Other senior care options in San Antonio:

Best Nursing Homes in San Antonio, TX

Why trust this guide? Our editorial team analyzed 25 nursing homes in San Antonio, TX using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jun 2026
We analyzed
25 homes
Other senior care options in San Antonio:

Video Tour: Top-rated Nursing Homes facilities in San Antonio, Texas.

Watch this Video to see San Antonio's Top-rated Senior Communities
Avg Overall CMS Rating: 2.8/ 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: 2.1/ 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: 2.6/ 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)

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

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

The Army Residence Community Health Care Center
NH
AL
IL
MC
San Antonio (Northeast Side)
30
Facility 30
TX AVG 80
Rank #782 / 988
70.1%
Facility 70.1%
TX AVG 63.5%
Rank #134 / 304
+10%
4.74
Facility 4.74
TX AVG 3.63
Rank #36 / 296
-10%+31%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
18
Facility 18
TX AVG 25.9
Rank #103 / 299
4.5
Facility 4.5
TX AVG 3.7
Rank #247 / 299
-59-
6
Facility 6
TX AVG 41
Rank #1286 / 1391
Army Retirement Residence Foundation San Antonio
$33.5M
Facility $33.5M
TX AVG $8.4M
Rank #6 / 304
$16.5M
Facility $16.5M
TX AVG $3.5M
Rank #6 / 304
49.4%
Facility 49.4%
TX AVG 47%
Rank #268 / 304
675697
Saint Francis Nursing Home
NH
AL
IL
NC
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #275 / 988
--
3.93
Facility 3.93
TX AVG 3.63
Rank #4 / 296
-+8%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
-
Facility -
TX AVG 25.9
Rank #91 / 299
-
Facility -
TX AVG 3.7
Rank #233 / 299
-92-
71
Facility 71
TX AVG 41
Rank #124 / 1391
-
-
Facility -
TX AVG $8.4M
Rank #178 / 304
-
Facility -
TX AVG $3.5M
Rank #156 / 304
-
Facility -
TX AVG 47%
Rank #123 / 304
45F410
Elmcroft of Windcrest
NH
AL
MC
RC
San Antonio (Northeast Side)
113
Facility 113
TX AVG 80
Rank #296 / 988
61.4%
Facility 61.4%
TX AVG 63.5%
Rank #188 / 304
-3%
2.41
Facility 2.41
TX AVG 3.63
Rank #295 / 296
-57%-34%
$74.0k
Facility $74.0k
TX AVG $81.8k
Rank #235 / 301
64
Facility 64
TX AVG 25.9
Rank #294 / 299
4.0
Facility 4.0
TX AVG 3.7
Rank #215 / 299
558-
14
Facility 14
TX AVG 41
Rank #1180 / 1391
Rj Realty Group LLC
$8.1M
Facility $8.1M
TX AVG $8.4M
Rank #68 / 304
$5.7M
Facility $5.7M
TX AVG $3.5M
Rank #80 / 304
70.6%
Facility 70.6%
TX AVG 47%
Rank #203 / 304
675171
Morningside at the Meadows
NH
AL
IL
MC
San Antonio (Sunshine Estates)
147
Facility 147
TX AVG 80
Rank #75 / 988
49.8%
Facility 49.8%
TX AVG 63.5%
Rank #251 / 304
-22%
3.58
Facility 3.58
TX AVG 3.63
Rank #128 / 296
-16%-1%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
8.0
Facility 8.0
TX AVG 3.7
Rank #299 / 299
282-
46
Facility 46
TX AVG 41
Rank #610 / 1391
Guadalupe County Hospital Board
$6.5M
Facility $6.5M
TX AVG $8.4M
Rank #255 / 304
$5.3M
Facility $5.3M
TX AVG $3.5M
Rank #123 / 304
81.2%
Facility 81.2%
TX AVG 47%
Rank #7 / 304
455523
Lakeside Nursing and Rehabilitation Center
NH
San Antonio (Far West Side)
120
Facility 120
TX AVG 80
Rank #210 / 988
84.5%
Facility 84.5%
TX AVG 63.5%
Rank #40 / 304
+33%
