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Senior Living in San Antonio, TX: Every Licensed Community & 2026 Costs

Data updated September 2026·State licensing records andRatings from CMS Care Compare

Senior living in San Antonio, Texas spans 186 state-licensed assisted living, memory care, and independent living communities and 96 Medicare-certified nursing homes across Bexar, Comal, Guadalupe, Medina, Wilson, Atascosa, Kendall, and Bandera counties in Texas. 7 area nursing homes hold a 5-star CMS rating. Lilisity publishes no score or ranking for any community that has not earned an award; the licensing and CMS data below are public records.

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All senior living in San Antonio: 186 licensed communities by county

Every assisted living, memory care, and independent living community licensed by the state in Bexar, Comal, Guadalupe, Medina, Wilson, Atascosa, Kendall, and Bandera counties in Texas, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified reviews have phone-verified resident and family interviews on file.

Bexar County, TX 145 communities

Comal County, TX 15 communities

Guadalupe County, TX 10 communities

Medina County, TX 7 communities

Kendall County, TX 6 communities

Wilson County, TX 2 communities

Atascosa County, TX 1 communities

How much does senior living cost in San Antonio?

Assisted living in the San Antonio area typically runs $4,500–$6,500 per month, with memory care $1,000–$1,500 above that and independent living below it; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent. Rates vary widely by apartment size and care level, so ask for the community’s current rate sheet.

Care typeTypical San Antonio rangeWhat it covers
Independent living$3,000 – $4,500Private apartment or cottage, meals and services optional
Assisted living$4,500 – $6,500Daily personal care, meals, medication management
Memory care$5,500 – $8,000Secured neighborhood, dementia-trained staff
Skilled nursingPayer-based24/7 medical care; Medicare/Medicaid/private pay

Ranges reflect operator-published market rates for the region, September 2026. Texas’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.

What are the highest-rated nursing homes in San Antonio?

7 of the 96 Medicare-certified nursing homes in the San Antonio metro hold the highest possible 5-star overall rating from CMS — including Frank M Tejeda Texas State Veterans Home in Floresville. Every facility below links to its full inspection history, staffing hours, and deficiency record.

Facility ↕Location ↕CMS rating ↕Beds ↕Operator ↕
Frank M Tejeda Texas State Veterans HomeFloresville, TX★★★★★ 5/5160Texvet
Legend Oaks Healthcare And Rehabilitation Center -San Antonio, TX★★★★★ 5/5126The Ensign Group
Legend Oaks Healthcare And Rehabilitation - West SSan Antonio, TX★★★★★ 5/5124The Ensign Group
The Heights On HuebnerSan Antonio, TX★★★★★ 5/5120Touchstone Communities
Lakeside Nursing And Rehabilitation CenterSan Antonio, TX★★★★★ 5/5118The Ensign Group
Devine Health & RehabilitationDevine, TX★★★★★ 5/596Creative Solutions In Healthcare
The Army Residence Community Health Care CenterSan Antonio, TX★★★★★ 5/591Independent
San Pedro ManorSan Antonio, TX★★★★☆ 4/5150The Ensign Group
Westover Hills Rehabilitation And HealthcareSan Antonio, TX★★★★☆ 4/5124The Ensign Group
Advanced Rehabilitation & Healthcare Of Live OakLive Oak, TX★★★★☆ 4/5123Ruby Healthcare
Mystic Park Nursing & Rehabilitation CenterSan Antonio, TX★★★★☆ 4/5119The Ensign Group
Avir At Walnut SpringsSeguin, TX★★★★☆ 4/5113Summit Ltc
Coronado At Stone OakSan Antonio, TX★★★★☆ 4/5112Cantex Continuing Care
St. Francis Nursing HomeSan Antonio, TX★★★★☆ 4/5107Independent
Country Care ManorLa Vernia, TX★★★★☆ 4/591Touchstone Communities

Source: CMS Care Compare, federal five-star quality rating system, retrieved September 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.

Which San Antonio areas have senior living?

Senior living in the San Antonio metro is spread across Bexar, Comal, Guadalupe, Medina, Wilson, Atascosa, Kendall, and Bandera counties in Texas. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.

Texas

  • San Antonio (189)
  • New Braunfels (14)
  • Boerne (12)
  • Seguin (10)
  • Devine (6)
  • Floresville (5)
  • Schertz (4)
  • Live Oak (3)
  • Shavano Park (3)

How these reviews were collected — and how we’re paid

  1. We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
  2. Every review is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Reviews are published as given — including critical ones. The only scores or rankings we publish are the Top Communities list and the Excellence Awards.

How Lilisity makes money: some communities pay us a referral fee when a family we’ve helped moves in. That fee never changes a review, a rating, or who appears on this page — CMS ratings come from the federal government, and reviews come from residents. Read the full methodology → · How we are paid →

Assisted living and memory care by city

Assisted Living in San Antonio 131Assisted Living in New Braunfels 9Memory Care in San Antonio 38

San Antonio senior living questions, answered

Most states, including Texas, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.

Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.

Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 7 San Antonio-area facilities currently hold a 5-star overall rating.

Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Calling an advisor who knows current availability is the fastest path: (833) 612-4732.

Lilisity publishes scores and rankings only for the Top Communities list and the Excellence Awards, both built from phone-verified interviews. The 186 communities listed by county come from state licensing records; CMS ratings apply only to Medicare-certified nursing homes.

Talk to a San Antonio senior living advisor — free

One call covers current availability, honest pricing, and which communities fit your parent’s care needs and budget. No obligation, and we never sell your information.

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We call back the same day. Free because participating communities pay a referral fee if you move in — how we’re paid.

Explore more: All Texas senior livingBexar CountyComal CountyGuadalupe CountyMedina CountyWilson CountyAtascosa CountyHow reviews are verifiedSenior living costs by state
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