Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.

Other Senior care options in Bexar County:

Best Nursing Homes in Bexar County, TX

Reviewed by Dr. Jordan Weiss
Updated Dec 2025
We analyzed 7 homes in Bexar County, TX

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in Bexar County, Texas.

Watch this Video to see Bexar County's Top-rated Senior Communities

Compare Nursing Homes around Bexar County

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

6 facilities compared · CMS & TX Dept. of Health data

Click column headers to sort
River City Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

San Antonio (Eastside Promise Neighborhood)
92
Facility 92
TX AVG 80
Rank #410 / 987
45.7%
Facility 45.7%
TX AVG 63.5%
Rank #251 / 297
-28%
3.63
Facility 3.63
TX AVG 3.63
Rank #122 / 289
+37%0%
$23.1k
Facility $23.1k
TX AVG $81.8k
Rank #145 / 294
32
Facility 32
TX AVG 25.9
Rank #223 / 292
5.3
Facility 5.3
TX AVG 3.7
Rank #268 / 292
241-
68
Facility 68
TX AVG 41
Rank #158 / 1392
-
$4.4M
Facility $4.4M
TX AVG $8.4M
Rank #285 / 297
$2.1M
Facility $2.1M
TX AVG $3.5M
Rank #287 / 297
48%
Facility 48%
TX AVG 47%
Rank #124 / 297
675896
The Towers on Park Lane
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

San Antonio (Near East Side)
124
Facility 124
TX AVG 80
Rank #179 / 987
67.9%
Facility 67.9%
TX AVG 63.5%
Rank #140 / 297
+7%
4.15
Facility 4.15
TX AVG 3.63
Rank #62 / 289
-49%+14%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 294
54
Facility 54
TX AVG 25.9
Rank #281 / 292
3.9
Facility 3.9
TX AVG 3.7
Rank #204 / 292
-95-
11
Facility 11
TX AVG 41
Rank #1215 / 1392
Towers Park Healthcare, Inc.
$15.4M
Facility $15.4M
TX AVG $8.4M
Rank #60 / 297
$8.4M
Facility $8.4M
TX AVG $3.5M
Rank #38 / 297
54.8%
Facility 54.8%
TX AVG 47%
Rank #64 / 297
675509
Buena Vida Nursing and Rehab Center San Antonio
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

