Best Senior Living in San Antonio, Texas
167 communities found
San Antonio families can choose from 260 senior living options, including 166 residential communities and 94 agencies. Across 203 rated communities, the average rating is 4.3 based on 13,887 reviews read.
- 261options listed
- 4.3average rating, 204 rated
- 13,891family reviews read
- 1operator-verified
- 34small homes, 10 or fewer
Villa de San Antonio Senior & Assisted Living
San Antonio, Texas
5(231)
Assisted Living
Arden Courts (San Antonio)
San Antonio, Texas
4.9(95)
Memory CareRespite / Short-Term Care
Parkway Assited Living
San Antonio, Texas
5(36)
Assisted Living
OneStone Oak Senior Living
San Antonio, Texas
5(30)
Assisted Living
Adante Assisted Living & Memory Care
San Antonio, Texas
4.9(59)
Assisted LivingMemory Care
BeeHive Homes of Crownridge Assisted Living & Memory Care
San Antonio, Texas
5(29)
Assisted LivingMemory CareSkilled Nursing / Long Term Care
Aging Gracefully
San Antonio, Texas
5(26)
Assisted LivingMemory Care
Wholehearted Senior Living at Leon Springs
San Antonio, Texas
5(23)
Assisted Living
Cornerstone Assisted Living
San Antonio, Texas
5(20)
Assisted Living
From $2,799/moThe Waterford at Shavano Park
San Antonio, Texas
4.8(73)
Assisted LivingMemory Care
Premier Assisted Living Residential Care Home
San Antonio, Texas
5(19)
Assisted Living
Pembroke Angel Care
San Antonio, Texas
5(18)
Assisted Living
Best-rated senior living in San Antonio
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
Villa de San Antonio Senior & Assisted Living
5 (231 reviews)· Assisted Living· 61 units
Reviewers praise friendly, professional staff, a clean environment, quality food, and an active social calendar including daily Catholic Mass.
- 2
4.9 (95 reviews)· Memory Care, Respite / Short-Term Care· 64 units
Families call Arden Courts a warm, cottage-style memory care community with compassionate staff, engaging activities, and a secure outdoor walking path.
- 3
5 (36 reviews)· Assisted Living· 16 units
Families describe Parkway as a small, family-owned home with close caregiver bonds, cleanliness, and a strong caregiver-to-resident ratio.
- 4
5 (30 reviews)· Assisted Living· 16 units
Families say OneStone Oak is a small, family-run home with attentive caregivers, home-cooked meals, and personal knowledge of each resident.
- 5
Adante Assisted Living & Memory Care
4.9 (59 reviews)· Assisted Living, Memory Care· 90 units
Reviewers praise Adante's staff and Pathways memory care unit for warmth, cleanliness, and attentive, long-term family satisfaction.
- 6
BeeHive Homes of Crownridge Assisted Living & Memory Care
5 (29 reviews)· Assisted Living, Memory Care, Skilled Nursing / Long Term Care· 16 units
Families describe BeeHive Homes of Crownridge as a small, clean, family-owned home with involved owners and highly personalized attention.
- 7
5 (26 reviews)· Assisted Living, Memory Care· 16 units
Families call Aging Gracefully a home-like community with close attention for dementia and hospice residents and an owner who is hands-on.
- 8
Wholehearted Senior Living at Leon Springs
5 (23 reviews)· Assisted Living· 16 units
Families describe Wholehearted Senior Living at Leon Springs as a small, family-style home with caring staff and responsive management.
- 9
5 (20 reviews)· Assisted Living· 6 units
Families say Cornerstone Assisted Living is a small, family-run home where caregivers know residents personally in a clean, homelike setting.
- 10
4.8 (73 reviews)· Assisted Living, Memory Care· 120 units
Families praise The Waterford at Shavano Park for attentive staff, a clean environment, fresh food, and active daily programming.
What families say about senior living in San Antonio
Counted across the review summaries of 173 San Antonio communities: the share whose families mention each theme.