3.42
Facility 3.42
TX AVG 3.63
Rank #174 / 296
+35%-6%
$14.6k
Facility $14.6k
TX AVG $81.8k
Rank #111 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
3110-
19
Facility 19
TX AVG 41
Rank #1113 / 1391
Crystal Lake Healthcare, Inc
$11.7M
Facility $11.7M
TX AVG $8.4M
Rank #76 / 304
$7.0M
Facility $7.0M
TX AVG $3.5M
Rank #63 / 304
60.2%
Facility 60.2%
TX AVG 47%
Rank #147 / 304
676325
Silver Creek Nursing and Rehab
NH
San Antonio (Far West Side)
120
Facility 120
TX AVG 80
Rank #210 / 988
67.7%
Facility 67.7%
TX AVG 63.5%
Rank #149 / 304
+7%
2.70
Facility 2.70
TX AVG 3.63
Rank #284 / 296
-2%-26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
22
Facility 22
TX AVG 25.9
Rank #163 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1101-
62
Facility 62
TX AVG 41
Rank #249 / 1391
Timber Nursing And Rehab Center LLC
$9.2M
Facility $9.2M
TX AVG $8.4M
Rank #135 / 304
$0.0k
Facility $0.0k
TX AVG $3.5M
Rank #178 / 304
0%
Facility 0%
TX AVG 47%
Rank #228 / 304
455652
River City Care Center
NH
San Antonio (Eastside Promise Neighborhood)
92
Facility 92
TX AVG 80
Rank #410 / 988
45.7%
Facility 45.7%
TX AVG 63.5%
Rank #259 / 304
-28%
3.63
Facility 3.63
TX AVG 3.63
Rank #128 / 296
+37%0%
$23.4k
Facility $23.4k
TX AVG $81.8k
Rank #152 / 301
32
Facility 32
TX AVG 25.9
Rank #230 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
247-
68
Facility 68
TX AVG 41
Rank #158 / 1391
-
$3.0M
Facility $3.0M
TX AVG $8.4M
Rank #292 / 304
$2.1M
Facility $2.1M
TX AVG $3.5M
Rank #294 / 304
69.7%
Facility 69.7%
TX AVG 47%
Rank #128 / 304
675896
Blue Skies of Texas East
NH
AL
HC
IL
MC
San Antonio (Valley High North)
24
Facility 24
TX AVG 80
Rank #798 / 988
68.3%
Facility 68.3%
TX AVG 63.5%
Rank #142 / 304
+8%
6.51
Facility 6.51
TX AVG 3.63
Rank #3 / 296
-7%+79%
$17.3k
Facility $17.3k
TX AVG $81.8k
Rank #127 / 301
31
Facility 31
TX AVG 25.9
Rank #224 / 299
3.1
Facility 3.1
TX AVG 3.7
Rank #133 / 299
253-
47
Facility 47
TX AVG 41
Rank #587 / 1391
Air Force Village Inc
$10.3M
Facility $10.3M
TX AVG $8.4M
Rank #63 / 304
$5.4M
Facility $5.4M
TX AVG $3.5M
Rank #44 / 304
52.2%
Facility 52.2%
TX AVG 47%
Rank #84 / 304
676041
Buena Vida Nursing and Rehab Center San Antonio
NH
MC
San Antonio (East Side)
222
Facility 222
TX AVG 80
Rank #10 / 988
27.6%
Facility 27.6%
TX AVG 63.5%
Rank #286 / 304
-57%
3.48
Facility 3.48
TX AVG 3.63
Rank #146 / 296
+31%-4%
$269.1k
Facility $269.1k
TX AVG $81.8k
Rank #293 / 301
44
Facility 44
TX AVG 25.9
Rank #263 / 299
4.4
Facility 4.4
TX AVG 3.7
Rank #241 / 299
361-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
West Wharton County Hospital District
$4.3M
Facility $4.3M
TX AVG $8.4M
Rank #260 / 304
$3.2M
Facility $3.2M
TX AVG $3.5M
Rank #261 / 304
73.8%
Facility 73.8%
TX AVG 47%
Rank #141 / 304
455390
Mystic Park Nursing and Rehabilitation Center
NH
MC
San Antonio (Far West Side)
119
Facility 119
TX AVG 80
Rank #258 / 988
81.8%
Facility 81.8%
TX AVG 63.5%
Rank #53 / 304
+29%
3.50
Facility 3.50
TX AVG 3.63
Rank #146 / 296
-5%-4%
$111.1k
Facility $111.1k
TX AVG $81.8k
Rank #260 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
4.2
Facility 4.2
TX AVG 3.7
Rank #228 / 299
2108-
59
Facility 59
