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Best Nursing Homes in San Antonio, TX

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 31 homes in San Antonio, 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 San Antonio, Texas.

Watch this Video to see San Antonio's Top-rated Senior Communities

Compare Nursing Homes around San Antonio (Metro Area)

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

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

Click column headers to sort
The Army Residence Community Health 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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northeast Side)
30
Facility 30
TX AVG
Rank #788 / 992
70.1%
Facility 70.1%
TX AVG 63.5%
Rank #128 / 297
+10%
4.74
Facility 4.74
TX AVG 3.63
Rank #34 / 289
-10%+31%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 294
18
Facility 18
TX AVG 25.9
Rank #101 / 292
4.5
Facility 4.5
TX AVG 3.7
Rank #241 / 292
-53-
6
Facility 6
TX AVG
Rank #1287 / 1393
Army Retirement Residence Foundation San Antonio
$48.9M
Facility $48.9M
TX AVG $8.4M
Rank #6 / 297
$17.6M
Facility $17.6M
TX AVG $3.5M
Rank #6 / 297
36%
Facility 36%
TX AVG 47%
Rank #262 / 297
675697
Saint Francis Nursing Home
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

San Antonio (Midtown)
116
Facility 116
TX AVG
Rank #272 / 992
65.0%
Facility 65.0%
TX AVG 63.5%
Rank #159 / 297
+2%
6.10
Facility 6.10
TX AVG 3.63
Rank #4 / 289
-66%+68%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 294
17
Facility 17
TX AVG 25.9
Rank #89 / 292
4.3
Facility 4.3
TX AVG 3.7
Rank #227 / 292
-75-
71
Facility 71
TX AVG
Rank #124 / 1393
Ginger Dixon
$10.2M
Facility $10.2M
TX AVG $8.4M
Rank #173 / 297
$4.9M
Facility $4.9M
TX AVG $3.5M
Rank #151 / 297
48.5%
Facility 48.5%
TX AVG 47%
Rank #119 / 297
45410
Elmcroft of Windcrest
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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 (Northeast Side)
113
Facility 113
TX AVG
Rank #293 / 992
61.4%
Facility 61.4%
TX AVG 63.5%
Rank #181 / 297
-3%
2.41
Facility 2.41
TX AVG 3.63
Rank #288 / 289
-57%-34%
$81.6k
Facility $81.6k
TX AVG $81.8k
Rank #229 / 294
64
Facility 64
TX AVG 25.9
Rank #287 / 292
4.0
Facility 4.0
TX AVG 3.7
Rank #209 / 292
581A+
14
Facility 14
TX AVG
Rank #1181 / 1393
Rj Realty Group LLC
$15.3M
Facility $15.3M
TX AVG $8.4M
Rank #66 / 297
$6.5M
Facility $6.5M
TX AVG $3.5M
Rank #76 / 297
42.5%
Facility 42.5%
TX AVG 47%
Rank #198 / 297
675171
Heritage Creek-
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northwest Side)
52
Facility 52
TX AVG
Rank #668 / 992
35.1%
Facility 35.1%
TX AVG 63.5%
Rank #270 / 297
-45%
3.90
Facility 3.90
TX AVG 3.63
Rank #76 / 289
---+25%+7%
$447.8k
Facility $447.8k
TX AVG $81.8k
Rank #293 / 294
110
Facility 110
TX AVG 25.9
Rank #292 / 292
3.1
Facility 3.1
TX AVG 3.7
Rank #130 / 292
1379A+
9
Facility 9
TX AVG
Rank #1242 / 1393
Heritage Creek Assisted Living Inc
$7.6M
Facility $7.6M
TX AVG $8.4M
Rank #237 / 297
$4.3M
Facility $4.3M
TX AVG $3.5M
Rank #195 / 297
57.2%
Facility 57.2%
TX AVG 47%
Rank #48 / 297
675112
Morningside at the Meadows
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Sunshine Estates)
147
Facility 147
TX AVG
Rank #76 / 992
49.8%
Facility 49.8%
TX AVG 63.5%
Rank #244 / 297
-22%
3.58
Facility 3.58
TX AVG 3.63
Rank #122 / 289
-16%-1%
$90.3k
Facility $90.3k
TX AVG $81.8k
Rank #237 / 294
24
Facility 24
TX AVG 25.9
Rank #172 / 292
8.0
Facility 8.0
TX AVG 3.7
Rank #292 / 292
283A+
46
Facility 46
TX AVG
Rank #610 / 1393
Guadalupe County Hospital Board
$7.1M
Facility $7.1M
TX AVG $8.4M
Rank #249 / 297
$5.6M
Facility $5.6M
TX AVG $3.5M
Rank #118 / 297
78.3%
Facility 78.3%
TX AVG 47%
Rank #6 / 297
455523
Remington Transitional Care
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northwest Side)
60
Facility 60
TX AVG
Rank #587 / 992
96.2%
Facility 96.2%
TX AVG 63.5%
Rank #7 / 297
+52%
3.77
Facility 3.77
TX AVG 3.63
Rank #88 / 289
+67%+4%
$10.0k
Facility $10.0k
TX AVG $81.8k
Rank #91 / 294
20
Facility 20
TX AVG 25.9
Rank #135 / 292
5.0
Facility 5.0
TX AVG 3.7
Rank #258 / 292
-57-
75
Facility 75
TX AVG
Rank #67 / 1393
Regency Ihs Of San Antonio LLC
