Other senior care options in San Antonio:

Best Nursing Homes in San Antonio, TX

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

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

Watch this Video to see San Antonio's Top-rated Senior Communities
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in San Antonio, TX. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in San Antonio, TX. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in San Antonio, TX. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around San Antonio (Metro Area)

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

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

The Army Residence Community Health Care Center
NH
AL
IL
MC
SNF
San Antonio (Northeast Side)
30
Facility 30
TX AVG 80
Rank #782 / 988
70.1%
Facility 70.1%
TX AVG 63.5%
Rank #134 / 304
+10%
4.74
Facility 4.74
TX AVG 3.63
Rank #36 / 296
-10%+31%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
18
Facility 18
TX AVG 25.9
Rank #103 / 299
4.5
Facility 4.5
TX AVG 3.7
Rank #247 / 299
-59-
6
Facility 6
TX AVG 41
Rank #1286 / 1391
Army Retirement Residence Foundation San Antonio
$33.5MFiscal year ending 06/2024
Facility $33.5MFiscal year ending 06/2024
TX AVG $8.4M
Rank #6 / 304
$16.5MFiscal year ending 06/2024
Facility $16.5MFiscal year ending 06/2024
TX AVG $3.5M
Rank #6 / 304
49.4%Fiscal year ending 06/2024
Facility 49.4%Fiscal year ending 06/2024
TX AVG 47%
Rank #268 / 304
675697
Blue Skies of Texas East
NH
AL
HOS
IL
MC
SNF
San Antonio (Valley High North)
24
Facility 24
TX AVG 80
Rank #798 / 988
68.3%
Facility 68.3%
TX AVG 63.5%
Rank #142 / 304
+8%
6.51
Facility 6.51
TX AVG 3.63
Rank #3 / 296
-7%+79%
$17.3k
Facility $17.3k
TX AVG $81.8k
Rank #127 / 301
31
Facility 31
TX AVG 25.9
Rank #224 / 299
3.1
Facility 3.1
TX AVG 3.7
Rank #133 / 299
253-
47
Facility 47
TX AVG 41
Rank #587 / 1391
Air Force Village Inc
$10.3MFiscal year ending 06/2024
Facility $10.3MFiscal year ending 06/2024
TX AVG $8.4M
Rank #63 / 304
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
TX AVG $3.5M
Rank #44 / 304
52.2%Fiscal year ending 06/2024
Facility 52.2%Fiscal year ending 06/2024
TX AVG 47%
Rank #84 / 304
676041
Saint Francis Nursing Home
NH
AL
IL
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #275 / 988
--
3.93
Facility 3.93
TX AVG 3.63
Rank #4 / 296
-+8%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
-
Facility -
TX AVG 25.9
Rank #91 / 299
-
Facility -
TX AVG 3.7
Rank #233 / 299
-92-
71
Facility 71
TX AVG 41
Rank #124 / 1391
-
-
Facility -
TX AVG $8.4M
Rank #178 / 304
-
Facility -
TX AVG $3.5M
Rank #156 / 304
-
Facility -
TX AVG 47%
Rank #123 / 304
45F410
Lakeside Nursing and Rehabilitation Center
NH
SNF
San Antonio (Far West Side)
120
Facility 120
TX AVG 80
Rank #210 / 988
84.5%
Facility 84.5%
TX AVG 63.5%
Rank #40 / 304
+33%
3.42
Facility 3.42
TX AVG 3.63
Rank #174 / 296
+35%-6%
$14.6k
Facility $14.6k
TX AVG $81.8k
Rank #111 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
3110-
19
Facility 19
TX AVG 41
Rank #1113 / 1391
Crystal Lake Healthcare, Inc
$11.7MFiscal year ending 03/2024
Facility $11.7MFiscal year ending 03/2024
TX AVG $8.4M
Rank #76 / 304
$7.0MFiscal year ending 03/2024
Facility $7.0MFiscal year ending 03/2024
TX AVG $3.5M
Rank #63 / 304
60.2%Fiscal year ending 03/2024
Facility 60.2%Fiscal year ending 03/2024
TX AVG 47%
Rank #147 / 304
676325
Westover Hills Rehabilitation and Healthcare Center
NH
MC
SNF
San Antonio (Far West Side)
124
Facility 124
TX AVG 80
Rank #178 / 988
81.0%
Facility 81.0%
TX AVG 63.5%
Rank #62 / 304
+28%
3.87
Facility 3.87
TX AVG 3.63
Rank #81 / 296
+6%+7%
$20.2k
Facility $20.2k
TX AVG $81.8k
Rank #136 / 301
29
Facility 29
TX AVG 25.9
Rank #214 / 299
2.6
Facility 2.6
TX AVG 3.7
Rank #73 / 299
2105-
32
Facility 32
TX AVG 41
Rank #902 / 1391
Sage Terrace Healthcare LLC
