Page 2 of Best Nursing Homes in San Antonio, TX

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
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We analyzed These are the facilities in San Antonio, TX our team has analyzed — not a count of every nursing home provider in San Antonio, TX.
23 homes
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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 Table AL (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. RC (Respite Care): Short-term temporary care that gives family caregivers a break.
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.
Juniper Village at Lincoln Heights
NH
AL
SNF
San Antonio
97
Facility 97
TX AVG 78
Rank #362 / 980
--
4.22
Facility 4.22
TX AVG 3.63
Rank #43 / 234
+80%+16%
$122.0k
Facility $122.0k
TX AVG $81.8k
Rank #206 / 237
18
Facility 18
TX AVG 25.9
Rank #79 / 234
4.5
Facility 4.5
TX AVG 3.7
Rank #195 / 234
128-
75
Facility 75
TX AVG 42
Rank #67 / 1,345
Tiffany Weiser
$8.7MFiscal year ending 12/2023
Facility $8.7MFiscal year ending 12/2023
TX AVG $9.4M
Rank #105 / 218
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
TX AVG $5.4M
Rank #128 / 218
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #153 / 199
675542
Wurzbach Nursing and Rehabilitation
NH
MC
RC
SNF
San Antonio (Northwest Side)
140
Facility 140
TX AVG 78
Rank #80 / 980
38.6%
Facility 38.6%
TX AVG 71.2%
Rank #157 / 163
-46%
3.48
Facility 3.48
TX AVG 3.63
Rank #91 / 234
-69%-4%
$34.9k
Facility $34.9k
TX AVG $81.8k
Rank #146 / 237
57
Facility 57
TX AVG 25.9
Rank #228 / 234
4.4
Facility 4.4
TX AVG 3.7
Rank #192 / 234
454C
75
Facility 75
TX AVG 42
Rank #67 / 1,345
E&R Cunningham Investments LP
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
TX AVG $9.4M
Rank #145 / 218
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
TX AVG $5.4M
Rank #162 / 218
51.2%Fiscal year ending 12/2023
Facility 51.2%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #143 / 199
455824
Memorial Medical Nursing Center
NH
SNF
San Antonio (Tobin Hill)
135
Facility 135
TX AVG 78
Rank #103 / 980
77.0%
Facility 77.0%
TX AVG 71.2%
Rank #65 / 163
+8%
2.77
Facility 2.77
TX AVG 3.63
Rank #208 / 234
+80%-24%
$35.4k
Facility $35.4k
TX AVG $81.8k
Rank #147 / 237
52
Facility 52
TX AVG 25.9
Rank #223 / 234
4.3
Facility 4.3
TX AVG 3.7
Rank #186 / 234
2104-
86
Facility 86
TX AVG 42
Rank #19 / 1,345
San Pedro Nursing And Rehab Center LLC
$8.3MFiscal year ending 06/2024
Facility $8.3MFiscal year ending 06/2024
TX AVG $9.4M
Rank #119 / 218
$0.0kFiscal year ending 06/2024
Facility $0.0kFiscal year ending 06/2024
TX AVG $5.4M
Rank #200 / 218
0%Fiscal year ending 06/2024455597
River City Care Center
NH
SNF
San Antonio
92
Facility 92
TX AVG 78
Rank #390 / 980
45.7%
Facility 45.7%
TX AVG 71.2%
Rank #150 / 163
-36%
3.30
Facility 3.30
TX AVG 3.63
Rank #121 / 234
+37%-9%
$23.4k
Facility $23.4k
TX AVG $81.8k
Rank #120 / 237
32
Facility 32
TX AVG 25.9
Rank #186 / 234
5.3
Facility 5.3
TX AVG 3.7
Rank #217 / 234
242-
68
Facility 68
TX AVG 42
Rank #158 / 1,345
-
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
TX AVG $9.4M
Rank #211 / 218
$2.1MFiscal year ending 12/2023
Facility $2.1MFiscal year ending 12/2023
TX AVG $5.4M
Rank #194 / 218
69.7%Fiscal year ending 12/2023
Facility 69.7%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #52 / 199
675896
San Antonio North Nursing and Rehab
NH
SNF
San Antonio (Tobin Hill)
118
Facility 118
TX AVG 78
Rank #245 / 980
33.9%
Facility 33.9%
TX AVG 71.2%
Rank #158 / 163
-52%
2.94
Facility 2.94
TX AVG 3.63
Rank #193 / 234
+11%-19%
$60.1k
Facility $60.1k
TX AVG $81.8k
Rank #172 / 237
52
Facility 52
TX AVG 25.9
Rank #223 / 234
2.9
Facility 2.9
TX AVG 3.7
Rank #90 / 234
540-
87
Facility 87
TX AVG 42
Rank #14 / 1,345
Tobin Hill Nursing And Rehab Center LLC
$8.6MFiscal year ending 06/2024
Facility $8.6MFiscal year ending 06/2024
TX AVG $9.4M
Rank #111 / 218
$0.0kFiscal year ending 06/2024
Facility $0.0kFiscal year ending 06/2024
TX AVG $5.4M
Rank #200 / 218
0%Fiscal year ending 06/2024455817
Buena Vida Nursing and Rehab Center San Antonio
NH
MC
SNF
San Antonio (East Side)
222
Facility 222
TX AVG 78
Rank #10 / 980
30.1%
Facility 30.1%
TX AVG 71.2%
Rank #160 / 163
-58%
3.14
Facility 3.14
TX AVG 3.63
Rank #161 / 234
+31%-13%
$269.1k
Facility $269.1k
TX AVG $81.8k
Rank #232 / 237
44
Facility 44
TX AVG 25.9
Rank #208 / 234
4.4
Facility 4.4
TX AVG 3.7
Rank #192 / 234
367-
26
Facility 26
TX AVG 42
Rank #1,005 / 1,345
West Wharton County Hospital District
$4.3MFiscal year ending 03/2024
Facility $4.3MFiscal year ending 03/2024
TX AVG $9.4M
Rank #199 / 218
$3.2MFiscal year ending 03/2024
Facility $3.2MFiscal year ending 03/2024
TX AVG $5.4M
Rank #176 / 218
73.8%Fiscal year ending 03/2024
Facility 73.8%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #38 / 199
455390
San Antonio West Nursing and Rehab
NH
SNF
San Antonio (Edgewood)
135
Facility 135
TX AVG 78
Rank #103 / 980
--
3.21
Facility 3.21
TX AVG 3.63
Rank #141 / 234
+10%-11%
$373.4k
Facility $373.4k
TX AVG $81.8k
Rank #236 / 237
49
Facility 49
TX AVG 25.9
Rank #218 / 234
3.1
Facility 3.1
TX AVG 3.7
Rank #109 / 234
613-
53
Facility 53
TX AVG 42
Rank #430 / 1,345
Maverick County Hospital Distict
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
TX AVG $9.4M
Rank #147 / 218
$0.0kFiscal year ending 12/2023
Facility $0.0kFiscal year ending 12/2023
TX AVG $5.4M
Rank #200 / 218
0%Fiscal year ending 12/2023675002