San Antonio (East Side)
222
Facility 222
TX AVG 80
Rank #9 / 987
27.6%
Facility 27.6%
TX AVG 63.5%
Rank #279 / 297
-57%
3.48
Facility 3.48
TX AVG 3.63
Rank #140 / 289
+31%-4%
$227.9k
Facility $227.9k
TX AVG $81.8k
Rank #278 / 294
44
Facility 44
TX AVG 25.9
Rank #256 / 292
4.4
Facility 4.4
TX AVG 3.7
Rank #235 / 292
366A+
26
Facility 26
TX AVG 41
Rank #1005 / 1392
West Wharton County Hospital District
$6.7M
Facility $6.7M
TX AVG $8.4M
Rank #254 / 297
$3.2M
Facility $3.2M
TX AVG $3.5M
Rank #254 / 297
47.3%
Facility 47.3%
TX AVG 47%
Rank #137 / 297
455390
Mystic Park Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Far West Side)
119
Facility 119
TX AVG 80
Rank #255 / 987
81.8%
Facility 81.8%
TX AVG 63.5%
Rank #51 / 297
+29%
3.50
Facility 3.50
TX AVG 3.63
Rank #140 / 289
-5%-4%
$111.1k
Facility $111.1k
TX AVG $81.8k
Rank #251 / 294
21
Facility 21
TX AVG 25.9
Rank #147 / 292
4.2
Facility 4.2
TX AVG 3.7
Rank #222 / 292
2107A+
59
Facility 59
TX AVG 41
Rank #311 / 1392
Fox Sparrow Healthcare, Inc.
$14.5M
Facility $14.5M
TX AVG $8.4M
Rank #78 / 297
$6.7M
Facility $6.7M
TX AVG $3.5M
Rank #66 / 297
46.5%
Facility 46.5%
TX AVG 47%
Rank #149 / 297
676012
Westover Hills Rehabilitation and Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Far West Side)
124
Facility 124
TX AVG 80
Rank #179 / 987
81.0%
Facility 81.0%
TX AVG 63.5%
Rank #60 / 297
+28%
3.87
Facility 3.87
TX AVG 3.63
Rank #76 / 289
+6%+7%
$35.8k
Facility $35.8k
TX AVG $81.8k
Rank #176 / 294
29
Facility 29
TX AVG 25.9
Rank #207 / 292
2.6
Facility 2.6
TX AVG 3.7
Rank #71 / 292
2107-
32
Facility 32
TX AVG 41
Rank #902 / 1392
Sage Terrace Healthcare LLC
$15.3M
Facility $15.3M
TX AVG $8.4M
Rank #67 / 297
$7.9M
Facility $7.9M
TX AVG $3.5M
Rank #49 / 297
51.7%
Facility 51.7%
TX AVG 47%
Rank #85 / 297
676281
San Pedro Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Monte Vista)
150
Facility 150
TX AVG 80
Rank #65 / 987
12.7%
Facility 12.7%
TX AVG 63.5%
Rank #287 / 297
-80%
3.63
Facility 3.63
TX AVG 3.63
Rank #122 / 289
+2%0%
$53.9k
Facility $53.9k
TX AVG $81.8k
Rank #199 / 294
43
Facility 43
TX AVG 25.9
Rank #253 / 292
3.9
Facility 3.9
TX AVG 3.7
Rank #204 / 292
519A+
79
Facility 79
TX AVG 41
Rank #38 / 1392
West Ashby Healthcare, Inc.
$12.1M
Facility $12.1M
TX AVG $8.4M
Rank #117 / 297
$6.1M
Facility $6.1M
TX AVG $3.5M
Rank #88 / 297
50.8%
Facility 50.8%
TX AVG 47%
Rank #96 / 297
455689
Overview of River City Care Center

Enjoy a comfortable recovery in River City Care Center, an excellent community in San Antonio, TX designed for skilled nursing and rehabilitation. The community also caters to residents living with the challenges of memory loss through their comprehensive memory care plans. Residents find peace of mind from having a dependable team of care experts available to support their daily activities and attend to their emergencies 24/7.

Fostering an active lifestyle, the community also features a wide array of fun and stimulating activities for residents’ enjoyment. With delicious and nutritionally-balanced meals, the community makes sure residents maintain healthy eating habits. The community also makes sure residents are liberated from their household responsibilities, giving them more time to spend on their happiness and well-being.

Contact River City Care Center

Overview of The Towers on Park Lane

Settled in the beautiful community of San Antonio, TX, the Towers on Park Lane is a welcoming senior living community that provides independent living services. Spacious and cozy accommodations ranging from one-bedroom to two-bedroom and three-bedroom are available for its residents. Having a highly skilled and dedicated team, this community is focused on engaging its residents in an active lifestyle while enjoying independence.

Committed to offering exceptional amenities and services, residents can enjoy fine dining and catering, club 22, walking trails and park, and an indoor pool. Engage in various social activities in the community rooms, woodworking shop, and garden to boost engagement. Enhance health and wellness by joining exercise groups, club fitness, and fitness goals assessments. With the Towers on Park Lane, seniors are guaranteed a one-of-a-kind and truly empowering living.

Contact The Towers on Park Lane

Overview of Buena Vida Nursing and Rehab Center San Antonio

Ideally nestled in the quiet area of San Antonio, TX, Buena Vida Nursing and Rehab Center San Antonio provides a safe and secure setting for skilled nursing, rehabilitation, and memory care. Their team of kind and experienced caregivers works hard to meet residents’ unique needs with personalized care plans tailored to their preferences and care requirements. From daily living assistance to therapy services, the community provides all the comfort residents need to thrive.

