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The 10 Best Assisted Living Facilities in San Antonio, TX

Page Reviewed / Updated - September 09, 2020

Seniors looking for a modern, urban setting to enjoy during their retirement years may find that San Antonio, Texas, is ideal. As the second most-populous city in the state, San Antonio is home to over 1.5 million people, and 11.8% of residents are aged 65 and older. Summers are long and hot, with average daily highs in the high 90s throughout August, while winters are quite mild, with daytime temperatures rarely falling below 60 degrees. 

There's an endless array of activities for seniors to enjoy in the area. History buffs can explore the Missions National Historical Park and the iconic Alamo, while the stunning 15-mile River Walk is filled with unique shops, inviting bistros and an incredible array of wildlife and natural foliage. The neighboring Hill Country is home to scenic ranches and quaint towns, making it a great place for day trips from San Antonio. 

This guide highlights the 10 best assisted living facilities in San Antonio. Additionally, find out more about the cost of assisted living in San Antonio and what financial assistance programs are available.

The Best Assisted Living Facilities in San Antonio, Texas

Newforest Estates

5034 NewForest Street
San Antonio TX 78229

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.

  • Pet friendly
  • On-site beauty salon

Madison Estates

8645 Fredericksburg Rd
San Antonio, TX 78240

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.

  • 24-hour care
  • Full activity/entertainment calendar

Discovery Village at Dominion

6870 Heuermann Rd
San Antonio, TX 78256

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.

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

Franklin Park Alamo Heights

230 W. Sunset Rd.
San Antonio, TX 78209

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.

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

Heritage at Westover Hills

4315 Rogers Rd
San Antonio, TX 78251

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.

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

The Waterford on Huebner

8551 Huebner Rd
San Antonio, TX 78240

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.

  • Focus on cognitive stimulation
  • Select rooms offering kitchenettes

Villa De San Antonio

8103 North Hollow
San Antonio, TX 78240

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.

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

The Waterford at Thousand Oaks

4243 Thousand Oaks
San Antonio, TX 78217

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.

  • 24/7 care staff
  • On-site therapy services

Timberhill Villa Retirement Community

5050 Timberhill
San Antonio, TX 78238

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.

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

The Inn at Los Patios

8700 Post Oak Ln
San Antonio, TX 78217

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.

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

In San Antonio, the cost of senior care is fairly close to the state’s median and according to the Genworth 2018 Cost of Care Survey, the average monthly cost for assisted living care is over $1,000 less than the average cost in the Austin area at $5,190 a month.

The Cost of Senior Living and Care in San Antonio

How much does Assisted Living Cost in San Antonio?

Assisted living in San Antonio costs an average of $3,975 a month, which is a little over $100 more than the state median. While it may be more expensive than the state’s median, it is considerably cheaper than Austin which is the most expensive in the state at $5,190 a month.

The other major cities in the state average between $3,800 to $4,500 – Victoria and Dallas are on the high end, while El Paso is the lowest in the state at $2,250 a month.

How much does Home Care Cost in San Antonio?

In San Antonio, the average cost of home care is $3,718 a month which is about $100 cheaper than the state median at $3,813.

Compared to other major cities, San Antonio is on the more expensive side, but it is still relatively affordable when compared to Houston which is $3,909 a month. El Paso is the lowest in the state at $3,041 a month, while the other cities average between $3,000 to $4,200 a month.

How much does Adult Day Care Cost in San Antonio?

Adult day health care cost averages at $867 a month, which is significantly less expensive when compared to Dallas and Austin which are the most expensive in the state at $1,408 a month. Abilene is the lowest at $618 a month.

How much does Nursing Home Costs in San Antonio?

At $4,715 a month for a semi-private room, the average cost of nursing home care in San Antonio is comparative to the state median of $4,798 a month. Killeen is the most expensive in the state at $5,407 a month, while Longview is the lowest at $3,954 a month. Compared to some of the other major cities in the area, San Antonio is reasonably priced.

Financial Assistance Programs in San Antonio

STAR+PLUS Medicaid Waiver

The STAR+PLUS Medicaid Waiver helps adults 65 or older that require a nursing home level care. Under Star+PLUS, long term care services, both non-medical and medical, are covered, including help with daily living activities, adult day care, home modifications and more.

STAR+PLUS services are provided by Managed Care Organizations (MCO) and each county has their own specific MCOs and the participants get to select their preferred provider.

