About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Helotes, TX

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Assisted living costs in Helotes average about $4,236 per month. To find the best assisted living options for your needs and budget, browse through 44 communities in Helotes. Our detailed directory has 1457 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as San Antonio, Castroville and Boerne.

Helotes Assisted Living Facilities | 1457 Reviews

Showing 43 communities
Last Updated: 12/5/25
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The highest-rated senior living communities stand out for their exceptional care and support of seniors in independent living, assisted living, memory care and home care. Our Best of Senior Living Award winners represent the top reviewed senior care providers nationwide based on reviews submitted by residents and families.

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Photo of Aging Gracefully Assisted Living
44 Photos available
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
The owners and the staff of Aging Gracefully run a beautifully updated, warm and comfortable assisted living home. We liked that it was a home, with limited number of residents, versus an apartment-style...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Wholehearted Senior Living at Leon Springs
1414 Photos available
5 star
67%
4 star
8%
3 star
17%
2 star
8%
1 star
0%
See all reviews
I would highly recommend Golden Stage to others for their loved ones. The caregivers were pheromonal during my loved one's stay. They were compassionate, patient, loving, and caring towards my loved one. ...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Golden Stage Assisted Living is dedicated to providing the highest quality of care in a safe and comfortable setting. Our professional and courteous staff provide the highest quality care. We value the dignity and privacy of our seniors and provide personal hygiene assistance and mobility...
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Photo of The Lodge at Leon Springs
88 Photos available
5 star
44%
4 star
45%
3 star
11%
2 star
0%
1 star
0%
See all reviews
When we started looking for an assisted living community that would be a good fit for my aunt, we had all but given up...until we stepped onto the grounds of The Lodge At Leon Springs. The beautiful and...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
The Lodge at Leon Springs is an assisted living community located in the vibrant southwestern city of San Antonio, TX. Our tranquil, tight-knit community is set in a quiet residential neighborhood surrounded by mature shade trees, lush green gardens and a spring-fed pond. San Antonio is a...
Photo of Pepperwood Senior Living and Memory Care at San Antonio
1111 Photos available
5 star
70%
4 star
30%
3 star
0%
2 star
0%
1 star
0%
See all reviews
They did not have enough staffing for care services. Evening patient supervision was minimal. Not enough care staff with medical qualifications. If you had even 40 residents at $[removed] a month, I...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
For the best memory care for your loved one with Alzheimer's or dementia in the San Antonio area, consider Cedar Ranch at Westover Hills assisted living and memory care community. We focus exclusively on memory care, providing care that's based on the most up-to-date research, for our residents...
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Photo of Grandview of Westover Hills
1313 Photos available
5 star
47%
4 star
43%
3 star
6%
2 star
0%
1 star
4%
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5 across the board except housekeeping. I found my parents' apartment needing more attention, e.g. bathroom sink, kitchen floor needed to be swept. There is only one licensed nurse (LPN) for about 60...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Grandview of Westover Hills-Serving the San Antonio and the surrounding communities, Grandview of Westover Hills offers Assisted Living and Memory care in the ideal environment for active seniors, as well as those who need a little extra help with daily care. We work with a variety of local...
Photo of Adante Assisted Living and Memory Care
1212 Photos available
55 Floor plans available
5 star
73%
4 star
22%
3 star
2%
2 star
0%
1 star
3%
See all reviews
This has been a wonderful experience for my family and loved one. The staff are very friendly and professional. I would recommend the community to others for their loved ones.
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Life at Adante Assisted Living & Memory Care revolves around modest luxury, personal freedom, and optimal health. Comfortable surroundings, social activity, delicious meals, accommodating staff, and a prime location come together on this unique campus to form a fresh and vivacious lifestyle....
9.2
Review score
46 reviews
9.2
Review score
46 reviews
5 star
96%
4 star
4%
3 star
0%
2 star
0%
1 star
0%
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Very nice staff and very good at what they do...Yes, we would recommend this community to other families based on the experience so far.
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
The Seasons on Tezel is an assisted living community that is located in San Antonio, Bexar County, Texas. Families will enjoy visiting and living in San Antonio because of the vibrant culture, rich historical sites, a flourishing arts scene, as well as delicious traditional Mexican food. Seasons...
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Photo of Laurelhurst Assisted Living
8.5
Review score
5 reviews
8.5
Review score
5 reviews
5 star
60%
4 star
40%
3 star
0%
2 star
0%
1 star
0%
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We struggled to find the right place for our 95-year-old mom. Once we visited with [name removed], we knew it was the best place to move mom into. The home is beautiful, warm, clean and with very inviting...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
In Texas, there are several different types of Assisted Living Facilities. With so many options, it can be overwhelming. It is important to consider where mom and dad may thrive the most in their golden years. At Laurelhurst, we are considered a small assisted living. We are licensed and...
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Photo of San Antonio - A+ CARE 1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Honey's House Of Helotes II
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Photo of San Antonio - A-Z Senior Care 1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Rise and Shine group home
Provides: Assisted Living, Memory Care, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Greenwood Home Care
5 star
67%
4 star
0%
3 star
33%
2 star
0%
1 star
0%
See all reviews
Greenwood home is a very nice home. I would rate it on the highest level so far. Our loved one has just moved in recently so she is still getting adjusted but it seems to be a good fit for her. She is...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
We are a small homelike facility that gives personal attention to 6 or less residents. The setting is conductive to getting to know the likes and preference as well as needs of every single person. The owners are intimately involved with day to day care and have over 15 years of experience.
Photo of Kingsley Place at the Medical Center
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Wholehearted Memory Care at Leon Springs
5 star
50%
4 star
10%
3 star
30%
2 star
10%
1 star
0%
See all reviews
Manager is awesome. She responded to any questions 7 days a week and immediately addressed. Very caring towards my mother, spent lots of time with her and assisted my mother with any needs above and beyond....
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Blossom Care Assisted Living offers compassionate professional care for seniors who can no longer live on their own but would like to maintain their independence. Our warm friendly, homelike community provides 24-hour tender loving care.We promote and encourage independence, dignity and comfort...
See details
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
The Cottages on Danny Kaye- BThe Cottages on Danny Kaye-B, located in San Antonio, Bexar County, Texas, is an assisted living community that provides memory care for seniors with Alzheimer’s and dementia. It is a secured and safe property that accepts both male and female senior residents into...
Photo of Sorrento
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.