Residents also enjoy an array of fun and engaging activities tailored to their interests and capabilities. A team of culinary experts carefully prepares healthy, nutritious, and delicious meals to make sure residents receive proper nourishment and nutrition. Here, everyone is guaranteed to enjoy a speedy recovery or maintain their maximum functionality to continue enjoying their golden years.

Contact Buena Vida Nursing and Rehab Center San Antonio

Overview of Mystic Park Nursing and Rehabilitation Center

Set in the proximity of Nani Falcone Community Park in Mystic Park, San Antonio, TX, Mystic Park Nursing and Rehabilitation Center is an astounding community that specializes in skilled nursing and in-house therapy. Here, residents are guaranteed to receive the highest quality of care with the community’s comprehensive services tailored to their healthcare needs. With hands-on therapy services, residents can opt for short-term and long-term care depending on their needs.

Aside from comprehensive care, the community also conducts fun activities and engaging programs for residents’ enjoyment and wellness. Physical, occupational, and speech therapy are provided to enhance residents’ well-being. With a variety of care provided by a specially trained team including wound care, neurological conditions, lymphedema, and pulmonary programs, residents can rest assured of meeting their needs. The community is great for those who need additional support to live their golden years comfortably.

Contact Mystic Park Nursing and Rehabilitation Center

Overview of Westover Hills Rehabilitation and Healthcare Center

Conveniently nestled in San Antonio, TX, Westover Hills Rehabilitation and Healthcare Center is a warm and dependable community designed to support residents with their recovery. They collaborate closely with residents, their families, and healthcare providers in creating an effective care plan tailored to their needs. The community also features an in-house therapy team that uses advanced therapeutic approaches to help residents regain their strength and overall functionality.

Residents’ schedules are packed with an array of fun and enriching activities tailored to their preferences and skills for an active lifestyle. In addition to nutritionally balanced meals, the community provides the convenience of housekeeping services for residents’ comfort. Here, residents are guaranteed to maintain their highest functionality to continue enjoying life.

Contact Westover Hills Rehabilitation and Healthcare Center

Overview of San Pedro Manor

San Pedro Manor is a distinguished community situated in the charming neighborhood of West Ashley Pl, San Antonio, TX, providing in-house therapy and skilled nursing. With its dedication to improving residents’ welfare, the community utilizes a holistic approach to care tailored to their unique needs. Keep peace of mind with a compassionate and specially trained team helping with your day-to-day activities 24/7.

Enjoy fun activities and engaging programs, aiming to keep residents active and socially connected. Physical, occupational, and speech therapy, alongside wound care, memory care, and pulmonary programs are provided to meet residents’ healthcare needs. Receive the utmost care and support you deserve with the community’s top-notch care and specially designed amenities.

Contact San Pedro Manor

Overview of Sisters Care

Based in Broadway, San Antonio, TX, Sisters Care is a distinct community that offers in-home care. With its dedication to improving older adults’ quality of life, the community delivers top-notch care and assistance anytime whenever necessary to the comforts of their homes. As a not-for-profit community, the community prioritizes the unique needs of older adults with its comprehensive care services.

The community assists with personal needs and household responsibilities to ensure residents’ comfort and safety. To ease loneliness, the community provides genuine companionship and listens to residents’ stories to better understand their needs and preferences. Medication reminder, incontinence care, transfer assistance are also offered for residents’ convenience and safety. There’s no need worry about meal preparation with the community helping with planning and preparation of your preferred meals. Spend your retirement while receiving the community’s dedicated care in the safety of your home.

Contact Sisters Care

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Nursing Homes in Bexar County, TX

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 nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 7 nursing homes in Bexar County, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Bexar County, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Bexar County, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Bexar County, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.