Page 3 of Best Retirement Homes in San Antonio, TX

Why trust this guide? Our editorial team analyzed 38 retirement homes communities in San Antonio, TX using TX Health & Human Services Commission (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank retirement 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 retirement home provider in San Antonio, TX.
38 homes
Other senior care options in San Antonio:
Avg Walk Score: 39/ 100The average Walk Score across facilities in San Antonio, TX. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 73The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90

Compare Retirement Homes around San Antonio (Metro Area)

Info below is compiled from the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. RH (Retirement Homes):
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Number of years the company has been in operation.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Total count of citations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
Citations tied to health-related standards (as categorized by the state). Subset of overall citation activity.
Citations tied to life safety or environmental standards (as categorized by the state). Often distinct from health-line citations.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Discovery Village At Dominion
RH
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 73
Rank #51 / 874
No-
9
Facility 9
TX AVG 19
Rank #368 / 517
Dsl Tenant II, LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
13-
Parkway Assisted Living LLC
RH
AL
San Antonio (Inner West Side)
16
Facility 16
TX AVG 73
Rank #682 / 874
No
36
Facility 36
TX AVG 42
Rank #754 / 1,232
7
Facility 7
TX AVG 19
Rank #422 / 517
Parkway Assisted Living LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
-4Suite
The Lodge at Leon Springs
RH
AL
IL
RC
San Antonio (Northwest Side)
14
Facility 14
TX AVG 73
Rank #766 / 874
No
45
Facility 45
TX AVG 42
Rank #572 / 1,232
18
Facility 18
TX AVG 19
Rank #198 / 517
Leon Springs Lodge LLC
7
Facility 7
TX AVG 6
Rank #498 / 839
61-
Isle at Watercrest – Dominion
RH
AL
IL
MC
San Antonio (Northwest Side)
148
Facility 148
TX AVG 73
Rank #51 / 874
No
9
Facility 9
TX AVG 42
Rank #1,131 / 1,232
-Dsl Tenant II, LLC
4
Facility 4
TX AVG 6
Rank #293 / 839
13Studio / 1 Bed / 2 Bed
The Ridge at Westover Hills
RH
MC
San Antonio (Far West Side)
38
Facility 38
TX AVG 73
Rank #630 / 874
No
18
Facility 18
TX AVG 42
Rank #1,021 / 1,232
1
Facility 1
TX AVG 19
Rank #510 / 517
Ridgeline Westover Hills LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
---
Premier Assisted Living Residential Care Home
RH
AL
San Antonio (Uptown Central)
6
Facility 6
TX AVG 73
Rank #853 / 874
No
36
Facility 36
TX AVG 42
Rank #754 / 1,232
-Premier Assisted Living, LLC
0
Facility 0
TX AVG 6
Rank #1 / 839
--Private Rooms
Carol Ann’s Home
RH
AL
HOS
MC
San Antonio
16
Facility 16
TX AVG 73
Rank #682 / 874
No
23
Facility 23
TX AVG 42
Rank #960 / 1,232
-Carol Ann's Home Inc
1
Facility 1
TX AVG 6
Rank #87 / 839
14Private Rooms
The Haven & The Laurels in Stone Oak
RH
AL
MC
San Antonio (Stone Oak)
62
Facility 62
TX AVG 73
Rank #466 / 874
Yes
37
Facility 37
TX AVG 42
Rank #731 / 1,232
-Snh Longhorn Tenant LLC
9
Facility 9
TX AVG 6
Rank #602 / 839
45Studio / 1 Bed / 2 Bed / Private / Companion Suite
Elmcroft of Windcrest
RH
AL
MC
RC
San Antonio (Northeast Side)
105
Facility 105
TX AVG 73
Rank #238 / 874
Yes
14
Facility 14
TX AVG 42
Rank #1,074 / 1,232
8
Facility 8
TX AVG 19
Rank #396 / 517
Ec Opco Windcrest, LLC
26
Facility 26
TX AVG 6
Rank #811 / 839
224-
Arden Courts ProMedica Memory Care Community
RH
MC
RC
San Antonio
64
Facility 64
TX AVG 73
Rank #455 / 874
Yes
40
Facility 40
TX AVG 42
Rank #667 / 1,232
-Arden Courts 15290 Huebner Road, LLC
17
Facility 17
TX AVG 6
Rank #754 / 839
107Studio

Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 38 analyzed for San Antonio. See how we rank facilities

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Overview of Discovery Village at Dominion

