 40
Rank #495 / 865
---
Morningside at Menger Springs
AL
IL
MC
NH
SNF
Boerne (Cottages Under The Oaks)
-No
24
Facility 24
TX AVG 40
Rank #638 / 865
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Rank badges are statewide and care-type specific: each assisted living community is ranked against every other TX assisted living community we track that reports that metric, not just the 62 analyzed for San Antonio. See how we rank facilities

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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 Pipestone Place

Settling in the serene Pipestone Drive, San Antonio, TX, Pipestone Place Assisted Living is a blissful senior living community offering assisted living and memory care. With round-the-clock care and assistance from a well-trained and dedicated team, the community ensures the comfort and safety of its residents. Moreover, the community provides a personalized approach to its residents and a higher resident-to-team ratio to ensure that their needs are met. A cozy and warm residence for seniors to live in a comfortable and welcoming environment.

Pipestone Place is a welcoming community that delivers a family-centered approach to ensure that its residents are well-respected and receive the proper care they need. The community serves healthy and hearty meals based on personal needs and preferences to satisfy its residents’ dietary needs and preferences. Fostering meaningful connections among the community and its residents, Pipestone Place conducts specialized programs and cognitive and recreational activities for their enjoyment and leisure.

Contact Pipestone Place

Family Tree Private Care – San Antonio

901 Ne Interstate 410 Loop Suite 300, San Antonio, TX 78209
Overview of Family Tree Private Care – San Antonio

Family Tree Private Care is an exceptional in-home care provider that offers Care Giving, Private Nursing, and Care Management. With a team comprised of professional caregivers, private nurses, care managers, advisors, and dedicated people, Family Tree ensures a better quality of life within the comfort of home. Providing care for over a decade, Family Tree also provides long-term insurance and round-the-clock nursing support.

Family Tree combines compassion and professionalism in delivering the utmost care that seniors deserve. Assistance and care recognized in the industry, Family Tree Care fosters a family-like relationship with the team and seniors.

Contact Family Tree Private Care – San Antonio

Overview of Villa De San Antonio

Based in the tranquil neighborhood of San Antonio, TX, the Villa De San Antonio is an enticing senior living community that provides independent living and assisted living. Here, residents can choose from a wide array of spacious and pet-friendly accommodations with varying floor plans depending on their personal preferences. With its dedicated and skilled team, residents can receive round-the-clock services and in-home care.

Experience its outstanding amenities and services including restaurant-style dining with scratch-made gourmet menu and luxury cottages. Enjoy its fitness center, movie center, and beauty salon for both wellness activities and self-care. Meet new friends and create lasting connections within its beautiful space. Have fun with its jampacked, diverse and interactive social and recreational events. At Villa De San Antonio, seniors can enjoy a promising retirement.

Contact Villa de San Antonio

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 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

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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Assisted Living in San Antonio at a glance

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: 40/ 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: 67The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90
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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.