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Best Memory Care in San Antonio, TX

Why trust this guide? Our editorial team analyzed 47 memory care communities in San Antonio, TX using Texas Health and Human Services (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank memory care in TX
Reviewed by
Last updated
Jun 2026
We analyzed
47 homes
Other senior care options in San Antonio:

Video Tour: Top-rated Memory Care facilities in San Antonio, Texas.

Watch this Video to see San Antonio's Top-rated Senior Communities
Avg Walk Score: 37/ 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: 88The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90

Compare Memory Care around San Antonio (Metro Area)

The information below is reported by the Texas Health and Human Services Commission.

Adante Assisted Living
MC
AL
San Antonio (San Antonio International Airport Vicinity)
90
Facility 90
TX AVG 80
Rank #419 / 988
No
43
Facility 43
TX AVG 41
Rank #664 / 1391
14
Facility 14
TX AVG 22
Rank #323 / 583
-Welltower Tcg Ridea Tenant, LLC
1
Facility 1
TX AVG 6
Rank #150 / 834
1-Studio / 1 Bed / 2 Bed
Brookdale Nacogdoches
MC
San Antonio (Uptown Central)
60
Facility 60
TX AVG 80
Rank #583 / 988
Yes
60
Facility 60
TX AVG 41
Rank #293 / 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
-1Suite
Brookdale Medical Center Whitby
MC
AL
IL
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
MC
AL
IL
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----
Poet’s Walk Memory Care San Antonio
MC
San Antonio (Presidio Parkway)
70
Facility 70
TX AVG 80
Rank #517 / 988
Yes
28
Facility 28
TX AVG 41
Rank #956 / 1391
10
Facility 10
TX AVG 22
Rank #421 / 583
B-Presidio Al Opco, LLC
2
Facility 2
TX AVG 6
Rank #244 / 834
2-Studio / Suite
Gemstone Senior Living at Castle Hills
MC
AL
HC
San Antonio (Jackson Keller Road)
160
Facility 160
TX AVG 80
Rank #44 / 988
No
54
Facility 54
TX AVG 41
Rank #409 / 1391
25
Facility 25
TX AVG 22
Rank #194 / 583
-Peridot Health LLC---Studio / 1 Bed
Brookdale Oakwell
MC
AL
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
MC
AL
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
Gemstone Senior Living at Oakwell
MC
AL
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
MC
AL
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
Buena Vida Nursing and Rehab Center San Antonio
MC
NH
San Antonio (East Side)
222
Facility 222
TX AVG 80
Rank #10 / 988
No
26
Facility 26
TX AVG 41
Rank #1005 / 1391
54
Facility 54
TX AVG 22
Rank #1 / 583
-----Private / Semi-Private Rooms
Mystic Park Nursing and Rehabilitation Center
MC
NH
San Antonio (Far West Side)
119
Facility 119
TX AVG 80
Rank #258 / 988
No
59
Facility 59
TX AVG 41
Rank #311 / 1391
22
Facility 22
TX AVG 22
Rank #209 / 583
--844Private / Semi-Private Rooms
San Pedro Manor
MC
NH
San Antonio (Monte Vista)
150
Facility 150
TX AVG 80
Rank #63 / 988
No
79
Facility 79
TX AVG 41
Rank #38 / 1391
35
Facility 35
TX AVG 22
Rank #132 / 583
A+-381919Private / Semi-Private Rooms
Wurzbach Nursing and Rehabilitation
MC
NH
RC
San Antonio (Northwest Side)
140
Facility 140
TX AVG 80
Rank #86 / 988
No
75
Facility 75
TX AVG 41
Rank #67 / 1391
43
Facility 43
TX AVG 22
Rank #112 / 583
C-
6
Facility 6
TX AVG 6
Rank #320 / 834
33-
Brookdale Hamilton Wolfe
MC
AL
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
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Overview of Landon Ridge – Alamo Ranch

Landon Ridge – Alamo Ranch is a licensed assisted living and memory care community in San Antonio, Texas, that provides both assisted living and Alzheimer ‘s-certified memory support. Managed by TCG Communities, LLC with a Type B license, the community stands as a major residential choice on the expanding northwest side of San Antonio. This 152-bed community also provides a helpful and energetic social setting for older adults in Bexar County.

Regarding state oversight, this community maintains a remarkably strong record of compliance. The latest thorough evaluation, performed on January 26, 2024, concluded with zero findings, meaning no Health Code or Life Safety Code deficiencies were documented. There are no enforcement actions on file, which compares positively to the Texas state average. This clean 2024 review serves as a significant mark of reliability for families who value regulatory excellence when exploring residential care options.