Families most often praise caring, attentive staff, cited by 86% of 172 communities, along with cleanliness at 46% and activities and social life at 42%. Common concerns include cost and billing at 52% and communication with families at 48%, with staff attitude and building upkeep each noted by 23%.
Praised most
- Caring, attentive staff 86%
- Cleanliness 46%
- Activities and social life 42%
- Building and grounds 38%
- Management 34%
Concerns raised
- Cost and billing 52%
- Communication with families 49%
- Staff attitude 24%
- Building and upkeep 23%
“Excellent clean and modern facilities, but what sets this place apart in my opinion is the staff.. Friendly, available and knowledgeable.”
“Enjoying able to bring my cat! Have met some nice seniors who like to participate in Loteria and Bingo. The staff are wonderful!”
“I could not ask for better care. The staff was amazing and the Phys therapists were really great. Monique and Diane pushed me to my limits and really sped up my recovery”
Senior Living in San Antonio: the figures
- •Of the 153 with a known size, 34 have ten residents or fewer, 46 have 11 to 60, and 73 have more than 60.
- •58 nursing homes carry a Medicare star rating, averaging 2.3 out of 5: 13 rated four stars or better, 23 rated one star.
- •Among the 8 that publish a starting price, prices start at $1,425 a month with a median of $2,362.
- •Most common amenities: wheelchair accessible (153), 24-hour staff (152), housekeeping (149), emergency call system (148), medication management (145), social activities (139).
How families pay for senior 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: Senior Living in Texas. Prices by city and the programs that help: what senior living costs in Texas.
Senior Living near San Antonio
Cities within about 35 miles with senior living inventory, and how families rate it.
| City | Communities | RatingAverage rating | Distance |
|---|---|---|---|
| Schertz15.3 mi | 5 | 3.7 / 5 | 15.3 mi |
| Boerne27 mi | 13 | 4.4 / 5 | 27 mi |
| New Braunfels29.3 mi | 20 | 4.4 / 5 | 29.3 mi |
| Seguin34.6 mi | 7 | 4.3 / 5 | 34.6 mi |
All of Texas: Senior Living in Texas. Closer to home? Compare senior living near you, sorted by distance.
About these figures
Computed on October 20, 2026 from the 261 communities listed in San Antonio, 13,891 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.
- Home Care in Texas: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- Signs It Is Time to Move From Home Care to Assisted Living
Not in San Antonio? Senior living near me finds communities around wherever you are.
Senior Living in San Antonio: Common Questions
How many senior living communities are in San Antonio, Texas?
MyLivingChoice lists 261 senior living communities in San Antonio, Texas, each with photos, care details, and reviews from families.
How much does senior living cost in San Antonio?
Among San Antonio communities that publish pricing, senior living starts around $1,425/month, with an average published starting rate near $2,591/month. Final costs depend on care needs and apartment choice.
Which senior 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), FirstLight Home Care of Central and North San Antonio (5★, 40 ratings), Parkway Assited Living (5★, 36 ratings).
What types of senior care are available in San Antonio?
Beyond senior living, San Antonio has assisted living (97 communities), home health (76 communities), skilled nursing / long term care (59 communities), memory care (38 communities), independent living (22 communities). Every option is listed with photos, reviews, and contact details.
How do families rate senior living in San Antonio?
Families rate San Antonio senior living communities 4.3 out of 5 on average, across 13,891 public Google reviews of local communities.
What do families praise, and complain about, in San Antonio senior living communities?
Across the review summaries of 173 San Antonio communities, the most common praise is caring, attentive staff (mentioned for 86%), cleanliness (mentioned for 46%), activities and social life (mentioned for 42%). The most common concerns are cost and billing (52%), communication with families (49%), staff attitude (24%).
Are there small senior living homes in San Antonio?
Yes. Of the 153 San Antonio communities with a known size, 34 have ten residents or fewer, 46 have 11 to 60, and 73 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
How do San Antonio nursing homes score on Medicare's star ratings?
58 Medicare-certified nursing homes in San Antonio carry an overall star rating, averaging 2.3 out of 5. 13 are rated four stars or better and 23 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving San Antonio bring help to the house: daily living, companionship, and respite for family caregivers.