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #113 / 297
$6.6M
Facility $6.6M
TX AVG $3.5M
Rank #72 / 297
53.4%
Facility 53.4%
TX AVG 47%
Rank #77 / 297
676216
Lakeside 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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Far West Side)
120
Facility 120
TX AVG
Rank #212 / 992
84.5%
Facility 84.5%
TX AVG 63.5%
Rank #39 / 297
+33%
3.42
Facility 3.42
TX AVG 3.63
Rank #167 / 289
+35%-6%
$14.6k
Facility $14.6k
TX AVG $81.8k
Rank #114 / 294
24
Facility 24
TX AVG 25.9
Rank #172 / 292
3.4
Facility 3.4
TX AVG 3.7
Rank #163 / 292
3112-
19
Facility 19
TX AVG
Rank #1114 / 1393
Crystal Lake Healthcare, Inc.
$15.0M
Facility $15.0M
TX AVG $8.4M
Rank #73 / 297
$7.0M
Facility $7.0M
TX AVG $3.5M
Rank #59 / 297
47%
Facility 47%
TX AVG 47%
Rank #143 / 297
676325
Silver Creek Nursing and Rehab
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)
120
Facility 120
TX AVG
Rank #212 / 992
67.7%
Facility 67.7%
TX AVG 63.5%
Rank #143 / 297
+7%
2.70
Facility 2.70
TX AVG 3.63
Rank #277 / 289
-2%-26%
$43.3k
Facility $43.3k
TX AVG $81.8k
Rank #187 / 294
22
Facility 22
TX AVG 25.9
Rank #158 / 292
2.8
Facility 2.8
TX AVG 3.7
Rank #91 / 292
189-
62
Facility 62
TX AVG
Rank #249 / 1393
Timber Nursing And Rehab Center LLC
$11.6M
Facility $11.6M
TX AVG $8.4M
Rank #131 / 297
$4.6M
Facility $4.6M
TX AVG $3.5M
Rank #173 / 297
40.2%
Facility 40.2%
TX AVG 47%
Rank #223 / 297
455652
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
Rank #411 / 992
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
Rank #158 / 1393
-
$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
Blue Skies of Texas East
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Valley High North)
80
Facility 80
TX AVG
Rank #474 / 992
68.3%
Facility 68.3%
TX AVG 63.5%
Rank #136 / 297
+8%
6.51
Facility 6.51
TX AVG 3.63
Rank #3 / 289
-7%+79%
$20.2k
Facility $20.2k
TX AVG $81.8k
Rank #133 / 294
31
Facility 31
TX AVG 25.9
Rank #217 / 292
3.1
Facility 3.1
TX AVG 3.7
Rank #130 / 292
246-
47
Facility 47
TX AVG
Rank #587 / 1393
Air Force Village Inc
$15.4M
Facility $15.4M
TX AVG $8.4M
Rank #61 / 297
$8.2M
Facility $8.2M
TX AVG $3.5M
Rank #42 / 297
53%
Facility 53%
TX AVG 47%
Rank #80 / 297
676041
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
Rank #9 / 992
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
Rank #1006 / 1393
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
Rank #255 / 992
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
Rank #311 / 1393
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
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
Rank #65 / 992
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
Rank #38 / 1393
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
Wurzbach Nursing and Rehabilitation
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northwest Side)
140
Facility 140
TX AVG
Rank #87 / 992
38.6%
Facility 38.6%
TX AVG 63.5%
Rank #267 / 297
-39%
3.23
Facility 3.23
TX AVG 3.63
Rank #215 / 289
-69%-11%
$129.9k
Facility $129.9k
TX AVG $81.8k
Rank #259 / 294
57
Facility 57
TX AVG 25.9
Rank #283 / 292
4.4
Facility 4.4
TX AVG 3.7
Rank #235 / 292
454C
75
Facility 75
TX AVG
Rank #67 / 1393
E&R Cunningham Investments LP
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #223 / 297
$3.8M
Facility $3.8M
TX AVG $3.5M
Rank #226 / 297
46%
Facility 46%
TX AVG 47%
Rank #155 / 297
455824
The Village at Incarnate Word
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).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Willshire Terrace)
60
Facility 60
TX AVG
Rank #587 / 992
90.5%
Facility 90.5%
TX AVG 63.5%
Rank #15 / 297
+43%
4.38
Facility 4.38
TX AVG 3.63
Rank #49 / 289
-46%+21%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 294
13
Facility 13
TX AVG 25.9
Rank #47 / 292
4.3
Facility 4.3
TX AVG 3.7
Rank #227 / 292
-55A+
75
Facility 75
TX AVG
Rank #67 / 1393
Incarnate Word Retirement Community, Inc.
$20.9M
Facility $20.9M
TX AVG $8.4M
Rank #36 / 297
$8.5M
Facility $8.5M
TX AVG $3.5M
Rank #36 / 297
40.7%
Facility 40.7%
TX AVG 47%
Rank #217 / 297
676498
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Nursing Home Explorer
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.

