Best Skilled Nursing in San Antonio, Texas
59 communities found
San Antonio has 59 skilled nursing communities, with 51 large and 8 mid-sized settings among them. All 59 have a rating on file, averaging 4.1, and Medicare star ratings are known for 57 of them, averaging 2.4, with 5 communities earning five stars and 20 sitting at one star. Reviewers across the city have left 8,448 reviews on these communities.
- 59communities
- 4.1average rating, 59 rated
- 8,448family reviews read
- 0small homes, 10 or fewer
BeeHive Homes of Crownridge Assisted Living & Memory Care
San Antonio, Texas
5(29)
Assisted LivingMemory CareSkilled Nursing / Long Term Care
Mystic Park Nursing and Rehabilitation Center
San Antonio, Texas
4.7(142)
Skilled Nursing / Long Term Care
Crestway Nursing & Rehabilitation
San Antonio, Texas
5(13)
Skilled Nursing / Long Term Care
Windemere at Westover Hills
San Antonio, Texas
4.6(658)
Respite / Short-Term CareSkilled Nursing / Long Term Care
The Atrium Rehabilitation Center
San Antonio, Texas
4.6(107)
Skilled Nursing / Long Term Care
8223 Broadway, San Antonio, TX 78209
San Antonio, Texas
5(8)
Skilled Nursing / Long Term Care
The Heights on Huebner
San Antonio, Texas
4.5(427)
Skilled Nursing / Long Term Care
Lakeside Nursing and Rehabilitation Center
San Antonio, Texas
4.5(179)
Skilled Nursing / Long Term Care
River City Care Center
San Antonio, Texas
4.5(127)
Skilled Nursing / Long Term Care
The Heights at Medical Center
San Antonio, Texas
4.5(52)
Skilled Nursing / Long Term Care
Wurzbach Nursing and Rehabilitation
San Antonio, Texas
4.5(44)
Memory CareSkilled Nursing / Long Term Care
BeeHive Homes Assisted Living of Babcock Ridge
San Antonio, Texas
4.6(14)
Assisted LivingSkilled Nursing / Long Term Care
Best-rated skilled nursing in San Antonio
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
BeeHive Homes of Crownridge Assisted Living & Memory Care
5 (29 reviews)· Assisted Living, Memory Care, Skilled Nursing / Long Term Care· 16 units
This 16-resident home is repeatedly described as family-owned, clean, and personal, with owners and staff involved in daily care.
- 2
Mystic Park Nursing and Rehabilitation Center
4.7 (142 reviews)· Skilled Nursing / Long Term Care· 119 units
Reviewers call Mystic Park attentive and communicative, praising clean grounds, engaging activities, and reliable memory care and respite services.
- 3
Crestway Nursing & Rehabilitation
5 (13 reviews)· Skilled Nursing / Long Term Care· 120 units
Families describe Crestway as clean and well-staffed, naming specific nurses and the Director of Nursing for strong daily care and communication.
- 4
4.6 (658 reviews)· Respite / Short-Term Care, Skilled Nursing / Long Term Care· 112 units
Windemere at Westover Hills draws praise for attentive, responsive staff during rehab stays, with a facility described as clean and calm.
- 5
The Atrium Rehabilitation Center
4.6 (107 reviews)· Skilled Nursing / Long Term Care· 87 units
Reviews are sharply mixed at The Atrium, ranging from compassionate rehab care to reports of neglect, hygiene issues, and staffing shortages.
- 6
8223 Broadway, San Antonio, TX 78209
5 (8 reviews)· Skilled Nursing / Long Term Care· 237 units
Reviewers praise this Broadway facility for staff who helped secure benefits, plus attentive nursing assistants, therapists, and housekeeping.
- 7
4.5 (427 reviews)· Skilled Nursing / Long Term Care· 120 units
The Heights on Huebner is called clean and welcoming with long-tenured caregivers, though some note a dated, motel-like atmosphere.
