Best Nursing Homes in San Antonio, TX

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.

The Westmark Senior Living is a licensed assisted living and memory care community in San Antonio, TX, offering assistance with daily living, as well as specialized support for those living with memory-related conditions. Operated under a Type B license in Bexar County, the community provides supportive care services for up to 95 residents. The community has earned recognition through an Executive Director of the Year award from the Texas Assisted Living Association, highlighting leadership quality and operational excellence. Starting monthly rates start at $2,995, making it one of the competitive options within the San Antonio senior living market.

The most recent state inspection, conducted on August 25, 2022, resulted in three Health Code citations related to food storage and dishwashing procedures. No Life Safety Code deficiencies were identified, and all corrective actions were completed within one week. Additionally, no enforcement actions have been reported. Compared with the Texas state average of six citations, the community’s compliance history reflects a comparatively strong regulatory standing.

The community offers 24-hour staffing, Alzheimer’s certification, respite care services, and a wheelchair-accessible environment equipped with emergency alert systems. A wide range of amenities designed to encourage comfort, engagement, and active living are also available, including a library, concierge services, beauty and barber salon, greenhouse and gardening club, landscaped courtyards, walking paths, art studio, game room, piano, private dining areas, Wi-Fi access, and community gathering spaces. Three daily meals and refreshments are included, while the Engaged Living Program provides structured wellness, recreational, and social activities. Volunteer opportunities and pet-friendly accommodations further contribute to a community-oriented atmosphere.

Combining accessible pricing, award-recognized leadership, comprehensive activity programming, and supportive accommodations, The Westmark Senior Living is a good option for older adults seeking assisted living or memory care within an amenity-rich and socially active environment in the San Antonio area, particularly those who value both care support and an engaging lifestyle.

Landon Ridge – Alamo Ranch is a licensed assisted living and memory care community in San Antonio, Texas, that provides both assisted living and Alzheimer ‘s-certified memory support. Managed by TCG Communities, LLC with a Type B license, the community stands as a major residential choice on the expanding northwest side of San Antonio. This 152-bed community also provides a helpful and energetic social setting for older adults in Bexar County.

Monthly rates for this community begin at roughly $3,595 for assisted living and $3,495 for memory care, which is a unique cost structure, as memory care is listed at a slightly more affordable monthly price than assisted living. So families are encouraged to speak with staff to confirm specific service inclusions and care tiers. Recovery services and temporary respite stays are also provided, making the community a practical option for those with short-term or transitional medical requirements.

Regarding state oversight, this community maintains a remarkably strong record of compliance. The latest thorough evaluation, performed on January 26, 2024, concluded with zero findings, meaning no Health Code or Life Safety Code deficiencies were documented. There are no enforcement actions on file, which compares positively to the Texas state average. This clean 2024 review serves as a significant mark of reliability for families who value regulatory excellence when exploring residential care options.

A library, hair salon, exercise room, greenhouse, cinema, strolling trails, and a space for games are among the available features. Chef-prepared meals in communal dining areas are covered by the monthly fee. Planned social gatherings and festivities with active schedules are created to encourage participation among both the assisted living and memory care groups.

Landon Ridge – Alamo Ranch is a good match for older adults and their families seeking a large, feature-rich environment with a history of regulatory success and competitive rates for various care levels in the Alamo Ranch and northwest San Antonio region.

Brookdale Hamilton Wolfe is a licensed assisted living and memory care community in San Antonio, Texas, that offers assisted living and memory support. Maintaining a Type A license in Bexar County, the community is operated by ESC III LP, a subsidiary of the nationally recognized Brookdale Senior Living organization. This pet-friendly community has a 96-bed capacity and holds an Alzheimer’s certification, making it a comprehensive option for individuals who value both companionship and structured cognitive care in northwest San Antonio.

Short-term respite stays are also available, offering flexibility for caregivers who need temporary support or transitional care arrangements. Monthly rates begin at approximately $2,420 for assisted living and around $4,035 for memory care, placing the community within a competitive range for the San Antonio senior care market.

