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Best Nursing Homes in San Antonio, TX

Reviewed by
Last updated
Jun 2026
We analyzed
30 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.

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

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

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.

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 (Northeast Side)
30
Facility 30
TX AVG 80
Rank #782 / 988
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
-59-
6
Facility 6
TX AVG 41
Rank #1286 / 1391
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 80
Rank #275 / 988
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
-91-
71
Facility 71
TX AVG 41
Rank #124 / 1391
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 80
Rank #296 / 988
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%
$74.0k
Facility $74.0k
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
558-
14
Facility 14
TX AVG 41
Rank #1180 / 1391
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 80
Rank #664 / 988
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%
$312.5k
Facility $312.5k
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
1365A+
9
Facility 9
TX AVG 41
Rank #1241 / 1391
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.

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 (Sunshine Estates)
147
Facility 147
TX AVG 80
Rank #75 / 988
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%
$0
Facility $0
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
282-
46
Facility 46
TX AVG 41
Rank #610 / 1391
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 80
Rank #583 / 988
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%
$0
Facility $0
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 41
Rank #67 / 1391
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).

San Antonio (Far West Side)
120
Facility 120
TX AVG 80
Rank #210 / 988
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
3110-
19
Facility 19
TX AVG 41
Rank #1113 / 1391
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 80
Rank #210 / 988
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%
$0
Facility $0
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
1101-
62
Facility 62
TX AVG 41
Rank #249 / 1391
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 80
Rank #410 / 988
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%
$23.4k
Facility $23.4k
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
247-
68
Facility 68
TX AVG 41
Rank #158 / 1391
-
$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)
24
Facility 24
TX AVG 80
Rank #798 / 988
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%
$17.3k
Facility $17.3k
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
253-
47
Facility 47
TX AVG 41
Rank #587 / 1391
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).

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 (East Side)
222
Facility 222
TX AVG 80
Rank #10 / 988
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%
$269.1k
Facility $269.1k
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
361-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
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).

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 (Far West Side)
119
Facility 119
TX AVG 80
Rank #258 / 988
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
2108-
59
Facility 59
TX AVG 41
Rank #311 / 1391
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
Westover Hills Rehabilitation and Healthcare 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)
124
Facility 124
TX AVG 80
Rank #178 / 988
81.0%
Facility 81.0%
TX AVG 63.5%
Rank #60 / 297
+28%
3.87
Facility 3.87
TX AVG 3.63
Rank #76 / 289
+6%+7%
$20.2k
Facility $20.2k
TX AVG $81.8k
Rank #176 / 294
29
Facility 29
TX AVG 25.9
Rank #207 / 292
2.6
Facility 2.6
TX AVG 3.7
Rank #71 / 292
2105-
32
Facility 32
TX AVG 41
Rank #902 / 1391
Sage Terrace Healthcare LLC
$15.3M
Facility $15.3M
TX AVG $8.4M
Rank #67 / 297
$7.9M
Facility $7.9M
TX AVG $3.5M
Rank #49 / 297
51.7%
Facility 51.7%
TX AVG 47%
Rank #85 / 297
676281
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 80
Rank #63 / 988
--
3.63
Facility 3.63
TX AVG 3.63
Rank #122 / 289
+2%0%
$24.3k
Facility $24.3k
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 41
Rank #38 / 1391
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
San Antonio West 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 (Edgewood)
135
Facility 135
TX AVG 80
Rank #111 / 988
--
2.92
Facility 2.92
TX AVG 3.63
Rank #262 / 289
+10%-20%
$373.4k
Facility $373.4k
TX AVG $81.8k
Rank #292 / 294
49
Facility 49
TX AVG 25.9
Rank #268 / 292
3.1
Facility 3.1
TX AVG 3.7
Rank #130 / 292
613-
53
Facility 53
TX AVG 41
Rank #433 / 1391
Maverick County Hospital Distict
$8.8M
Facility $8.8M
TX AVG $8.4M
Rank #207 / 297
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #237 / 297
40.9%
Facility 40.9%
TX AVG 47%
Rank #214 / 297
675002
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Nursing Home Explorer

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 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 The Westmark Senior Living

Operating under a Type B license in Bexar County, 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. The community also provides supportive care services for up to 95 residents. It has also earned recognition through an Executive Director of the Year award from the Texas Assisted Living Association, highlighting leadership quality and operational excellence.

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.

Contact The Westmark Senior Living

Overview of Landon Ridge – Alamo Ranch

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.

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.

Contact Landon Ridge – Alamo Ranch

Overview of Brookdale Hamilton Wolfe

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.

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.

Contact Brookdale Hamilton Wolfe

Overview of Discovery Village Stone Oak

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.

Contact Discovery Village Stone Oak

Overview of Sodalis Elder Living Stone Oak Assisted Living, LLC

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 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.

Contact Sodalis Elder Living Stone Oak Assisted Living, LLC

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 The Village at Incarnate Word

The Village at Incarnate Word is a 60-bed nursing and rehabilitation community in San Antonio, Texas. It is operated by Incarnate Word Retirement Community, Inc., a voluntary nonprofit founded by the Sisters of Charity of the Incarnate Word. The facility offers nursing and rehabilitation, assisted living, independent living, memory care, and respite care. It accepts Medicare, Medicaid, and private pay. The facility holds a 5-star CMS overall rating, placing it among the top performers in the state. Across three inspections since 2023, the facility recorded 13 citations, roughly half the Texas average of 25.9, with zero critical or serious findings and no federal penalties in that period. Total nurse staffing averages 4 hours and 23 minutes per resident per day, 16% above the Texas average, with certified nurse aide staffing 36% above the state benchmark, ranking the facility 49th out of 289 Texas SNFs for total adjusted nursing hours. The occupancy rate is 91%, well above the Texas average of 63.5% and ranks 15th statewide, reflecting consistent local demand. The community has been voted the #1 Best Senior Living in San Antonio for three consecutive years from 2023 to 2025 by San Antonio Express-News Readers’ Choice. Long-stay hospitalization and emergency department rates are among the clearest clinical signals for the facility. Hospitalizations are 1.02 per 1,000 resident days, 52% below the state average, and ED visits are 0.60 per 1,000 resident days, 71% below the state average. The campus includes a Spiritual Life program, an active resident council, and a CCRC structure spanning multiple levels of care. In-home care services are also available. The Village at Incarnate Word fits older adults seeking a nonprofit, faith-affiliated continuum of care in San Antonio, from short-term rehabilitation through long-term skilled nursing and memory care, within a community that maintains strong staffing and a low-acuity compliance record.

Contact The Village at Incarnate Word

Overview of Grandview of Westover Hills

Conveniently located in the harmonious neighborhood of San Antonio, TX, Grandview of Westover Hills is a trusted community that offers assisted living and memory care. Residents, including those with cognitive conditions, enjoy the highest quality of care for their unique needs with a respectful and highly trained team available around the clock. The community strives to meet residents’ needs with a registered nurse on site.

Here, residents will not feel lonely with plenty of fun recreational activities and engaging programs for their leisure and wellness. Delightful and healthy meals are also served for residents to have the finest dining experience that caters to their dietary needs and preferences. Amenities include a barber shop, a fitness center, a theater, and a beauty parlor, creating the perfect setting for residents to live a worry-free retirement.

Contact Grandview of Westover Hills

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.
  • 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.
  • 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.
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%
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%
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%
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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 30 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.