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
TX AVG $8.4M
Rank #69 / 304
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #51 / 304
60.1%Fiscal year ending 12/2023
Facility 60.1%Fiscal year ending 12/2023
TX AVG 47%
Rank #89 / 304
676281
Mystic Park Nursing and Rehabilitation Center
NH
MC
SNF
San Antonio (Far West Side)
119
Facility 119
TX AVG 80
Rank #258 / 988
81.8%
Facility 81.8%
TX AVG 63.5%
Rank #53 / 304
+29%
3.50
Facility 3.50
TX AVG 3.63
Rank #146 / 296
-5%-4%
$111.1k
Facility $111.1k
TX AVG $81.8k
Rank #260 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
4.2
Facility 4.2
TX AVG 3.7
Rank #228 / 299
2108-
59
Facility 59
TX AVG 41
Rank #311 / 1391
Fox Sparrow Healthcare, Inc
$10.8MFiscal year ending 03/2024
Facility $10.8MFiscal year ending 03/2024
TX AVG $8.4M
Rank #81 / 304
$6.7MFiscal year ending 03/2024
Facility $6.7MFiscal year ending 03/2024
TX AVG $3.5M
Rank #70 / 304
62%Fiscal year ending 03/2024
Facility 62%Fiscal year ending 03/2024
TX AVG 47%
Rank #153 / 304
676012
San Pedro Manor
NH
MC
SNF
San Antonio (Monte Vista)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.63
Facility 3.63
TX AVG 3.63
Rank #128 / 296
+2%0%
$24.3k
Facility $24.3k
TX AVG $81.8k
Rank #155 / 301
43
Facility 43
TX AVG 25.9
Rank #260 / 299
3.9
Facility 3.9
TX AVG 3.7
Rank #210 / 299
519A+
79
Facility 79
TX AVG 41
Rank #38 / 1391
West Ashby Healthcare, Inc
$9.5MFiscal year ending 06/2024
Facility $9.5MFiscal year ending 06/2024
TX AVG $8.4M
Rank #120 / 304
$6.1MFiscal year ending 06/2024
Facility $6.1MFiscal year ending 06/2024
TX AVG $3.5M
Rank #93 / 304
64.8%Fiscal year ending 06/2024
Facility 64.8%Fiscal year ending 06/2024
TX AVG 47%
Rank #100 / 304
455689
Silver Creek Nursing and Rehab
NH
SNF
San Antonio (Far West Side)
120
Facility 120
TX AVG 80
Rank #210 / 988
67.7%
Facility 67.7%
TX AVG 63.5%
Rank #149 / 304
+7%
2.70
Facility 2.70
TX AVG 3.63
Rank #284 / 296
-2%-26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
22
Facility 22
TX AVG 25.9
Rank #163 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1101-
62
Facility 62
TX AVG 41
Rank #249 / 1391
Timber Nursing And Rehab Center LLC
$9.2MFiscal year ending 06/2024
Facility $9.2MFiscal year ending 06/2024
TX AVG $8.4M
Rank #135 / 304
$0.0kFiscal year ending 06/2024
Facility $0.0kFiscal year ending 06/2024
TX AVG $3.5M
Rank #178 / 304
0%Fiscal year ending 06/2024
Facility 0%Fiscal year ending 06/2024
TX AVG 47%
Rank #228 / 304
455652
Legend Oaks West Rehab
NH
MC
SNF
San Antonio (Far West Side)
124
Facility 124
TX AVG 80
Rank #178 / 988
85.1%
Facility 85.1%
TX AVG 63.5%
Rank #36 / 304
+34%
3.86
Facility 3.86
TX AVG 3.63
Rank #81 / 296
+28%+6%
$8.6k
Facility $8.6k
TX AVG $81.8k
Rank #94 / 301
11
Facility 11
TX AVG 25.9
Rank #32 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1110-
24
Facility 24
TX AVG 41
Rank #1040 / 1391
Bertetti Healthcare, Inc
$13.5MFiscal year ending 09/2023
Facility $13.5MFiscal year ending 09/2023
TX AVG $8.4M
Rank #79 / 304
$7.8MFiscal year ending 09/2023
Facility $7.8MFiscal year ending 09/2023
TX AVG $3.5M
Rank #49 / 304
57.9%Fiscal year ending 09/2023
Facility 57.9%Fiscal year ending 09/2023
TX AVG 47%
Rank #71 / 304
676312
Juniper Village at Lincoln Heights
NH
AL
San Antonio (Willshire Terrace)
97
Facility 97
TX AVG 80
Rank #383 / 988
58.8%
Facility 58.8%
TX AVG 63.5%
Rank #209 / 304
-7%
4.78
Facility 4.78
TX AVG 3.63
Rank #26 / 296
+80%+32%
$122.0k
Facility $122.0k
TX AVG $81.8k
Rank #263 / 301
18
Facility 18
TX AVG 25.9
Rank #103 / 299
4.5
Facility 4.5
TX AVG 3.7
Rank #247 / 299
125-
75
Facility 75
TX AVG 41
Rank #67 / 1391
Tiffany Weiser
$8.7MFiscal year ending 12/2023
Facility $8.7MFiscal year ending 12/2023
TX AVG $8.4M
Rank #212 / 304
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
TX AVG $3.5M
Rank #196 / 304