The community’s latest inspection, completed on July 2, 2024, identified six state standard violations related to Life Safety Code requirements rather than direct resident care concerns. These violations included smoking policy compliance, fire alarm and smoke detection systems, ventilation requirements, and hazardous area construction standards. The correction dates associated with these findings ranged from January through March 2019, suggesting the records may reflect historical compliance items. Additionally, no Health Code violations or enforcement actions were reported, which compares favorably with the Texas average.

A fitness center, theater room, library, arts and crafts studio, café and bistro area, chapel, private dining space, landscaped courtyard, walking paths, guest accommodations, and a beauty and barber salon are among the amenities available. Structured daily activities also include wellness classes, creative workshops, games, and community events. Notably, the Clare Bridge memory care program provides specialized support and purposeful engagement for residents living with Alzheimer’s disease or other forms of dementia. The community also maintains wheelchair accessibility, emergency alert systems, and secured areas for resident safety.

With a combination of specialized dementia programming, pet-friendly policies, competitive pricing, and extensive resident amenities, Brookdale Hamilton Wolfe appeals to older adults seeking assisted living or memory care within a larger, amenity-rich setting operated by an established national provider in the San Antonio area.

Discovery Village Stone Oak is a senior living community in San Antonio, Texas, within Bexar County. Managed by VOP Encino Commons, LLC, this 125-bed community stands as one of the more expansive options in the north San Antonio region, providing active retirement living, assisted living, and memory support in a single location. The official Alzheimer’s certification validates its formal ability to assist residents facing dementia and other cognitive challenges.

The atmosphere is geared toward an energetic lifestyle filled with diverse features. Culinary options include meals crafted by professional chefs with table service and a private area for celebrations, often accompanied by happy hours and live musical performances. For recreation, older adults have access to a specialized gym, an outdoor pool offering water exercise, a cinema, a library, and a space for spiritual reflection. A hair salon, paved walking trails, concierge assistance, and scheduled transportation are also provided. Essential services like cleaning, laundry, and property upkeep are part of the monthly package, and a specific support program for veterans is a highlighted feature. The community is also pet-friendly.

State evaluations are performed by the Texas HHSC, with eight findings documented across different inspections. Two of these were health-related items, specifically involving the absence of a yearly fire marshal review and the proper handling of expired medications. The other six points concerned safety standards, such as kitchen protection measures, the storage of flammable materials, and oxygen handling protocols. These issues were addressed and resolved between late 2022 and early 2024. No administrative penalties were issued following this review.

Discovery Village Stone Oak is an excellent choice for families in the north San Antonio area looking for a comprehensive campus that allows residents to transition from independent housing to more intensive support without changing their address. Its resort-style setting and wide-ranging activity schedule also appeal to those who value social interaction, organized events, and high-end hospitality services alongside their personal care.

Desert Sands Assisted Living LLC is a licensed Type A assisted living community in San Antonio, Texas, offering personal care. This community is independently managed and owned by Desert Sands Assisted Living LLC in Bexar County, with 42 licensed beds. Focusing on helping older adults who manage mental health conditions while requiring support with their daily routines, the community provides a specialized residential mental health option within the local San Antonio senior care market.

The HHSC identified six total findings throughout the community’s operational history, which included four health-related issues and two safety-related matters. The health concerns involved gaps in fire extinguisher instruction, incomplete records for employee ongoing training, and missing documentation for electronic oversight. Every issue was resolved within 13 days of the visit, finalized by July 23, 2024. Notably, no enforcement penalties have been issued against the community, and the final count of six citations is in line with the typical average across the state of Texas.

The community provides 24-hour staffing and employs a physician on-site, a level of clinical supervision that is not common in many residential settings. A thorough daily service plan featuring three home-style meals designed by a registered dietitian is also provided, along with transit to healthcare visits, cleaning services, and laundry assistance. Additional services include medication supervision, complimentary cable television, wireless internet, and a swimming pool. The social schedule is active, with karaoke, billiards competitions, culinary lessons, bingo, card tournaments, creative workshops, cinema screenings, and access to a technology center.

Desert Sands Assisted Living is an excellent option for families looking for a local assisted living environment for adults navigating mental health challenges who need organized daily support in San Antonio. The presence of medical professionals on the premises, along with various social events and emphasis on mental health, establishes a setting built for comprehensive wellness.