Discovery Village at Dominion is nestled in the stunning hill country of San Antonio, Texas. This vibrant senior living community caters to residents seeking exceptional care and a fulfilling lifestyle. For those valuing independence alongside a carefree lifestyle, residents delight in chef-prepared, restaurant-style dining, spacious and accessible suites, and a robust calendar filled with enriching activities. Designed for individuals with dementia and Alzheimer’s, this community provides a secure environment where compassionate staff deliver specialized care, ensuring safety and promoting overall well-being.
At Discovery Village at Dominion, personalized care meets comfort in a compassionate haven where seniors receive tailored support while preserving their autonomy. High-quality dining options, top-notch amenities, and a shared community campus foster a strong sense of belonging. Beyond just a residence, Discovery Village at Dominion is a thriving home where residents flourish. Whether exploring the San Antonio Art Museum or strolling along the San Antonio River Walk, every moment presents opportunities for joy and connection. With its hill country charm and convenient city access, Dominion embodies exceptional senior living.

Contact Discovery Village At Dominion

Overview of Parkway Assisted Living

Parkway Assisted Living is a small, 16-bed senior care home located on Parkway Drive in San Antonio’s Inner West Side. Managed by Sylvia Mendoza, this single-story house offers suite-style rooms for seniors who prefer a tight-knit, family-like environment over a massive, crowded facility.

The staff is in the building around the clock, providing hands-on care in private and semi-private rooms. Each room comes set up with emergency call buttons, individual closets, wall-mounted TVs, and direct bathroom access. The home only houses a small group of residents, so the kitchen team can easily tailor their home-cooked meals to fit specific medical diets. They also have an open-door feel that encourages family members to drop by and join in on daily activities or meals. Over its seven years in business, the home has maintained a solid track record with state inspectors, consistently meeting Texas health and safety rules.

The surrounding neighborhood is somewhat walkable, meaning you might be able to reach a few local spots on foot, but you’ll still need a car or transit for most errands and doctor visits. There is easy parking out front for visitors. Families are welcome to stop by for a visit to see the single-story setup, check out the suites, or chat about how the team handles daily care. It’s the best way to get a feel for the house and see if the smaller, quieter pace is what your family is looking for.

Contact Parkway Assisted Living LLC

Overview of The Lodge at Leon Springs

A family-oriented home committed to providing compassionate and genuine care for residents, The Lodge at Leon Springs strives to deliver a service that will enhance you or your loved one’s life. Through their independent living and assisted living, The Lodge provides individualized care that is uniquely designed for each individual based on their needs. Cottages are exclusively for independent living residents where they have a full, private bathroom; laundry room. As for residents of assisted living, residents have their own designated apartment-style room which include assistance with eating, bathing , grooming, and ambulating; as well as having medication management and access to other medical services. Both independent and assisted living residents get weekly housekeeping and laundry services– as well as the liberty to join exercise and wellness programs and receive meals everyday in the dining areas. The Lodge at Leon Springs may be a tight-knit community but the bond among residents and staff is massive, as commended by families. 
The Lodge at Leon Springs, as an independent living and assisted living community, is beautifully-designed to meet the needs of each unique individual. Residents of The Lodge comprises adults around the age of 50 up to seniors of the age 100-years-old; with an equal number of men and women in the community. Residents are encouraged to socialize and build relationships among other residents and staff through their enriching programs and activities in the community. The Lodge at Leon Springs aims to bring adults and seniors together in an inclusive community that aims to help residents live a full life.

Contact The Lodge at Leon Springs

Overview of Isle at Watercrest – Dominion

Isle at Watercrest – Dominion is an assisted living and memory care community that Dsl Tenant Ii operates on Heuermann Road in the Northwest Side of San Antonio. It caters to 148 residents across a two-story building with a set of housing options: studios, one-bedroom units, and two-bedroom apartments. This variety of floor plans lets families select the layout that works best for their dearest one’s needs and wants.

The home offers three care levels: assisted living, independent living, and memory care, so it’s a pragmatic choice for seniors at different life stages or changing care needs. Occupants can select the support level appropriate to their situation, whether they’re seeking assistance with daily activities, a maintenance-focused retirement living option, or specialized memory care. Isle at Watercrest – Dominion sits in an area with a Walk Score of 9, so most errands in the car-dependent neighborhood demand a car. For families and visitors, this suburban setting may offer a calmer residential atmosphere than a more walkable urban neighborhood.

State inspections by the Texas Health Department have found no health code or life safety code violations in their facility examination.

The home’s assisted living, independent living, and memory care availability make it a grounded choice for seniors at different stages of life or changing care needs. Families wanting to learn more about specific amenities, dining options, activities, and resident services must contact the home directly to arrange a tour and discuss its offerings for their loved one.

