MyLivingChoice

Best Assisted Living in San Antonio, Texas

97 communities found

San Antonio lists 100 assisted living communities, all residential in style, with 78 rated communities averaging 4.5 out of 5 across 2,753 reviews read. Sizes vary from small homes to larger buildings, with 34 small, 40 mid-sized, and 23 large communities among the 97 with known size. No pricing has been published for these communities.

  • 97communities
  • 4.5average rating, 74 rated
  • 2,531family reviews read
  • 1operator-verified
  • 34small homes, 10 or fewer

Best-rated assisted living in San Antonio

Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.

  1. 1

    Villa de San Antonio Senior & Assisted Living

    5 (231 reviews)· Assisted Living· 61 units

    Villa de San Antonio is known for friendly, professional staff, a clean environment, quality food, and daily Catholic Mass as part of community life.

  2. 2

    Parkway Assited Living

    5 (36 reviews)· Assisted Living· 16 units

    Parkway Assisted Living is a small, family-owned home with close caregiver bonds and a strong caregiver-to-resident ratio for its 16 residents.

  3. 3

    OneStone Oak Senior Living

    5 (30 reviews)· Assisted Living· 16 units

    OneStone Oak is a small, family-run home where staff know residents personally and prepare home-cooked meals.

  4. 4

    Adante Assisted Living & Memory Care

    4.9 (59 reviews)· Assisted Living, Memory Care· 90 units

    Adante's Pathways memory care unit and staff earn consistent praise for warmth, cleanliness, and attentive, well-run care.

  5. 5

    BeeHive Homes of Crownridge Assisted Living & Memory Care

    5 (29 reviews)· Assisted Living, Memory Care, Skilled Nursing / Long Term Care· 16 units

    BeeHive Homes of Crownridge is a small, family-owned home where involved owners and staff provide highly personalized attention to its 16 residents.

  6. 6

    Aging Gracefully

    5 (26 reviews)· Assisted Living, Memory Care· 16 units

    Aging Gracefully is a small, home-like community offering close attention for residents with dementia or in hospice care, with all 26 reviews five-star.

  7. 7

    Wholehearted Senior Living at Leon Springs

    5 (23 reviews)· Assisted Living· 16 units

    Wholehearted Senior Living at Leon Springs is a small, family-style home where residents get personal attention and responsive management.

  8. 8

    Cornerstone Assisted Living

    5 (20 reviews)· Assisted Living· 6 units

    Cornerstone Assisted Living is a small, family-run home in San Antonio where caregivers know residents personally in a clean, homelike setting.

  9. 9

    The Waterford at Shavano Park

    4.8 (73 reviews)· Assisted Living, Memory Care· 120 units

    The Waterford at Shavano Park offers attentive staff, a clean environment, fresh food, and active daily programming across assisted living and memory care.

  10. 10

    Premier Assisted Living Residential Care Home

    5 (19 reviews)· Assisted Living· 6 units

    Reviewers, including several hospice aides who regularly visit, consistently praise this small residential care home for its personalized, one-on-one attention and warm, family-like atmosphere. Families highlight strong…

What families say about assisted living in San Antonio

Counted across the review summaries of 83 San Antonio communities: the share whose families mention each theme.

Families most often praise caring, attentive staff, a theme found in 85% of 87 communities, along with cleanliness at 52% and management at 45%. The most common concern is cost and billing, mentioned by 64%, followed by communication with families at 49% and building upkeep at 21%.

Praised most

  • Caring, attentive staff 84%
  • Cleanliness 53%
  • Management 46%
  • Food and dining 42%
  • Activities and social life 41%

Concerns raised

  • Cost and billing 64%
  • Communication with families 51%
  • Building and upkeep 20%
  • Staff attitude 17%

“Franklin Park is the absolute best! We had a wonderful experience there for our mom. The staff genuinely cares about the residents and goes above and beyond to assist them, ensuring their happiness and well-being.”

“We had a wonderful experience working with Angela. She is so patient and kind. She went above and beyond to help us with my uncle's move. She is a treasure! Steve was also helpful during the lease signing process. Thank you, both!”

“What a phenomenal place to be! We have the privilege to interact with the staff on a regular basis and for years I have yet to see anyone have a bad day. I don't know how they do it! Beautiful location and the senior community is rather vibrant. Something always going on! We appreciate you Chaz!”

Assisted Living in San Antonio: the figures

  • •Of the 93 with a known size, 34 have ten residents or fewer, 39 have 11 to 60, and 20 have more than 60.
  • •Among the 5 that publish a starting price, prices start at $1,425 a month with a median of $2,799.
  • •Most common amenities: 24-hour staff (87), housekeeping (86), medication management (85), wheelchair accessible (85), emergency call system (84), social activities (80).

How families pay for assisted living in Texas

Most families in Texas cover assisted living, memory care and independent living with private funds, often drawing on retirement income, savings and the proceeds from selling a home. Long-term care insurance, when a family already holds a policy, can also help offset the monthly cost, though it's worth reviewing the policy details early since coverage and waiting periods vary. Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit that can be applied toward the cost of care, and it's worth looking into eligibility well before a move is needed since the application process can take time.

The full picture for the state: Assisted Living in Texas. Prices by city and the programs that help: what senior living costs in Texas.

Assisted Living near San Antonio

Cities within about 35 miles with senior living inventory, and how families rate it.

CityCommunitiesRating
Schertz15.3 mi53.7 / 5
Boerne27 mi134.4 / 5
New Braunfels29.3 mi204.4 / 5
Seguin34.6 mi74.3 / 5

All of Texas: Assisted Living in Texas. Closer to home? Compare assisted living near you, sorted by distance.

About these figures

Computed on October 23, 2026 from the 97 communities listed in San Antonio, 2,531 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.

Reading on this

Guides from MyLivingChoice that families in San Antonio ask about.

Not in San Antonio? Assisted living near me finds communities around wherever you are.

Assisted Living in San Antonio: Common Questions

How many assisted living communities are in San Antonio, Texas?

MyLivingChoice lists 97 assisted living communities in San Antonio, Texas, each with photos, care details, and reviews from families.

How much does assisted living cost in San Antonio?

Among San Antonio communities that publish pricing, assisted living starts around $1,425/month, with an average published starting rate near $2,876/month. Final costs depend on care needs and apartment choice.

Which assisted living communities in San Antonio are rated highest?

Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Villa de San Antonio Senior & Assisted Living (5★, 231 ratings), Parkway Assited Living (5★, 36 ratings), OneStone Oak Senior Living (5★, 30 ratings).

What types of senior care are available in San Antonio?

Beyond assisted living, San Antonio has home health (76 communities), skilled nursing / long term care (59 communities), memory care (38 communities), independent living (22 communities), at-home care (19 communities). Every option is listed with photos, reviews, and contact details.

How do families rate assisted living in San Antonio?

Families rate San Antonio assisted living communities 4.5 out of 5 on average, across 2,531 public Google reviews of local communities.

What do families praise, and complain about, in San Antonio assisted living communities?

Across the review summaries of 83 San Antonio communities, the most common praise is caring, attentive staff (mentioned for 84%), cleanliness (mentioned for 53%), management (mentioned for 46%). The most common concerns are cost and billing (64%), communication with families (51%), building and upkeep (20%).

Are there small assisted living homes in San Antonio?

Yes. Of the 93 San Antonio communities with a known size, 34 have ten residents or fewer, 39 have 11 to 60, and 20 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.