Cost of assisted living in Helotes, TX

The average cost of senior living in Helotes is $4,236 per month. Cheaper nearby regions include Somerset, TX with an average of $4,130 per month.

Assisted living costs in Helotes, TX, vs. nearby cities

Helotes, TX
$4,236/mo

Assisted living costs in Helotes, TX, vs. state and national averages

Helotes, TX
$4,236/mo
$4,774/mo
U.S. national average
$4,740/mo

Assisted living costs in Helotes, TX, vs. other senior living options

Assisted Living
$4,236/mo
$4,604/mo

Assisted living costs in Helotes, TX, by floor plan type

Semi-Private
$3,913/mo
Private
$4,333/mo
Studio
$4,482/mo
1 Bedroom
$4,525/mo
2 Bedroom
$5,700/mo

Senior living costs in Helotes vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Helotes, TX
Column state: Texas
Column national: U.S.
Community typeHelotes, TXTexasU.S.
Assisted Living$4,236/mo$4,774/mo$4,740/mo
Memory Care$4,604/mo$4,941/mo$5,004/mo
Independent Living$3,991/mo$4,246/mo$4,203/mo
Assisted Living
Helotes, TX:$4,236/mo
Texas:$4,774/mo
U.S.:$4,740/mo
Memory Care
Helotes, TX:$4,604/mo
Texas:$4,941/mo
U.S.:$5,004/mo
Independent Living
Helotes, TX:$3,991/mo
Texas:$4,246/mo
U.S.:$4,203/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Helotes, TX

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Helotes.

What families are saying about assisted living in Helotes

Recent reviews for assisted living in Helotes

The William in San Antonio, TX

4.5
[Name removed] was a sales manager that helped us initially. She was wonderful with the move-in process and even helped us find some movers to help move my dad's furniture. The nurses and housekeeping people that I met were very nice as well as the staff in the dining room. I liked how the ...
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Parkway Assisted Living in San Antonio, TX

4.5
We moved my mother to Parkway assisted living facility . The entire staff was caring and took great care of my mother. The care they provide is outstanding.This place is clean and the furniture is in pristine condition. The staff is helpful and very friendly. The residents that live there ...
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Serenity Oaks Assisted Living and Memory Care in Live Oak, TX

5.0
We have been nothing short of pleased with our experience with serenity Oaks. My grandmother is getting the absolute best care there. Everybody is so friendly. The food is great and the place is always clean. The staff is always smiling. You can tell they really enjoy their jobs.

