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Get Pricing & Availability for Assisted Living in San Antonio, TX

Call (855) 481-6777 for immediate assistance and get more details


Page Reviewed / Updated – July 6, 2022

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San Antonio is among the most affordable places to live in Texas, with an overall cost of living that’s 10% below the national median, making it an attractive option for those with budgetary considerations. Low living costs combined with the state’s lack of income taxes may enable older adults to maintain their standard of living throughout their retirement years. The city also has some of the lowest assisted living rates in the state at $3,413 per month. 

This introductory guide provides an overview of assisted living costs in San Antonio and how they compare to rates in other Texas cities. It also highlights ways to pay for services and outlines free and low-cost resources for seniors in the region.  

The Cost of Assisted Living in San Antonio, TX

The 2021 Genworth Cost of Care Survey shows that seniors in San Antonio pay competitive assisted living rates of $3,413 per month. This is several hundred dollars lower than the statewide average of $3,998 and over $1,000 less than the national monthly rate of $4,500. 

San Antonio is one of the cheapest places in Texas to obtain residential care. However, seniors may obtain more affordable services in Texarkana, where facilities charge $2,770 per month, or San Angelo, where assisted living costs average $3,000. San Antonio is an economical alternative to Houston, where facilities charge $4,245, and McAllen, where rates come in at $4,850. 

  • San Antonio: $3,413  
  • Texas: $3,998 
  • United States: $4,500 
  • McAllen: $4,850 
  • Houston: $4,245 
  • San Angelo: $3,000 
  • Texarkana: $2,770 

The Cost of Other Types of Care in San Antonio, TX

Assisted living is one of the cheapest long-term care options in San Antonio, with older adults paying $3,413 per month for care. The only more affordable option is adult day health care, which features a similar scope of services in a daytime community setting for $856 per month. Seniors who arrange home-based care pay $4,576 for basic in-home care or skilled home health care services. Nursing home fees are the highest but are still affordable compared to rates in other cities at $5,232 for shared rooms and $6,935 for private accommodations. 

  • In-Home Care: $4,576 
  • Home Health Care: $4,576 
  • Adult Day Health Care: $856 
  • Assisted Living Facility: $3,413 
  • Nursing Home Facility (semiprivate room): $5,232 
  • Nursing Home Facility (private room): $6,935

Financial Assistance for Assisted Living in San Antonio, TX

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Other Ways To Pay for Assisted Living in San Antonio, TX

Since not everyone can afford to pay for assisted living out-of-pocket, it’s important to find alternative methods to help make assisted living more affordable. Some of these options include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For additional information and planning, read our comprehensive guide to paying for senior care in Texas.

Free Resources for Seniors in San Antonio, TX

Seniors seeking assisted living in San Antonio get personalized advice and assistance from numerous nonprofit agencies and programs. This table provides details on local resources for older residents to help them find affordable community-based services, benefits screenings and options counseling.




Bexar Area Agency on Aging

(210) 477-3275

The Bexar Area Agency on Aging is a local nonprofit organization that provides a range of services and supports to those aged 60 and over in the San Antonio region, helping them find affordable long-term care options. Its benefits counselors assist those aged 60 and over in understanding their Medicare benefits, public benefits and entitlements. It also provides information and assistance to help older adults find service agencies to meet their needs, and it houses the long-term care ombudsman, who assists seniors and families with understanding residents’ rights and researching long-term care options in San Antonio and options for paying for services.

Texas RioGrande Legal Aid

(956) 996-8752

Texas RioGrande Legal Aid is a regional nonprofit organization that provides free legal services to those aged 60 and over. It provides information and assistance regarding public benefits that may help cover assisted living costs, including Medicaid, Supplemental Security Income and Social Security Disability Insurance.

