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Best Nursing Homes in San Antonio, TX

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 31 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.

Explore home photos

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

Click column headers to sort
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.

San Antonio (Northeast Side)
30
Facility 30
TX AVG 80
Rank #784 / 987
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
-53-
6
Facility 6
TX AVG 41
Rank #1286 / 1392
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 #271 / 987
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
-75-
71
Facility 71
TX AVG 41
Rank #124 / 1392
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 #292 / 987
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%
$81.6k
Facility $81.6k
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
581A+
14
Facility 14
TX AVG 41
Rank #1180 / 1392
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 #665 / 987
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%
$447.8k
Facility $447.8k
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
1379A+
9
Facility 9
TX AVG 41
Rank #1241 / 1392
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.

San Antonio (Sunshine Estates)
147
Facility 147
TX AVG 80
Rank #76 / 987
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%
$90.3k
Facility $90.3k
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
283A+
46
Facility 46
TX AVG 41
Rank #610 / 1392
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 #585 / 987
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%
$10.0k
Facility $10.0k
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 / 1392
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).

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 (Far West Side)
120
Facility 120
TX AVG 80
Rank #212 / 987
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
3112-
19
Facility 19
TX AVG 41
Rank #1113 / 1392
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 #212 / 987
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%
$43.3k
Facility $43.3k
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
189-
62
Facility 62
TX AVG 41
Rank #249 / 1392
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 / 987
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%
$23.1k
Facility $23.1k
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
241-
68
Facility 68
TX AVG 41
Rank #158 / 1392
-
$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)
80
Facility 80
TX AVG 80
Rank #472 / 987
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%
$20.2k
Facility $20.2k
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
246-
47
Facility 47
TX AVG 41
Rank #587 / 1392
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).

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 (East Side)
222
Facility 222
TX AVG 80
Rank #9 / 987
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%
$227.9k
Facility $227.9k
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
366A+
26
Facility 26
TX AVG 41
Rank #1005 / 1392
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).

San Antonio (Far West Side)
119
Facility 119
TX AVG 80
Rank #255 / 987
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
2107A+
59
Facility 59
TX AVG 41
Rank #311 / 1392
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
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 #65 / 987
12.7%
Facility 12.7%
TX AVG 63.5%
Rank #287 / 297
-80%
3.63
Facility 3.63
TX AVG 3.63
Rank #122 / 289
+2%0%
$53.9k
Facility $53.9k
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 / 1392
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
Wurzbach Nursing and Rehabilitation
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)
140
Facility 140
TX AVG 80
Rank #87 / 987
38.6%
Facility 38.6%
TX AVG 63.5%
Rank #267 / 297
-39%
3.23
Facility 3.23
TX AVG 3.63
Rank #215 / 289
-69%-11%
$129.9k
Facility $129.9k
TX AVG $81.8k
Rank #259 / 294
57
Facility 57
TX AVG 25.9
Rank #283 / 292
4.4
Facility 4.4
TX AVG 3.7
Rank #235 / 292
454C
75
Facility 75
TX AVG 41
Rank #67 / 1392
E&R Cunningham Investments LP
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #223 / 297
$3.8M
Facility $3.8M
TX AVG $3.5M
Rank #226 / 297
46%
Facility 46%
TX AVG 47%
Rank #155 / 297
455824
The Village at Incarnate Word
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 (Willshire Terrace)
60
Facility 60
TX AVG 80
Rank #585 / 987
90.5%
Facility 90.5%
TX AVG 63.5%
Rank #15 / 297
+43%
4.38
Facility 4.38
TX AVG 3.63
Rank #49 / 289
-46%+21%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 294
13
Facility 13
TX AVG 25.9
Rank #47 / 292
4.3
Facility 4.3
TX AVG 3.7
Rank #227 / 292
-55A+
75
Facility 75
TX AVG 41
Rank #67 / 1392
Incarnate Word Retirement Community, Inc.
$20.9M
Facility $20.9M
TX AVG $8.4M
Rank #36 / 297
$8.5M
Facility $8.5M
TX AVG $3.5M
Rank #36 / 297
40.7%
Facility 40.7%
TX AVG 47%
Rank #217 / 297
676498
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Nursing Home Explorer
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 31 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.