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.

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Nursing Home Explorer
Overview of Juniper Village at Lincoln Heights

Under owner Tiffany Weiser, Juniper Village at Lincoln Heights is a skilled nursing home operated by S-h Opco Lincoln Heights, LLC, on East Basse Road in San Antonio. The 97-bed community stands in a really walkable neighborhood where most errands and essentials are within a short walk. This is a plus for visiting family and residents who cherish walkable surroundings. Accepted are Medicare and private pay, providing flexible coverage options for short-term rehabilitation and longer-term skilled nursing care. Averaging a stay of just 36 days, the community draws primarily those recovering from surgery, hospitalization, or other acute episodes who need post-acute rehabilitation before returning home or moving to a lower tier of care.

Clinical offerings span rehabilitation services, respite care, and short-term rehab programs tailored to help residents regain function. The home also operates Wellspring Memory Care and longer-term skilled care tracks for residents needing active nursing support. Total nursing care averages approximately 4 hours and 47 minutes per resident daily, distributed across registered nurses, nurse aides, and licensed practical nurses. This ensures consistent hands-on support all day. Currently operating at 59 percent occupancy with 57 residents in the 97-bed census, the home has available capacity.

State inspections have generally focused on compliance and documentation matters, including fire-drill records and resident disclosure procedures. The home hasn’t reported Life Safety Code violations or enforcement actions, implying sound operational practices in such critical areas.

The location on a well-traveled corridor in north-central San Antonio places the home within convenient reach of regional medical centers. It’s then accessible by public transit, which is an asset for families coordinating care and visits.