TX AVG 41
Rank #311 / 1391
Fox Sparrow Healthcare, Inc
$10.8M
Facility $10.8M
TX AVG $8.4M
Rank #81 / 304
$6.7M
Facility $6.7M
TX AVG $3.5M
Rank #70 / 304
62%
Facility 62%
TX AVG 47%
Rank #153 / 304
676012
Westover Hills Rehabilitation and Healthcare Center
NH
MC
San Antonio (Far West Side)
124
Facility 124
TX AVG 80
Rank #178 / 988
81.0%
Facility 81.0%
TX AVG 63.5%
Rank #62 / 304
+28%
3.87
Facility 3.87
TX AVG 3.63
Rank #81 / 296
+6%+7%
$20.2k
Facility $20.2k
TX AVG $81.8k
Rank #136 / 301
29
Facility 29
TX AVG 25.9
Rank #214 / 299
2.6
Facility 2.6
TX AVG 3.7
Rank #73 / 299
2105-
32
Facility 32
TX AVG 41
Rank #902 / 1391
Sage Terrace Healthcare LLC
$13.1M
Facility $13.1M
TX AVG $8.4M
Rank #69 / 304
$7.8M
Facility $7.8M
TX AVG $3.5M
Rank #51 / 304
60.1%
Facility 60.1%
TX AVG 47%
Rank #89 / 304
676281
San Pedro Manor
NH
MC
San Antonio (Monte Vista)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.63
Facility 3.63
TX AVG 3.63
Rank #128 / 296
+2%0%
$24.3k
Facility $24.3k
TX AVG $81.8k
Rank #155 / 301
43
Facility 43
TX AVG 25.9
Rank #260 / 299
3.9
Facility 3.9
TX AVG 3.7
Rank #210 / 299
519A+
79
Facility 79
TX AVG 41
Rank #38 / 1391
West Ashby Healthcare, Inc
$9.5M
Facility $9.5M
TX AVG $8.4M
Rank #120 / 304
$6.1M
Facility $6.1M
TX AVG $3.5M
Rank #93 / 304
64.8%
Facility 64.8%
TX AVG 47%
Rank #100 / 304
455689
San Antonio West Nursing and Rehab
NH
San Antonio (Edgewood)
135
Facility 135
TX AVG 80
Rank #111 / 988
--
2.92
Facility 2.92
TX AVG 3.63
Rank #269 / 296
+10%-20%
$373.4k
Facility $373.4k
TX AVG $81.8k
Rank #300 / 301
49
Facility 49
TX AVG 25.9
Rank #275 / 299
3.1
Facility 3.1
TX AVG 3.7
Rank #133 / 299
613-
53
Facility 53
TX AVG 41
Rank #433 / 1391
Maverick County Hospital Distict
$7.1M
Facility $7.1M
TX AVG $8.4M
Rank #213 / 304
$0.0k
Facility $0.0k
TX AVG $3.5M
Rank #243 / 304
0%
Facility 0%
TX AVG 47%
Rank #219 / 304
675002
Wurzbach Nursing and Rehabilitation
NH
MC
RC
San Antonio (Northwest Side)
140
Facility 140
TX AVG 80
Rank #86 / 988
38.6%
Facility 38.6%
TX AVG 63.5%
Rank #274 / 304
-39%
3.23
Facility 3.23
TX AVG 3.63
Rank #222 / 296
-69%-11%
$34.9k
Facility $34.9k
TX AVG $81.8k
Rank #186 / 301
57
Facility 57
TX AVG 25.9
Rank #290 / 299
4.4
Facility 4.4
TX AVG 3.7
Rank #241 / 299
454C
75
Facility 75
TX AVG 41
Rank #67 / 1391
E&R Cunningham Investments LP
$7.1M
Facility $7.1M
TX AVG $8.4M
Rank #229 / 304
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #232 / 304
51.2%
Facility 51.2%
TX AVG 47%
Rank #159 / 304
455824
Memorial Medical Nursing Center
NH
San Antonio (Tobin Hill)
135
Facility 135
TX AVG 80
Rank #111 / 988
77.0%
Facility 77.0%
TX AVG 63.5%
Rank #92 / 304
+21%
2.66
Facility 2.66
TX AVG 3.63
Rank #284 / 296
+80%-27%
$35.4k
Facility $35.4k
TX AVG $81.8k
Rank #187 / 301
52
Facility 52
TX AVG 25.9
Rank #283 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
298-
86
Facility 86
TX AVG 41
Rank #19 / 1391
San Pedro Nursing And Rehab Center LLC
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #144 / 304
$0.0k
Facility $0.0k
TX AVG $3.5M
Rank #199 / 304
0%
Facility 0%
TX AVG 47%
Rank #245 / 304
455597
Rows per page:
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