Senior Centers

(210) 207-8198

San Antonio is home to 10 senior centers and seven part-time congregate meal sites, where seniors obtain nutrition services and participate in social and recreational activities to supplement what they receive through assisted living. The senior centers are open on weekdays from 7 a.m. to 4 p.m. and host activities and programs, such as basic health screenings, computer classes, arts and crafts, social services and field trips. The meal sites are open on weekdays for midday meals and wellness activities.

Military and Veteran Affairs Department

(210) 207-7234

The city’s Military and Veteran Affairs Department specializes in helping older veterans obtain programs and services to reduce or pay for assisted living costs, including transportation services, prescription drug assistance programs and help applying for veterans’ and survivors’ pensions and Aid and Attendance benefits.

Senior Volunteer Programs

(210) 226-6178

San Antonio seniors have access to two volunteer programs, the Foster Grandparents Program and the Retired and Senior Volunteer Program. These programs enable older adults to serve their communities in exchange for benefits such as supplemental insurance, transportation reimbursement and tax-free stipends.

Rules and Regulations for Assisted Living Facilities in San Antonio, TX

Assisted Living Communities in San Antonio are required to follow a set of rules and regulations that are determined by the state. For an overview of those rules and regulations, see the information below. For more specific information, talk with your local community or Area Agency on Aging.

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The 10 Best Assisted Living Facilities in San Antonio, TX

Newforest Estates

We selected Newforest Estates to head our list of top ten retirement communities in San Antonio for its lavish surroundings and an impressive array of on-site amenities. The spacious, pet-friendly living quarters feature sparkling appliances in large kitchens and aging-in-place room service, as well as views of the beautiful courtyards and the pool. Active residents love this facilities’ many natural luxuries, such as the outdoor common areas and walking paths, as well as on-site conveniences like a beauty salon, library, and an array of lounges for entertaining guests and hanging out with their neighbors.

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Madison Estates

At Madison Estates, residents are provided top-notch assisted living services throughout the stages of life, in an enriching environment crafted to support the individuality of each person. The tailored care services include 24-hour attendance by highly trained caregivers and medical staff, assistance with all activities of daily living, housekeeping, three healthy meals a day in addition to all snacks, and linen services. Residents love the great food, amazing views, and friendly staff at Madison Estates. Social butterflies appreciate this facility for its robust social and entertainment calendar, featuring a myriad of fun interactive games to encourage engagement with neighbors, as well as numerous creative and physical activities.

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Discovery Village at Dominion

The pet-friendly Discovery Village at Dominion ranked among the best assisted living facilities in San Antonio for its expansive natural campus, featuring a large network of walking paths meandering through beautifully manicured lawns, gardens, and trees. Sunny days are spent walking the courtyards, which are fenced for security, and the 24-hour caregiving staff is constantly verifying that all residents are safe when they are outside. Residents love the full-time activity program, which focuses on residents’ input in planning an ever-changing menu of social events to keep their days packed with fun activities such as card, book clubs, art groups, and more. On-site wellness and therapy centers are available for active residents to utilize to maintain their physical fitness as well as participate in entertaining exercise classes like yoga.

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  • Fully fenced grounds for security
  • On-site wellness and therapy centers

Franklin Park Alamo Heights

Ranking among the top assisted living facilities in San Antonio for its rich surroundings, Franklin Park Alamo Heights provides top-notch personal care services, a fully inclusive luxurious lifestyle, and a plethora of opportunities for social and personal growth. These spacious apartments come in a variety of sizes and all feature foyer entries, wheelchair accessible showers, and customizable decorations, including a lockable showdowbox for displaying personal mementos. Some of the features of this facility include a fitness center complete with a pool, a salon, and community theatre. The classic pueblo-style exterior is contrasted by the modern elegance found on the inside, with a sweeping staircase and a grand piano on a balcony overlooking the main lobby, providing a sense of opulence to residents that appreciate a bit of luxury in their lives.