In order to qualify for STAR+PLUS one must be 65 or older, unable to do daily living activities unassisted or require full-time medical supervision. Income requirements for a single person must not exceed $2,250 a month and countable assets must not be valued more than $2,000.

You can find out more information about STAR+PLUS by calling 2-1-1 or by contacting your local Area Agency on Aging. To apply for STAR+PLUS visit the Texas Benefits website.

Other Financial Assistance Programs

Texas Medicaid’s Primary Home Care Program (PHC)

The Primary Home Care Program (PHC) is set up to help adults with daily living activities such as eating, grooming, shopping, and medication administration. The PHC is an entitlement program which means anyone who qualifies for this program will receive services. Participants can receive up to 50 hours of assistance a week but the average awarded is 16 hours a week.

This program allows participants to have the state choose and manage their care provider or they can choose for themselves; typically in San Antonio and the rest of the state one cannot choose a spouse or legal guardian to provide their care.

You can apply for Primary Home Care through YourTexasBenefits.com.

Day Activity and Health Services Program (DAHS)

The Day Activity and Health Services Program (DAHS) provides care services on weekdays during regular business hours, up to 10 hours a day. The service includes services such as help with grooming, medication administration, and transportation. This particular program allows adults to continue living at home while still receiving a nursing home level care. To qualify, one must receive a medical diagnosis that states the applicant requires nursing home level care. For a single person, their income must not exceed $750 per month and have no more than $2,000 worth of countable assets.

You can apply for DAHS by contacting your local Area Agency on Aging or by apply online at YourTexasBenefits.com. If you are in the San Antonio area you can call your Area Agency on aging by telephone at (210) 477-3275.

Community First Choice (CFC)

Community First Choice is a new program that allows the elderly to receive care at home instead of being placed in a nursing home. CFC is an entitlement program so anyone who applies and is qualified will receive assistance. CFC offers assistance with daily living activities such as meal prep, bathing, and light housework, it also provides support with health maintenance activities like administration of medications, skin care, and tube feeding. CFC also gives participants the control of choosing who provides their assistance. However, a spouse isn’t eligible.

You can apply for CFC by going to YourTexasBenefits.com.    

Texas Community Care for Aged/Disabled (CCAD)

The Texas Community Care for Aged/Disabled is a program set up for low-income seniors to help keep them at home, in adult foster care, or assisted living facilities by offering several different types of services and care. The CCAD program offers a wide variety of services such as adult day care, emergency response services, and family care. Eligibility for the different services provided by CCAD may vary.

You can apply for CCAD by contacting your local Aging and Disability Resource Center (ADRC) via their website or by calling (855) 937-2372.

Texas Community Attendant Services Program (CAS)

The Community Attendant Services Program (CAS) is part of the Community Care for the Aged/Disabled Program; however, unlike CCAD, CAS is Medicaid funded. CAS is for seniors who are unable to perform their daily living activities such as bathing, eating and walking without assistance.  Participants in this program have the option to work with a provider agency to manage their care services or they can use Consumer Directed Services (CDS) option to choose their own. The CAS provides up to 50 hours a week for an individual to receive services but typically the average is between 16-20 hours.

You can learn more about CAS here. To apply for CAS you can contact your local Health and Human Services (HHS) for San Antonio residents you can call your local office by dialing (888) 902-9990.

More Senior Living Resources in San Antonio

Resource

Phone Number

Description

Bexton Place

(210) 433-8881

Bexton Place offers 54 units to adults 62 years and older. It is a subsidized independent senior living community that is operated by a national non-profit organization to help seniors in their communities.

Villa De Amistad Apartments

(210) 922-7301

Villa De Amistad Apartments are privately owned and operated subsidized apartments available to seniors 62 years and older; rent it based on your income.

Williamsburg Apartments

(210) 477-6478

Williamsburg apartments are for seniors in San Antonio and rent is 30% of your monthly income, but it does not include utilities.

W.C. White Apartments

(210) 477-6654

The W.C White Apartments provide seniors with affordable homes by only charging rent equal to 30% of their income.

Villa Tranchese Apartments

(210) 477-6325

Villa Tranchese Apartments offer 142 one bedroom apartments for seniors who meet their low-income limit and offers rent at 30% of their income. The cost of rent also includes utilities.

Christian Village Apartments

(210) 680-4829

Christian Village Apartments is low-income housing for seniors in the area. Residents pay 30% of their gross monthly income for rent or have the opportunity to pay a flat fee.



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