Overview of Chapters Living of San Antonio

Experience an exceptional stay with the Chapters Living of San Antonio located in the neighborhood of Town Center Dr. San Antonio, TX. This peculiar senior living community offers assisted living and memory care tailored to the immediate needs of its residents. Spacious yet cozy accommodations with several floor plans suited for individual tastes of its residents are available to further enhance comfort and relaxation. The community offers customized care plans and a memory care program devised to treat Dementia and Alzheimer’s Disease.

Driven by the goal for its residents to live life to the fullest, the community provides excellent amenities such as dining, social activities, neighborhoods, health and wellness, and a salon or barbershop. Enjoy meeting new people of the same passion and building long lasting relationships. At the Chapters Living of San Antonio, seniors are guaranteed a promising retirement.

Contact Chapters Living of San Antonio

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

Elmcroft of Windcrest is a single-story nursing home on Crestway Drive in the Northeast Side of San Antonio. It operates 113 beds across nursing home, assisted living, memory care, and respite care, and holds an Alzheimer’s certification for its memory care program. Jill Belsher is the executive director. The neighborhood has a Walk Score of 14, which means a car is needed for virtually everything. Methodist Hospital Northeast is about two miles out.

The facility has been running for eight years and accepts Medicare, Medicaid, and private pay. Of the 113 beds, 69 are currently filled, putting occupancy at 61%. The average stay runs 149 days, which tracks with a community whose caseload skews toward long-term residents rather than short-stay rehab. Pets are allowed; transportation and fitness programming are available on-site; and the Resident Council meets regularly to give residents a structured voice in facility decisions.

On the staffing side, total nursing hours come to 2 hours and 25 minutes per resident per day. RNs contribute 21 minutes of that; nurse aides cover 2 hours and 22 minutes. Physical therapists appear in the staffing data, supporting the physical therapy services described by the community. Coverage is 24 hours a day. State inspections have addressed areas including medication management and resident rights and protections.

For families considering long-term care or memory care in San Antonio’s Northeast Side, Elmcroft of Windcrest is a mid-size, single-story community with a certified memory care program, broad payment acceptance, and a care range that covers the full continuum from assisted living through nursing home-level care.

Contact Elmcroft of Windcrest

Overview of Brookdale Medical Center Whitby

Brookdale Medical Center Whitby in San Antonio, Texas, is an inviting senior living community that offers vibrant assisted living where seniors can thrive in a supportive environment. Located conveniently near churches, hospitals, shopping, and dining spots, our community provides personalized care tailored to individual needs. Residents enjoy easy access to local attractions like the historic Alamo and the lively San Antonio RiverWalk, perfect for leisurely strolls or outings with friends.

Fostering a sense of community and shared interests, Brookdale Medical Center Whitby conducts engaging social activities, including card games, art classes, and fitness programs. The community features spacious apartments, available in various floor plans with options for studios, private suites, or companion living, featuring amenities like private baths and kitchenettes. Pets are welcome, enhancing the home-like atmosphere where residents can personalize their living spaces with cherished belongings. With delicious meals prepared by a dedicated culinary team, customizable menus, and nutritional support available, dining at Brookdale Medical Center Whitby is a delightful experience.

Contact Brookdale Medical Center Whitby

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 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.

Contact Morningside at the Meadows

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.

Contact Silver Creek Nursing and Rehab

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.
  • 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.
  • 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.
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%
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%
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%
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 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 25 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.