Reviews mention these favorite features of communities

Warm and welcoming community atmosphere. Many reviews highlight the friendly and welcoming atmosphere at various communities, with staff members greeting residents and families warmly. For instance, at The William, the front desk concierges [[name removed]] and [[name removed]] are frequently praised for their helpfulness. At The Wa ...
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High-quality, diverse activities. Several communities offer a variety of activities catering to residents' interests, such as Bingo, puzzles, fitness classes, and social events. At Discovery Village at Dominion AL/MC, residents appreciate the range of activities provided, particularly the Bingo games. However, some communities ...
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Consistently good food and dining experiences. Quality food is a major factor in residents' overall satisfaction with their communities. For example, at Brookdale Medical Center Kingsley, the food is reportedly good, and residents are offered sandwiches for dinner multiple times a week. However, communities like Brookdale Hamilton Wolfe ...
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Dedicated, compassionate staff. Reviews consistently praise the compassionate care provided by staff members at various communities. For instance, at Pecan View Senior Care AL, [[name removed]]'s expertise as an experienced nurse significantly enhances the quality of care for residents. In addition, the staff at The Waterfo ...
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Well-maintained facilities and cleanliness. Residents and their families often comment on the cleanliness and upkeep of communities, mentioning well-maintained common areas and private living spaces. At Honey's House of Helotes, the facility is described as clean, while Villa de San Antonio boasts comfortable and well-appointed rooms. ...
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Open communication between families and staff. Frequent, open communication between families and staff is essential for ensuring residents receive the best possible care. At Whitby Pointe Senior Living, the community allows families to send snacks and communicate easily with staff. Additionally, at The Cottages on Danny Kaye, the team is ...
Read more
AI generated from the text of family reviews

Helotes review score based on 327 family reviews

8.9
Review score41 facilities327 reviewsWrite a review
This proprietary review score is based on 327 reviews of 41 Helotes assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Helotes review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Helotes review score compared against nearby cities

8.9
Helotes, TX41 facilities
8.8
Grey Forest, TX41 facilities
8.6
Leon Valley, TX66 facilities

Review subcategories for Helotes assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 327 reviews of 41 Helotes assisted living communities. This chart helps you compare Helotes resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Helotes, TX averageNational average
Cleanliness
4.2
4.1
Friendliness
4.3
4.2
Care services
4.1
3.8
Staff
4.2
4.0
Meals & dining
4.0
3.7
Activities
3.9
3.7
Value for cost*
4.0
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Helotes assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Helotes assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Helotes, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Helotes assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Helotes that offer these care services compared to the percentage of partners that offer them nationally.
Helotes, TXNational
Full medication management
Full medication management
78%
52.5%
Doctor on call
Doctor on call
61%
33.8%
24-Hour awake staff
24-Hour awake staff
95.1%
96.1%
Diabetic care
Diabetic care
97.6%
97.6%
*Visiting health care professionals
*Visiting health care professionals
78%
56.7%
Home care agency on-site
Home care agency on-site
43.9%
30%
Non-ambulatory care
Non-ambulatory care
95.1%
96.7%
Respite or short term stays
Respite or short term stays
61%
47.6%
Hospice available on-site
Hospice available on-site
73.2%
52.4%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Helotes assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Helotes Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Helotes, TXNational
Dementia behaviors care
Dementia behaviors care
70.7%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
43.9%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
58.5%
41.1%
Memory care only community
Memory care only community
31.7%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Helotes assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Helotes partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Helotes, TXNational
Nutritionist / dietician
Nutritionist / dietician
26.8%
27.2%
Low / no sodium
Low / no sodium
65.9%
40.9%
No sugar
No sugar
61%
37.5%
Vegetarian
Vegetarian
48.8%
36.2%
Pureed meals
Pureed meals
36.6%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Helotes assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Helotes communities that offer dining options to their discerning residents compared to our partners nationally.
Helotes, TXNational
Professional chef
Professional chef
43.9%
31.5%
Restaurant style dining
Restaurant style dining
53.7%
42.3%
Room service
Room service
63.4%
36.7%
Anytime dining
Anytime dining
31.7%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Helotes assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Helotes offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Helotes, TXNational
Activity director
Activity director
53.7%
46.4%
Pet-focused programs
Pet-focused programs
48.8%
31%
Community service programs
Community service programs
39%
30.4%
Devotional activities on-site
Devotional activities on-site
63.4%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
70.7%
49.3%
Outings / off-site activities
Outings / off-site activities
51.2%
52.3%
Piano or organ
Piano or organ
48.8%
41.3%
Arts and crafts center
Arts and crafts center
43.9%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
39%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
65.9%
46.8%
Live performances
Live performances
68.3%
46.9%
Dances
Dances
39%
30.5%
Fitness center
Fitness center
24.4%
24.6%
Fitness classes
Fitness classes
63.4%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Helotes

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Texas assisted living regulations will help you understand how assisted living communities in Helotes protect seniors.
Learn about Texas assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Senior Haven Assisted Living LLC, The Waterford at Westover Hills and The Landing at Stone Oak are the top-rated assisted living facilities near Helotes, Texas. See full list of communities.
There are 44 assisted living facilities near Helotes, Texas. See the full list.
The best assisted living facilities near you in Helotes, Texas are The Waterford at Westover Hills, Brookdale Maltsberger and Brookdale Nacogdoches. These assisted living communities received the highest rankings based on verified family reviews.
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