- 8
Lakeside Nursing and Rehabilitation Center
4.5 (179 reviews)· Skilled Nursing / Long Term Care· 118 units
Lakeside's staff are called warm and attentive, and it holds a 5-star Medicare quality rating, though one report raised serious communication concerns.
- 9
4.5 (127 reviews)· Skilled Nursing / Long Term Care· 92 units
River City Care Center draws praise for its recent renovation, attentive nursing staff, and hands-on leadership visible during rounds.
- 10
4.5 (52 reviews)· Skilled Nursing / Long Term Care· 134 units
The Heights at Medical Center is described as compassionate and communicative, with attractive rooms and renovations underway, though one odor issue was noted.
What families say about skilled nursing in San Antonio
Counted across the review summaries of 59 San Antonio communities: the share whose families mention each theme.
Families most often praise caring, attentive staff, noted at 98% of the 59 communities, along with medical and nursing care at 61% and cleanliness at 59%. Complaints center on communication with families, raised at 41%, staff attitude at 36%, and building upkeep at 31%, with cost and billing concerns at 27%.
Praised most
- Caring, attentive staff 98%
- Medical and nursing care 61%
- Cleanliness 59%
- Building and grounds 56%
- Activities and social life 54%
Concerns raised
- Communication with families 41%
- Staff attitude 36%
- Building and upkeep 31%
- Cost and billing 27%
“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”
“Great nursing, loving aides, the one thing I would change is moving the resident at the end of 200 hall. She plays her tv so loud, my loved one on 300 can’t sleep.”
“Fantastic. I had previously been at another Rehab facility that I wouldn’t send my worst enemy to. The staff at Westover Hills went above and beyond to provide the care I needed to return home! My thanks and love to all there!”
Skilled Nursing in San Antonio: the figures
- •Of the 59 with a known size, 0 have ten residents or fewer, 8 have 11 to 60, and 51 have more than 60.
- •57 nursing homes carry a Medicare star rating, averaging 2.3 out of 5: 12 rated four stars or better, 23 rated one star.
- •Most common amenities: wheelchair accessible (58), emergency call system (58), 24-hour staff (58), medication management (58), on-site nurse (rn) (57), housekeeping (55).
How families pay for skilled nursing 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: Skilled Nursing in Texas. Prices by city and the programs that help: what senior living costs in Texas.
Skilled Nursing 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: Skilled Nursing in Texas. Closer to home? Compare skilled nursing near you, sorted by distance.
About these figures
Computed on October 23, 2026 from the 59 communities listed in San Antonio, 8,448 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?
- What to Expect from Daily Life in a Skilled Nursing Home?
Not in San Antonio? Senior living near me finds communities around wherever you are.
Skilled Nursing in San Antonio: Common Questions
How many skilled nursing long term care communities are in San Antonio, Texas?
MyLivingChoice lists 59 skilled nursing long term care communities in San Antonio, Texas, each with photos, care details, and reviews from families.
Which skilled nursing long term care communities in San Antonio are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include BeeHive Homes of Crownridge Assisted Living & Memory Care (5★, 29 ratings), Crestway Nursing & Rehabilitation (5★, 13 ratings), 8223 Broadway, San Antonio, TX 78209 (5★, 8 ratings).
What types of senior care are available in San Antonio?
Beyond skilled nursing long term care, 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 skilled nursing long term care in San Antonio?
Families rate San Antonio skilled nursing long term care communities 4.1 out of 5 on average, across 8,448 public Google reviews of local communities.
What do families praise, and complain about, in San Antonio skilled nursing long term care communities?
Across the review summaries of 59 San Antonio communities, the most common praise is caring, attentive staff (mentioned for 98%), medical and nursing care (mentioned for 61%), cleanliness (mentioned for 59%). The most common concerns are communication with families (41%), staff attitude (36%), building and upkeep (31%).
Are there small skilled nursing long term care homes in San Antonio?
Of the 59 San Antonio communities with a known size, 0 have ten residents or fewer, 8 have 11 to 60, and 51 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?
57 Medicare-certified nursing homes in San Antonio carry an overall star rating, averaging 2.3 out of 5. 12 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.
