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Why trust this guide?
Our editorial team analyzed 23 nursing homes in San Antonio, TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Video Tour: Top-rated Nursing Homes facilities in San Antonio, Texas.
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Avg Overall CMS Rating:3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in San Antonio, TX. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.2/ 5The average Staffing Rating across all CMS-certified nursing homes in San Antonio, TX. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.7/ 5The average Health Inspection Rating across all CMS-certified nursing homes in San Antonio, TX. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
Compare Nursing Homes around San Antonio (Metro Area)
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (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.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 23 analyzed for San Antonio.
Overview of Lakeside Nursing and Rehabilitation Center
Along the picturesque lakeside in beautiful San Antonio lies a beacon of compassionate care for elderly loved ones – Lakeside Nursing and Rehabilitation Center. With 120 beds, they participate in Medicare and Medicaid, ensuring their exceptional services are accessible to those in need. They exhibit a culture of warmth, respect, and individualized care. They believe in providing state-of-the-art rehabilitation facilities that promote healing and recovery. The home’s cutting-edge technology and personalized therapies are tailored to the distinct needs of each resident, helping them regain their maximum independence and strength. The home has inviting and spacious common areas, providing ample room for residents to relax, socialize, and form meaningful connections. Moreover, their housekeeping management ensures that every corner of our facility is meticulously maintained, creating a spotless and safe environment. Choosing Lakeside Nursing and Rehabilitation Center makes it impossible for residents and their families to regret reaching out for help.
Overview of The Army Residence Community Health Care Center
The Army Residence Community Healthcare Center is the premier veteran retirement home in San Antonio– welcoming all retired or honorably discharged officers; also housing senior-level federal employees of GS-14 and above, including their spouses. Reflected in their excellent service, the non-profit life plan community has maintained an active, social, and carefree lifestyle for their residents for over 30 years. The Army Residence is the place to live your golden years to the fullest, create memories, and achieve dreams. The life plan community boasts its exclusive program called the Army Residence Community (ARC), where residents can come together and be part of engaging activities. Retirees can choose to live in high-rise apartments or lakeside duplexes– all beautifully furnished.
Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.
Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.
What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.
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.
Located in San Antonio, Texas, Morningside at the Meadows stands as a distinguished continuing care senior living community devoted to meeting the diverse needs of older adults. Providing an array of independent living options, Morningside at the Meadows creates an environment where seniors can relish the comforts of home without the burdens of maintenance. Whether one seeks independent living, assisted living, long-term care, or transitional care, Morningside at the Meadows provides a welcoming and enriching environment for seniors to embrace as their home.
Conveniently situated on Babcock Road, The Meadows radiates warmth, friendliness, and relaxation, seamlessly blending with the essence of senior living. Residents find elegant living spaces within the four-story Atrium Apartments, including studios and one- or two-bedroom residences. Accessible amenities encompass a state-of-the-art theater room, a modern gym, and delightful cuisine served at the Meadowlark Restaurant. The community is embraced by acres of scenic grounds, fostering a tranquil atmosphere. The outdoor experience is enhanced by picturesque gardens and well-maintained lawns, offering a serene setting.
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.
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.
Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.
At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.
Located in San Antonio, TX, Silver Creek Nursing and Rehab is a comprehensive senior care community that offers skilled nursing, assisted living, and independent living options. With 120 certified beds, the facility is located within a hospital setting, providing residents with access to a range of additional healthcare programs and services.Silver Creek Nursing and Rehab’s commitment to the well-being of its residents is evident in its offerings, which include a mental wellness program, physical therapy services, and on-site dental care. The community’s costs range from $2,295 to $5,536, with an average price of $3,916, which is higher than the local average but lower than the state average for nursing homes.
Residents at Silver Creek Nursing and Rehab receive an average of 3.1 hours of daily nursing care, with a mix of licensed nurses and non-licensed nurse aides. The facility also provides a structured activity schedule to ensure residents maintain an active and engaged lifestyle. With an overall rating of 3.0 from the Centers for Medicare and Medicaid Services, Silver Creek Nursing and Rehab offers a well-rounded senior care experience in a pet-friendly, hospital-based setting.
Legend West Rehab keeps one thing in mind when providing its service: enhancing the lives of its residents. Management and staff approach their service with the understanding that their residents need a sense of healing– both on the physical and emotional levels. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Legend West Rehab is committed to ensuring that residents are comfortable and secure in the community. Services at Legend West Rehab is a short-term rehabilitation community where its services revolve around improving the quality of life for residents; found through their list of activities and programs that help residents maintain an active lifestyle. Some community amenities include lounge areas, recreational rooms, a fitness center, in-house therapy, housekeeping, and laundry services.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in San Antonio, 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 23 nursing homes in San Antonio, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in San Antonio, 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 San Antonio, 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 San Antonio, 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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