Page 3 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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Last updated
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 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 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

Offering independent living, assisted living, memory care, and both transitional and long-term nursing care, Morningside at Menger Springs is a senior living community in the Cottages Under the Oaks neighborhood of Boerne, Texas. The community is set on 34 acres, giving residents the option to move between levels of care without relocating to a different community.

Residents can choose between cottages and apartment homes. This gives them the option of a more private, house-style setting or a traditional apartment layout. Daily life includes chef-prepared meals, housekeeping, laundry services, professional landscaping, and a regular calendar of community activities. Residents in memory care receive individualized care plans based on their specific needs, including support for injuries, physical disabilities, or illness.

The community has a covered pool, a library, and a putting green, giving residents different ways to stay active and socialize close to home. The area has a Walk Score of 24 out of 100, which is car-dependent. Most errands and outings require a car.

Families considering Morningside at Menger Springs should take a tour of the cottages and apartment homes to see which setting best fits their needs.

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
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.