Contact Isle at Watercrest – Dominion

Overview of The Ridge at Westover Hills

The Ridge at Westover Hills is a memory care community in San Antonio, Texas. Its secured setting includes supervision, which can suit someone living with dementia who may be at risk of wandering. With 38 beds, the community has a smaller scale where staff and residents can get to know each other; Misty Dunn-Suarez serves as administrator, and Ridgeline Westover Hills operates the community.

Contact The Ridge at Westover Hills

Overview of Premier Assisted Living Residential Care Home

Helping residents achieve maximum independence, Premier Assisted Living is a tight-knit senior living community in Bexar County, San Antonio, TX, offering assisted living services. Residents here enjoy round-the-clock personalized care in a safe, comfortable, and nurturing environment. The community welcomes its residents into fully furnished private resident rooms, with convenient access to a wide array of amenities and services. Boasting a high caregiver-to-resident ratio, the community ensures residents receive focused and attentive care that they deserve.

The community makes sure their team members stay up to date with the best care and infection control practices through continuous training, ensuring consistent high-quality care provision. Residents can trade the tedious chores for more free time for enjoyment with housekeeping and laundry services handled by a dedicated team. Three deliciously prepared meals and snacks are served daily to satisfy residents’ nutritional needs and cravings. With 24-hour security cameras, monitored fire alarm & fire sprinkler systems, and round-the-clock care and supervision, residents are guaranteed to live a safe and comfortable life.

Contact Premier Assisted Living Residential Care Home

Overview of Carol Ann’s Home

Nestled in a quiet residential area in Bexar County, San Antonio, TX, Carol Ann’s Home – Wayward is a quaint and peaceful senior living community that offers assisted living and memory care. Residents feel at home in their cozy accommodations with convenient access to a 24 hour qualified and caring team. Emergency call systems are installed throughout the community to provide residents with easy access to help during emergencies.

As a family owned and operated senior living community, Carol Ann’s Home guarantees personalized care and focused attention with a friendly and personal touch. A wide array of activities and entertainment are provided to give residents plenty of opportunities for social engagement and enjoyment. The community serves home cooked meals plus snacks throughout the day to ensure residents are always full and happy.

Contact Carol Ann’s Home

Overview of The Haven & the Laurels in Stone Oak

Situated in San Antonio, TX, The Haven & The Laurels in Stone Oak is a welcoming senior living community offering assisted living, memory care, and respite care. Located in a residential area, the community provides a homelike environment with a range of thoughtfully designed apartments, including alcove studios, one-bedroom, and two-bedroom apartments. Residents can enjoy a refined sense of warmth and receive personalized care from a dedicated team of caregivers.

With housekeeping and laundry services handled, residents can fully enjoy their retirement. The expansive dining room offers restaurant-style dining with delicious and nutritious meals served daily. Residents can enjoy cozy common areas, a stretch of main street shops, and a beauty salon. Moreover, engaging activities such as cooking and art classes, happy hours, and educational presentations promote lifelong learning and enjoyment.

Contact The Haven & The Laurels in Stone Oak

Overview of Elmcroft of Windcrest

Elmcroft of Windcrest offers assisted living, memory care, and respite care in San Antonio, TX. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space; memory care provides a secured setting with supervision for someone at risk of wandering; and respite care provides a short stay when a usual caregiver needs to travel or recover. The combination of care levels can suit a resident whose needs may grow over time without requiring a move to another community.

The community is in the Northeast Side neighborhood and has 105 beds in a single-story building. Pets are allowed, so residents can bring a pet with them. Ec Opco Windcrest operates the community.

Contact Elmcroft of Windcrest

Overview of Arden Courts ProMedica Memory Care Community

Situated in the welcoming neighborhood of San Antonio, TX, Arden Courts ProMedica Memory Care Community is dedicated to supporting individuals with memory loss, including Alzheimer’s and related dementias. With specially trained caregivers, this community provides a safe, comfortable environment featuring inviting common spaces, family rooms, kitchens, and walking paths tailored to residents’ needs.

As a pioneer in purpose-built memory care with a small-house design, Arden Courts has set industry standards for over 25 years. This community continuously expands its offerings, enhancing care for individuals with memory challenges. Supported by the ProMedica Memory Care Fund, Arden Courts enriches lives through community programs, specialized equipment, environmental improvements, and caregiver education. With Arden Courts ProMedica Memory Care Community the well-being and independence of individuals while addressing their physical, mental, and social needs in a secure environment are its priority.

Contact Arden Courts ProMedica Memory Care Community

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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