A library, hair salon, exercise room, greenhouse, cinema, strolling trails, and a space for games are among the available features. Chef-prepared meals in communal dining areas are covered by the monthly fee. Planned social gatherings and festivities with active schedules are created to encourage participation among both the assisted living and memory care groups.

Landon Ridge – Alamo Ranch is a good match for older adults and their families seeking a large, feature-rich environment with a history of regulatory success and competitive rates for various care levels in the Alamo Ranch and northwest San Antonio region.

Contact Landon Ridge – Alamo Ranch

Overview of Brookdale Hamilton Wolfe

Brookdale Hamilton Wolfe is a licensed assisted living and memory care community in San Antonio, Texas, that offers assisted living and memory support. Maintaining a Type A license in Bexar County, the community is operated by ESC III LP, a subsidiary of the nationally recognized Brookdale Senior Living organization. This pet-friendly community has a 96-bed capacity and holds an Alzheimer’s certification, making it a comprehensive option for individuals who value both companionship and structured cognitive care in northwest San Antonio.

Short-term respite stays are also available, offering flexibility for caregivers who need temporary support or transitional care arrangements.

The community’s latest inspection, completed on July 2, 2024, identified six state standard violations related to Life Safety Code requirements rather than direct resident care concerns. These violations included smoking policy compliance, fire alarm and smoke detection systems, ventilation requirements, and hazardous area construction standards. The correction dates associated with these findings ranged from January through March 2019, suggesting the records may reflect historical compliance items. Additionally, no Health Code violations or enforcement actions were reported, which compares favorably with the Texas average.

A fitness center, theater room, library, arts and crafts studio, café and bistro area, chapel, private dining space, landscaped courtyard, walking paths, guest accommodations, and a beauty and barber salon are among the amenities available. Structured daily activities also include wellness classes, creative workshops, games, and community events. Notably, the Clare Bridge memory care program provides specialized support and purposeful engagement for residents living with Alzheimer’s disease or other forms of dementia. The community also maintains wheelchair accessibility, emergency alert systems, and secured areas for resident safety.

With a combination of specialized dementia programming, pet-friendly policies, competitive pricing, and extensive resident amenities, Brookdale Hamilton Wolfe appeals to older adults seeking assisted living or memory care within a larger, amenity-rich setting operated by an established national provider in the San Antonio area.

Contact Brookdale Hamilton Wolfe

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 Brightstar Care

Delivering top-notch care and assistance, Brightstar Care is a distinguished community in San Antonio, TX, that offers in-home care services. With its commitment to improving older adults’ welfare, the community assists with day-to-day activities and housekeeping to ensure their comfort and convenience. There’s no need to leave your home to enjoy the highest quality of life with the community providing necessary care whenever necessary.

With a compassionate and well-trained team consisting of professional healthcare providers, older adults can rest assured of meeting their healthcare needs in the safety of their homes. Meal preparation and other household chores are cared for to ensure hassle-free living. The community is ideal for those who need assistance in living their golden years comfortably at the safety of their homes.

Contact BrightStar Care

Overview of Promise Senior Solutions

Promise Senior Solutions is an outstanding community in San Antonio, TX, that offers comprehensive in-home care services. Dementia care, respite care, and end-of-life care are also provided to meet residents’ ever-changing needs. With a kind and highly skilled team assisting with personal needs and handling light housekeeping, older adults can rest assured of living a worry-free lifestyle. Drop-in visits are also provided for those who need assistance with a certain number of time.

The community also provide genuine companionship to ease residents’ loneliness and understand their needs better. For their convenience, transportation services are provided to ensure they do not miss their medical appointments and attend their social events. Spend your golden years with the community’s top-notch care provided for your comfort and wellness.

Contact Promise Senior Solutions

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

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 Memory Care in San Antonio, TX

What is the average cost of memory care in San Antonio, TX?

The average monthly cost of memory care in San Antonio, TX is approximately $5,000. Actual rates vary by community, level of care, and floorplan.

What is the price range for memory care in San Antonio, TX?

Memory care in San Antonio, TX typically ranges from $4,000–$6,500 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at memory care communities in San Antonio, TX?

Memory care communities in San Antonio, TX typically operate with a staff-to-resident ratio in the range of 1:5–1:8.

How many licensed memory care communities are there in San Antonio, TX?

According to state licensing records, there are approximately 5+ (The Etta at Shavano Park, Memory Care of Westover Hills) licensed memory care communities 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.

Does Texas Medicaid cover memory care?

Texas Medicaid does not directly pay room-and-board for memory care, 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 memory care?

Memory care is a specialized form of assisted living for residents living with Alzheimer's disease or other forms of dementia, with secured environments, dementia-trained staff, and routines built to reduce confusion and wandering.