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
TX AVG 47%
Rank #114 / 304
675542
Morningside at the Meadows
NH
AL
IL
MC
SNF
San Antonio (Sunshine Estates)
147
Facility 147
TX AVG 80
Rank #75 / 988
49.8%
Facility 49.8%
TX AVG 63.5%
Rank #251 / 304
-22%
3.58
Facility 3.58
TX AVG 3.63
Rank #128 / 296
-16%-1%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
8.0
Facility 8.0
TX AVG 3.7
Rank #299 / 299
282-
46
Facility 46
TX AVG 41
Rank #610 / 1391
Guadalupe County Hospital Board
$6.5MFiscal year ending 09/2023
Facility $6.5MFiscal year ending 09/2023
TX AVG $8.4M
Rank #255 / 304
$5.3MFiscal year ending 09/2023
Facility $5.3MFiscal year ending 09/2023
TX AVG $3.5M
Rank #123 / 304
81.2%Fiscal year ending 09/2023
Facility 81.2%Fiscal year ending 09/2023
TX AVG 47%
Rank #7 / 304
455523
Grandview of Westover Hills
NH
AL
MC
San Antonio (Far West Side)
112
Facility 112
TX AVG 80
Rank #299 / 988
80.1%
Facility 80.1%
TX AVG 63.5%
Rank #72 / 304
+26%
3.32
Facility 3.32
TX AVG 3.63
Rank #191 / 296
+61%-8%
$8.3k
Facility $8.3k
TX AVG $81.8k
Rank #88 / 301
23
Facility 23
TX AVG 25.9
Rank #172 / 299
4.6
Facility 4.6
TX AVG 3.7
Rank #254 / 299
2106-
33
Facility 33
TX AVG 41
Rank #884 / 1391
Westover Continuing Care Center Ltd. Co
$5.8MFiscal year ending 09/2023
Facility $5.8MFiscal year ending 09/2023
TX AVG $8.4M
Rank #232 / 304
$3.5MFiscal year ending 09/2023
Facility $3.5MFiscal year ending 09/2023
TX AVG $3.5M
Rank #247 / 304
60.2%Fiscal year ending 09/2023
Facility 60.2%Fiscal year ending 09/2023
TX AVG 47%
Rank #209 / 304
676402
River City Care Center
NH
SNF
San Antonio (Eastside Promise Neighborhood)
92
Facility 92
TX AVG 80
Rank #410 / 988
45.7%
Facility 45.7%
TX AVG 63.5%
Rank #259 / 304
-28%
3.63
Facility 3.63
TX AVG 3.63
Rank #128 / 296
+37%0%
$23.4k
Facility $23.4k
TX AVG $81.8k
Rank #152 / 301
32
Facility 32
TX AVG 25.9
Rank #230 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
247-
68
Facility 68
TX AVG 41
Rank #158 / 1391
-
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
TX AVG $8.4M
Rank #292 / 304
$2.1MFiscal year ending 12/2023
Facility $2.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #294 / 304
69.7%Fiscal year ending 12/2023
Facility 69.7%Fiscal year ending 12/2023
TX AVG 47%
Rank #128 / 304
675896
Buena Vida Nursing and Rehab Center San Antonio
NH
MC
SNF
San Antonio (East Side)
222
Facility 222
TX AVG 80
Rank #10 / 988
27.6%
Facility 27.6%
TX AVG 63.5%
Rank #286 / 304
-57%
3.48
Facility 3.48
TX AVG 3.63
Rank #146 / 296
+31%-4%
$269.1k
Facility $269.1k
TX AVG $81.8k
Rank #293 / 301
44
Facility 44
TX AVG 25.9
Rank #263 / 299
4.4
Facility 4.4
TX AVG 3.7
Rank #241 / 299
361-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
West Wharton County Hospital District
$4.3MFiscal year ending 03/2024
Facility $4.3MFiscal year ending 03/2024
TX AVG $8.4M
Rank #260 / 304
$3.2MFiscal year ending 03/2024
Facility $3.2MFiscal year ending 03/2024
TX AVG $3.5M
Rank #261 / 304
73.8%Fiscal year ending 03/2024
Facility 73.8%Fiscal year ending 03/2024
TX AVG 47%
Rank #141 / 304
455390
Memorial Medical Nursing Center
NH
SNF
San Antonio (Tobin Hill)
135
Facility 135
TX AVG 80
Rank #111 / 988
77.0%
Facility 77.0%
TX AVG 63.5%
Rank #92 / 304
+21%
2.66
Facility 2.66
TX AVG 3.63
Rank #284 / 296
+80%-27%
$35.4k
Facility $35.4k
TX AVG $81.8k
Rank #187 / 301
52
Facility 52
TX AVG 25.9
Rank #283 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
298-
86
Facility 86
TX AVG 41
Rank #19 / 1391
San Pedro Nursing And Rehab Center LLC
$8.3MFiscal year ending 06/2024
Facility $8.3MFiscal year ending 06/2024
TX AVG $8.4M
Rank #144 / 304
$0.0kFiscal year ending 06/2024
Facility $0.0kFiscal year ending 06/2024
TX AVG $3.5M
Rank #199 / 304
0%Fiscal year ending 06/2024
Facility 0%Fiscal year ending 06/2024
TX AVG 47%
Rank #245 / 304
455597
Rows per page:
Nursing Home Explorer