Contact Juniper Village at Lincoln Heights

Overview of Wurzbach Nursing and Rehabilitation

Wurzbach Nursing and Rehab is a highly skilled nursing home in San Antonio that boasts a secure and safe environment that enhances the quality of life for each of its residents.  The nursing home promotes a list of comprehensive programs and engaging activities– designed for residents to cultivate their emotional, mental, and physical aspects. Residents at Wurzbach Nursing and Rehab are guaranteed to get personalized care that is catered to their needs in an inviting community with fine hospitality.
A Careday Healthcare community, Wurzbach is ensured to be a relaxing and convenient nursing home. Their skilled care services focus on individualized treatments– physical, occupational, and speech therapy; joint replacement therapy, spine and back therapy; wound care, dysphagia management, and palliative care. They have an in-house respiratory therapist, extensive clinical service, 24-hour medical and nursing services, and continual tracheostomy care.

Contact Wurzbach Nursing and Rehabilitation

Memorial Medical Nursing Center

307 W Cypress St, San Antonio, TX 78212
Overview of Memorial Medical Nursing Center

Memorial Medical Nursing and Rehab, located in San Antonio, TX, is a skilled nursing facility dedicated to providing exceptional care and rehabilitation services to its residents. The nursing home prioritizes individual wellness and places a special emphasis on rehabilitation, ensuring the best possible experience for its residents.

With a team of professionals committed to treating every patient with the utmost care and respect, Memorial Medical Nursing and Rehab delivers personalized solutions tailored to each individual’s needs. The facility offers skilled nursing, rehabilitation therapy, and both long-term and short-term care options. While Memorial Medical Nursing Center has an overall rating of 1 out of 5 and a short-term rehabilitation rating of Below Average, it remains committed to its mission of ensuring the best possible service for its residents. As a large facility with 135 beds and for-profit, llc ownership, Memorial Medical Nursing Center strives to create a warm and welcoming environment where residents can receive the care they need while maintaining their dignity and independence.

Contact Memorial Medical Nursing Center

Overview of River City Care Center

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

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

Contact River City Care Center

Overview of San Antonio North Nursing and Rehab

Choosing San Antonio North Nursing and Rehab means choosing a place where comfort, care, and community are at the crossroads. For those who need long-term care, the facility offers a wide range of services, including lab and x-ray services, medication management, dining services, assistance with daily activities, social services, dialysis, dental care, podiatry, and more. Every aspect of resident care is meticulously taken care of, ensuring their physical, emotional, and social well-being. From post-operative rehab to specialized care such as cardiac care, stroke recovery, and wound care, residents receive comprehensive and personalized care to support their recovery.
With breathtaking views that inspire healing, San Antonio North Nursing and Rehab boasts state-of-the-art facilities, designed to enhance the recovery journey. The therapy gym is equipped with modern equipment and expert therapists, offering physical, occupational, and speech therapies tailored to each resident’s needs. Located just minutes away from local hospitals, residents have access to quality medical care round the clock.

Contact San Antonio North Nursing and Rehab

Overview of Buena Vida Nursing and Rehab Center San Antonio

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

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

Contact Buena Vida Nursing and Rehab Center San Antonio

Overview of San Antonio West Nursing and Rehab

Nestled in San Antonio, Texas, San Antonio West Nursing and Rehab is a senior care community committed to providing the best possible care for aging adults. The facility’s prime location allows residents to easily access the local activities and entertainment that the vibrant city has to offer. San Antonio West Nursing and Rehab offers a range of services, including skilled nursing and short-term respite care, to ensure that seniors get the most out of their retirement years. The community’s roomy, well-designed units and comfortable, secure atmosphere are complemented by dedicated staff who work hard to maintain the dignity and independence of each resident.

Residents enjoy a diverse array of amenities, including freshly prepared meals, private dining options, and a full schedule of social, educational, and entertaining activities. The facility’s structured program helps residents maintain a high quality of life, encouraging them to socialize and develop meaningful friendships with their peers.

Contact San Antonio West Nursing and Rehab

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 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

Overview of Camino Real

Located in historic and culture-rich San Antonio, Texas, Camino Real Senior Living offers an engaging assisted living community that provides residents with a carefree life. The community, conveniently located on Rio Doro Street near Nacogdoches Road, offers personalized assistance with daily tasks like bathing, dressing, and medication management, allowing residents to maintain their independence while receiving the support they need.

Camino Real Senior Living’s engaging social life and activities calendar pull residents away from the TV and into a world of fun and connection. Residents can enjoy card and board games, happy hour socials, fitness classes, art projects, and lively meals, all while making new friends and staying active. The community’s culinary team prepares flavorful, restaurant-style meals served in the dining room, allowing residents to order what they want and enjoy conversation with others at their table.

Contact Camino Real

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
No paid rankings Facilities cannot pay to influence placement.
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
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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.
  • 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.
  • 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.
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%
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%
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%
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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 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.