Independence Hill Assisted Living is a 115-bed Type A senior living in San Antonio, Texas, providing independent living, assisted living services, short-term respite stays, rehabilitation, and a dedicated memory care neighborhood. Established in 1987, this securely gated and beautifully landscaped campus stands as one of the pioneering choices for supportive care in the northern sector of the city, located less than two miles from Methodist Stone Oak Hospital. It also earned distinction as a 2026 Caring Star Best Senior Living recipient.

The community offers a remarkably diverse selection of amenities for a Texas residential care setting, with on-site features that include a modern fitness center, a swimming pool, a movie theater, a pair of libraries, a technology center, a social coffee pub, an on-site beauty and barber shop, manicured walking paths, a gazebo, and dedicated suites for visiting guests. Furthermore, older adults living here receive special privileges at The Club at Sonterra, granting them access to golf, tennis, and expanded social and fitness events. The activities calendar boasts over 150 monthly life-enrichment opportunities, ranging from water aerobics and tai chi to arts, crafts, choir, gardening, and dedicated card and game rooms. Regular group excursions to cultural landmarks around San Antonio are also scheduled. Dining is presented restaurant-style, featuring three daily meals for those in the supportive care program, supplemented by all-day bistro choices and special themed dinners. Notably, monthly fees conveniently bundle all utilities, weekly housekeeping, linen laundering, and scheduled local transportation. Safety operations include round-the-clock staffing, a 24-hour emergency alert system, and a secure perimeter. Pets are also welcome.

A total of 17 state standard violations have been recorded, 16 of which were categorized as Life Safety Code deficiencies, while just 1 fell under the Health Code. The Life Safety citations focused on physical plant and fire safety protocols, including portable extinguisher compliance, fire alarm and smoke detection systems, and mandatory sprinkler testing schedules, alongside general maintenance like exit signs, illumination levels, and HVAC operations. Documentation reveals that multiple Life Safety items listed correction dates spanning March to May 2020. No regulatory penalties or enforcement actions were issued following the review. While the 16 life safety citations register higher than the Texas statewide average of 6, the overall trend points toward building infrastructure and fire protection hardware rather than issues with direct resident care or clinical oversight. The single health-related citation, combined with a total absence of state enforcement actions, indicates that daily resident care practices were functioning in substantial compliance during the evaluation.

Independence Hill Assisted Living is well-suited for active older adults aged 55 and above seeking a vibrant, amenity-rich environment in a premier north San Antonio location, offering a seamless transition to higher levels of supportive care or memory assistance if health needs change over time.

Sodalis Elder Living Stone Oak is a licensed Type B senior living community in San Antonio, TX, offering assisted living, short-term respite care, and specialized memory support. Managed by Sodalis Elder Living Stone Oak Assisted Living, LLC, this 66-bed community holds a formal Alzheimer’s certification, ensuring a dedicated standard of care for those with cognitive loss. While the Stone Oak location is fully car-dependent with a walk score of 0, essential transportation services are provided for residents to manage off-campus errands and appointments.

Daily life within this community is anchored by Texas-inspired dining, where three meals a day and snacks, customized to residents’ dietary needs, are provided. A variety of social and wellness features, including a bistro, a TV lounge, a chapel, and an on-site therapy room, are also available. For personal care, a spa-like salon and barber shop are available, while the outdoors feature a landscaped courtyard and covered patio. The community is pet-friendly and maintains a wireless emergency response system for added security. Activities are coordinated by a dedicated director to ensure older adults stay engaged across all levels of care.

The community has received eight citations throughout its current operation, with the majority of which related to Life Safety Codes, such as smoke detector maintenance and fire alarm documentation. However, a more significant administrative penalty of $6,000 was issued in May 2024. This action addressed concerns regarding medication administration and the protection of residents against abuse or neglect. While earlier safety findings were largely historical, this recent penalty focuses on core care obligations, and families are encouraged to speak directly with the leadership team about the specific improvements made since 2024.

For families in Bexar County seeking a mid-sized setting with certified memory support, Sodalis Elder Living Stone Oak offers a robust amenity package in a professional environment. Those considering this community should balance the comprehensive on-site therapy and dining programs with a focused review of recent state reports.