Contact The Army Residence Community Health Care Center

EdenHill Communities

631 Lakeview Blvd, New Braunfels, Tx 78130, Usa
Overview of Edenhill Communities

Edenhill Communities offers independent living, assisted living, and memory care with additional options such as skilled nursing and rehabilitation. For over 100 years, the life plan community has gained the trust of many families over the years, as proven by their excellent and dignified service. This faith-based and non-profit community is dedicated to enriching the lives of seniors to continue living purposeful lives while growing as individuals. EdenHill is a place where residents can thrive, where their needs are being satisfied, and where goals are being achieved. 
EdenHill’s Communities is spread over their beautiful 27-acre campus which creates a home-like atmosphere for seniors to feel a sense of belonging. The team at EdenHill proudly provides a list of helpful amenities and services that encourage a wonderful social life– a private dining room for family gatherings, restaurant-style dining, bingo activities, fitness activities, and other special events or celebrations for all residents to take part in. Management allows visitations and overnight stays for the families of residents. 

Contact EdenHill Communities

Overview of Saint Francis Nursing Home

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.

Contact Saint Francis Nursing Home

Overview of Elmcroft of Windcrest

Experience senior living to its fullest with Elmcroft of Windcrest located in the beautiful place of San Antonio, TX, offering assisted living services. With activities at their location for residents, residents can maintain healthy lifestyles by encouraging movement and socializing with their peers. The community boasts breathtaking outdoor areas, providing a serene setting for residents to unwind and connect with nature. Impeccable housekeeping services are seamlessly provided, maintaining a clean and comfortable environment.

Residents can enjoy and be enriched with its activity center that offers a range of engaging experiences, while also providing speech and physical therapy services. A well-appointed library and computer lounge cater to intellectual pursuits, and the community plans social events and entertainment to ensure every day is memorable for its residents. At Elmcroft of Windcrest, seniors can enjoy a blissful retirement.

Contact Elmcroft of Windcrest

Overview of Legend Oaks West Rehab

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.

Contact Legend Oaks West Rehab

Overview of Heritage Creek

Heritage Creek, located in San Antonio, Texas, is assisted living at its best, fostering a community where luxuries and accommodations meet personalized, friendly service. As a family-owned facility, the community values creating a warm and fulfilling environment for residents and maintaining good staff-to-resident ratios for individualized assisted living. Heritage Creek aims to provide a seamless, family-oriented experience, ensuring residents receive the care they need precisely when needed.

The assisted living community distinguishes itself through various amenities and facilities that enhance residents’ lives. The community offers chef-prepared dining options with a full-time executive chef., ensuring delicious and nutritious meals. An on-site salon and barber shop provide convenient grooming services, adding to the overall experience. The living spaces are spacious and serene, promoting peaceful and cozy living. Heritage Creek emphasizes creating a family, treating residents with the utmost care, and providing them an exciting life full of activities.

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Overview of Morningside at the Meadows

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.

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Overview of Remington Transitional Care

As a leading provider of short-term skilled nursing and therapy services, Remington Transitional Care offers a wide range of specialized care options. Whether it’s cardiac care, IV care, stroke care, pulmonary care, tube feeding, respite care, or any other specialized service, residents can trust that they will receive the highest level of care tailored to their distinct needs. The facility also provides comprehensive rehab therapy services such as outpatient therapy, orthopedic care, post-surgical care, diathermy, and more. They aim to help residents regain their independence and achieve optimal recovery using cutting-edge therapies.
The facility also offers modern amenities such as WiFi, transportation services, a salon for personal grooming, recreational activities, a refreshing pool, and a short-term transitional care unit for seamless recovery. Residents can also enjoy cable services, allowing them to stay connected and entertained during their stay. Moreover, the facility accepts various insurance options, including Medicare, Medicaid, private and VA insurance, and more. Residents are also welcome to bring their personal physician, ensuring continuity of care and personalized medical attention.

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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.

Contact Lakeside Nursing and Rehabilitation Center

Silver Creek Nursing and Rehab

9014 Timber Path, San Antonio, TX 78250
Overview of Silver Creek Nursing and Rehab

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.

