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Other Senior care options in Bexar County:

Best Nursing Homes in Bexar County, TX

Reviewed by Dr. Jordan Weiss
Updated Dec 2025
We analyzed 5 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.

5 facilities compared · CMS & TX Dept. of Health data · Updated May 2026

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
45.7%
Facility 45.7%
TX AVG 63.5%
Rank #211 / 252
-28%
3.63
Facility 3.63
TX AVG 3.63
Rank #109 / 240
+91%0%
2
Facility 2
TX AVG 1.8
32
Facility 32
TX AVG 25.9
Rank #191 / 243
5.3
Facility 5.3
TX AVG 3.7
Rank #226 / 243
2
Facility 2
TX AVG 2.5
41-
68
Facility 68
TX AVG 45
Rank #29 / 207
-
$4.4M
Facility $4.4M
TX AVG $8.4M
Rank #245 / 252
$1.9M
Facility $1.9M
TX AVG $3.5M
Rank #221 / 252
43%
Facility 43%
TX AVG 47%
Rank #49 / 230
675896
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
27.6%
Facility 27.6%
TX AVG 63.5%
Rank #235 / 252
-57%
3.48
Facility 3.48
TX AVG 3.63
Rank #121 / 240
+20%-4%
1
Facility 1
TX AVG 1.8
44
Facility 44
TX AVG 25.9
Rank #215 / 243
4.4
Facility 4.4
TX AVG 3.7
Rank #202 / 243
3
Facility 3
TX AVG 2.5
66A+
26
Facility 26
TX AVG 45
Rank #165 / 207
West Wharton County Hospital District
$6.7M
Facility $6.7M
TX AVG $8.4M
Rank #223 / 252
$2.9M
Facility $2.9M
TX AVG $3.5M
Rank #195 / 252
43.3%
Facility 43.3%
TX AVG 47%
Rank #57 / 230
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
81.8%
Facility 81.8%
TX AVG 63.5%
Rank #50 / 252
+29%
3.50
Facility 3.50
TX AVG 3.63
Rank #121 / 240
+9%-4%
1
Facility 1
TX AVG 1.8
21
Facility 21
TX AVG 25.9
Rank #125 / 243
4.2
Facility 4.2
TX AVG 3.7
Rank #191 / 243
2
Facility 2
TX AVG 2.5
107A+
59
Facility 59
TX AVG 45
Rank #47 / 207
Fox Sparrow Healthcare, Inc.
$14.5M
Facility $14.5M
TX AVG $8.4M
Rank #47 / 252
$5.9M
Facility $5.9M
TX AVG $3.5M
Rank #53 / 252
40.8%
Facility 40.8%
TX AVG 47%
Rank #129 / 230
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
81.0%
Facility 81.0%
TX AVG 63.5%
Rank #59 / 252
+28%
3.87
Facility 3.87
TX AVG 3.63
Rank #72 / 240
-24%+7%
3
Facility 3
TX AVG 1.8
29
Facility 29
TX AVG 25.9
Rank #175 / 243
2.6
Facility 2.6
TX AVG 3.7
Rank #65 / 243
2
Facility 2
TX AVG 2.5
107-
32
Facility 32
TX AVG 45
Rank #150 / 207
Sage Terrace Healthcare Llc
$15.3M
Facility $15.3M
TX AVG $8.4M
Rank #35 / 252
$6.9M
Facility $6.9M
TX AVG $3.5M
Rank #40 / 252
45.2%
Facility 45.2%
TX AVG 47%
Rank #100 / 230
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
12.7%
Facility 12.7%
TX AVG 63.5%
Rank #243 / 252
-80%
3.63
Facility 3.63
TX AVG 3.63
Rank #109 / 240
+20%0%
5
Facility 5
TX AVG 1.8
43
Facility 43
TX AVG 25.9
Rank #213 / 243
3.9
Facility 3.9
TX AVG 3.7
Rank #177 / 243
5
Facility 5
TX AVG 2.5
19A+
79
Facility 79
TX AVG 45
Rank #8 / 207
West Ashby Healthcare, Inc.
$12.1M
Facility $12.1M
TX AVG $8.4M
Rank #78 / 252
$5.4M
Facility $5.4M
TX AVG $3.5M
Rank #64 / 252
44.7%
Facility 44.7%
TX AVG 47%
Rank #105 / 230
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.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Exercise Programs

Contact River City Care Center

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.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: 2-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Recreational Activities

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Exercise Programs

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.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

Dining services icon
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Dining Services

Housekeeping icon
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Housekeeping Services

Transportation services icon
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Transportation Services

Recreational activities icon
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Recreational Activities

Exercise program icon
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Exercise Programs

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.

What does this home offer?

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Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
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Building Type: Single-story

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Dining Services

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Transportation Services

Housekeeping icon
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Housekeeping Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

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.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
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Building Type: 3-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Transportation services icon
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Transportation Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Contact San Pedro Manor

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
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Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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 5 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.