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  • Elegant interior design
  • Luxury amenities incl. pool, salon, and theatre

Heritage at Westover Hills

A modern and natural atmosphere awaits residents at the Heritage at Westover Hills, as well as state-of-the-art medical and security features, plus additional amenities. Heritage at Westover Hills ranked among the top assisted living facilities in San Antonio because of the highly-skilled approach to cognitive wellness -- their comprehensive lifestyle programs incorporate the Six Dimensions of Wellness developed by Dr. Bill Hettler, and are designed specifically for each resident as they enter the campus, ensuring activities, diet, and exercise routines are exactly what the resident needs and will enjoy.

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  • State-of-the-art security features
  • Focus on cognitive wellness

The Waterford on Huebner

The Waterford on Huebner is dedicated to providing affordable, quality care to aging adults in need of assisted living services. Since 1990, The Waterford on Huebner has enriched the lives of elders through a cognitively stimulating program, utilizing educational, recreational, and social activities to help keep residents’ schedules full. The roomy apartments offered here include all utilities, cable, housekeeping, and linen services, as well as kitchenettes in some rooms for residents that want to maintain the highest levels of independence.

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  • Focus on cognitive stimulation
  • Select rooms offering kitchenettes

Villa De San Antonio

The Villa De San Antonio is dedicated to implementing resident input and suggestions, leading to an excellent quality of life for those who live at the facility. Not only do residents help directors plan the changing activities calendar, which features margarita Mondays, brain games, scenic drives, water aerobics, and shopping trips among other events, but many activities are led by the residents. Men's and women's poker, pokeno, quilting, and support groups are resident-directed, and people here are encouraged to step out into the community to teach and support local non-profit organizations. In addition to a fully immersive lifestyle, people here enjoy nutritious meals, complimentary housekeeping and linen services, and an on-site laundry mat and beauty parlor.

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  • Resident-led interest groups
  • Complementary housekeeping and linen services

The Waterford at Thousand Oaks

Residents at The Waterford at Thousand Oaks enjoy a comfortable lifestyle filled with recreation, opportunities to socialize with friends old and new, and enriching activities like fitness and art programs. The friendly 24-hour care staff provides all personal care services aging residents need, as well as housekeeping, and well-balanced meals are served restaurant-style three times a day in one of the multiple dining venues. The site also features a salon, exercise room, post office, on-site therapy services, and a library. Residents appreciate the spacious pet-friendly apartments that feature large walk-in closets, patios or balconies, and come with all utilities except phone service, including premium cable TV.

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Timberhill Villa Retirement Community

The gorgeous Mediterranean-inspired setting is what landed Timberhill Villa Retirement Community on our list of the top assisted living facilities in San Antonio. Residents love that the spacious apartments feature patios or balconies with gorgeous views, kitchenettes with apartment-sized fridges and microwaves, carpeted rooms, and custom-designed window treatments. The full bathrooms include sit-down showers, tile flooring, and emergency call systems. Days at the Timberhill Villa are filled with a variety of activities, such as exercise programs, art groups, and the weekly happy hour complete with a live band. The fully inclusive lifestyle provided to residents includes all meals, housekeeping, linen services, and needed medical care.

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  • Weekly happy hours with live band
  • Apartments with kitchenettes & full bathrooms feat. emergency call systems

The Inn at Los Patios

At The Inn at Los Patios residents are treated to gorgeous natural surroundings as they retire in luxury. The facility is featured among our top assisted living facilities in San Antonio for its vast grounds, perfect for socializing and exercising outdoors- walking paths meander through careful landscaping, a pond with a fountain, and a spacious and beautiful gazebo. Residents are free to utilize the facilities’ multiple game rooms, an exercise center with a spa, many lounges, and a full rotating activities calendar. In addition to the opulent environment, residents appreciate the careful attention to their daily needs, with nutritious meals and pristine housekeeping services offered in addition to friendly and attentive personal care services.

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  • Multiple game rooms and lounges
  • Set in natural setting with spacious landscaped grounds