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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

San Antonio Nursing Home Facilities Overview

  • Avg payroll costs: $3,226,931.82 (Texas avg: $2,942,815.90)
  • Avg home costs: $4,428,137.53 (Texas avg: $4,190,441.70)
  • Avg occupancy: 66.76% (Texas avg: 65.39%)
  • Avg bed count: 134 (Texas avg: 118)
  • Avg home revenue: $8,204,835.34 (Texas avg: $7,329,917.16)

Community-level financial and occupancy data

  • VAL VERDE CNTY HOSP D-W MISSION OAKS: 82.67% occupancy, 150 beds, $3,794,205.00 home revenue, $2,091,223.00 payroll costs, $2,932,683.00 home costs.
  • BERTETTI HEALTHCARE INC.: 85.73% occupancy, 124 beds, $12,391,667.00 home revenue, $5,897,857.00 payroll costs, $4,893,378.00 home costs.
  • CANARY BEND HEALTHCARE INC.: 86.88% occupancy, 128 beds, $13,134,731.00 home revenue, $5,064,222.00 payroll costs, $4,603,965.00 home costs.
  • HARBOR VALLEY HEALTH AND REHABILITAT: 75.08% occupancy, 122 beds, $1,568,097.00 home revenue, $564,053.00 payroll costs, $1,277,446.00 home costs.
  • THE RIO AT MISSION TRAILS: 61.45% occupancy, 124 beds, $1,456,144.00 home revenue, $880,400.00 payroll costs, $827,328.00 home costs.
  • BUENA VIDA NURSING & REHAB SAN ANTON: 28.24% occupancy, 222 beds, $1,448,169.00 home revenue, $664,389.00 payroll costs, $657,054.00 home costs.
  • OAK PARK NURSING AND REHAB: 71.59% occupancy, 170 beds, $4,473,323.00 home revenue, $2,085,193.00 payroll costs, $780,526.00 home costs.
  • HUEBNER CREEK HEALTH & REHABILITATIO: 43.49% occupancy, 146 beds, $4,178,746.00 home revenue, $2,003,163.00 payroll costs, $1,753,564.00 home costs.
  • SAN ANTONIO-WEST RETAMA MANOR: 63.85% occupancy, 139 beds, $3,754,406.00 home revenue, $1,116,427.00 payroll costs, $2,006,577.00 home costs.
  • LAS COLINAS OF WESTOVER HILLS REHAB: 78.36% occupancy, 140 beds, $8,804,275.00 home revenue, $3,507,557.00 payroll costs, $4,237,244.00 home costs.
  • WINDSOR MISSION OAKS: 82.67% occupancy, 150 beds, $1,926,953.00 home revenue, $1,033,054.00 payroll costs, $1,453,580.00 home costs.
View Chart Data Table
MetricSan AntonioTexas
Avg payroll costs$3,226,931.82$2,942,815.90
Avg home costs$4,428,137.53$4,190,441.70
Avg occupancy66.76%65.39%
Avg bed count134118
Avg home revenue$8,204,835.34$7,329,917.16
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
VAL VERDE CNTY HOSP D-W MISSION OAKS82.67%150$3,794,205.00$2,091,223.00$2,932,683.000.28%92.24%7.48%
BERTETTI HEALTHCARE INC.85.73%124$12,391,667.00$5,897,857.00$4,893,378.006.86%54.54%38.60%
CANARY BEND HEALTHCARE INC.86.88%128$13,134,731.00$5,064,222.00$4,603,965.0010.14%71.61%18.25%
HARBOR VALLEY HEALTH AND REHABILITAT75.08%122$1,568,097.00$564,053.00$1,277,446.0010.07%70.87%19.06%
THE RIO AT MISSION TRAILS61.45%124$1,456,144.00$880,400.00$827,328.001.88%81.61%16.51%
BUENA VIDA NURSING & REHAB SAN ANTON28.24%222$1,448,169.00$664,389.00$657,054.009.37%84.02%6.61%
OAK PARK NURSING AND REHAB71.59%170$4,473,323.00$2,085,193.00$780,526.0019.05%61.80%19.15%
HUEBNER CREEK HEALTH & REHABILITATIO43.49%146$4,178,746.00$2,003,163.00$1,753,564.007.42%42.65%49.93%
SAN ANTONIO-WEST RETAMA MANOR63.85%139$3,754,406.00$1,116,427.00$2,006,577.0021.98%72.92%5.10%
LAS COLINAS OF WESTOVER HILLS REHAB78.36%140$8,804,275.00$3,507,557.00$4,237,244.009.40%81.95%8.65%
WINDSOR MISSION OAKS82.67%150$1,926,953.00$1,033,054.00$1,453,580.001.83%89.45%8.72%
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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 31 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.