EdenHill Communities

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

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

Contact EdenHill Communities

Overview of 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 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 Blue Skies East Campus

Blue Skies of Texas East is a 24-bed nursing home at 4917 Ravenswood Dr in San Antonio’s Valley High North neighborhood, Bexar County. BST Health Services Corp. operates it; Air Force Village Inc is the owner. The community has been running for 14 years, is part of a Continuing Care Retirement Community, and accepts Medicare and private pay. Bianca Cardenas serves as Executive Director, with 13 years of experience in senior living.

Five care levels are available here: nursing home, assisted living, hospice care, independent living, and memory care. Residential options spread across a Hi-Rise, Mid-Rise, Cottages, and a development called The Hills. Occupancy sits at 68%, with 16 of 24 nursing home beds currently filled, and the average stay runs 109 days.

Nursing care totals 6 hours and 31 minutes per resident per day: 46 minutes from an RN, 1 hour and 22 minutes from an LPN or LVN, and 3 hours and 1 minute from nurse aides. Rehabilitation services, respite care, and 24-hour staffing are all on offer. CMS-recognized programs include an on-site Nurse Aide Training and Competency Evaluation Program and an Active Resident Council.

The amenity footprint is large relative to the nursing home’s 24-bed size, because this is a full CCRC campus. That means a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, outdoor walking trails, a billiard and game room, a library, a Sky Lounge, a 24-hour concierge, and interdenominational chapels. Dining draws on fresh, seasonal ingredients with a made-from-scratch approach. More than 70 activity groups are on the calendar.

State inspections by the Texas Health and Human Services Commission have covered medication management, and care planning and documentation. Walk Score is 47; the neighborhood is only somewhat walkable, and most errands require a car.

For a small nursing home, Blue Skies of Texas East presents an unusually broad care and amenity profile, which reflects its position as part of a larger campus with multiple residential tiers rather than a standalone skilled nursing facility.

Contact Blue Skies East Campus

Overview of Morningside at Menger Springs

Morningside at Menger Springs is a captivating retirement community nestled on 34 acres of premier atmosphere. It offers independent living, assisted living, memory care, transitional care, and long-term care, and provides a spectrum of services and amenities that enhance the senior living experience. From on-site meals, housekeeping, and laundry services to community activities and professional landscaping, the community ensures ease and enjoyment. Safety is prioritized as well, particularly for those in need of memory care, with individualized care plans catering to various needs, including injuries, physical disabilities, and illnesses.
The competent staff and the availability of cottages alongside apartment homes further contribute to the community’s comprehensive offerings. Beyond its practical services, Morningside at Menger Springs boasts unique features such as a covered pool, library, putting green, and more, enriching the resident experience. With a commitment to creating a comfortable and engaging environment, this community stands out as an exceptional choice for seniors seeking a vibrant and supportive living space.

Contact Morningside at Menger Springs

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.
  • 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.
  • 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.
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%
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%
SAN ANTONIO-WEST RETAMA MANOR63.85%139$3,754,406.00$1,116,427.00$2,006,577.0021.98%72.92%5.10%
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Nursing Homes in San Antonio, TX

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 25 nursing homes in San Antonio, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in San Antonio, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in San Antonio, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in San Antonio, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.