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 Wilson County, TX

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Assisted living costs in Wilson County average about $4,281 per month. To find the best assisted living options for your needs and budget, browse through 151 communities in Wilson County. Our detailed directory has 3470 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 La Vernia, Floresville and Poth.

Wilson County Assisted Living Facilities | 3470 Reviews

Showing 133 communities
Last Updated: 12/12/25
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Photo of Ortega's Home Style Assisted Living
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 Havens Inn
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: 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.
Photo of Ortega's Homestyle Assisted Livings LLC
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 The Kaulbach Assisted Living Center
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.
The Manor-Kaulbach is a beautiful assisted living community offering several distinct one-bedroom floorplans for seniors in San Antonio, Texas. San Antonio city offers a variety of cultural and historical sites, including the famous Alamo and several Spanish missions. The San Antonio River offers...
Photo of Loma Park Assisted Living
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.
Loma Park Assisted Living is a residential care home located in the lively city of San Antonio, in Hill County, Texas. Our beautiful home has a vibrant atmosphere and diverse culture. We feature several exciting events and attractions, such as The Alamo, Aztec on the River, Casa Navarro State...
Photo of South Texas Assisted Living
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.
South Texas Assisted LivingSouth Texas Assisted Living is an assisted living community providing a caring home to seniors in San Antonio, TX. Those who become a part of this assisted living community will find that the city of San Antonio has much to offer to both them and their guests. San...
Photo of Lopez Homes Mcg LLC
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.
Photo of Colonial Manor Care Center
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Provides: Memory Care, Nursing Homes
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.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Colonial Manor Care Center has been serving the community for more than 40 years. Located in the historic town of New Braunfels, on the IH 35 Corridor, we are close to several local hospitals as well as hospitals in San Antonio and Austin. We provide a separate wing for Women and Men on our...
Photo of Paam Care, LLC
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Review of: PAAM Care LLC, San Antonio, Texas Our mother has been under PAAM Care for six months. We are extremely pleased with the high-quality of caretaking and helpful assistance she receives...
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.
Early Trail, Inc. is a residential care home in San Antonio, TX, located in BEXAR County. Because this is a small and home-like setting we are able to provide more one on one care. The goal of the caring, compassionate staff in our group home is to provide a high quality of life that will allow...
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Photo of Pipestone Place Assisted Living
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.
We offer a 3 year price lock guaranteeCare Limited to 8-14 residentsNursing visits and wellness checksComplete laundry, linen and housekeeping includedPrivate and companion rooms available
Photo of San Antonio - Ariana 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 Oaktree Assisted Living
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: Assisted Living, Memory Care, 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.
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.
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.
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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.
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...
Provides: Assisted Living, 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.
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 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 OneStone Oak Senior Living
2121 Photos available
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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.
Discover OneStone Oak Senior Living - Where Care Meets Home Are you searching for a compassionate and intimate assisted living community for your beloved senior family members? Look no further than OneStone Oak Senior Living! As a family-owned and operated establishment, we are deeply committed...
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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.
Photo of Greenwood Home Care
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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.
Provides: Assisted Living, Memory Care, 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.
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.
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.
Blue Skies of Texas II is an assisted living community located in historically magnificent San Antonio, Bexar County, Texas. San Antonio is home to the splendid River Walk which is full of lovely dining and shopping with gorgeous views walking along the San Antonio River. San Antonio is full of...
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.
Provides: Assisted Living, 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.
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 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.

Cost of assisted living in Wilson County, TX

The average cost of senior living in Wilson County is $4,281 per month. Cheaper nearby regions include Karnes City, TX with an average of $3,508 per month.

Assisted living costs in Wilson County, TX, vs. nearby counties

Wilson County, TX
$4,281/mo
$4,228/mo

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

Wilson County, TX
$4,281/mo
$4,772/mo
U.S. national average
$4,705/mo

Assisted living costs in Wilson County, TX, vs. other senior living options

Assisted Living
$4,281/mo
$4,611/mo

Assisted living costs in Wilson County, TX, by floor plan type

Semi-Private
$4,218/mo
Private
$4,333/mo
Studio
$4,852/mo
1 Bedroom
$4,742/mo
2 Bedroom
$6,040/mo
Detached Cottage/Bungalow
$5,645/mo

Senior living costs in Wilson County 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: Wilson County, TX
Column state: Texas
Column national: U.S.
Community typeWilson County, TXTexasU.S.
Assisted Living$4,281/mo$4,772/mo$4,705/mo
Memory Care$4,611/mo$4,938/mo$4,956/mo
Independent Living$4,042/mo$4,244/mo$4,162/mo
Assisted Living
Wilson County, TX:$4,281/mo
Texas:$4,772/mo
U.S.:$4,705/mo
Memory Care
Wilson County, TX:$4,611/mo
Texas:$4,938/mo
U.S.:$4,956/mo
Independent Living
Wilson County, TX:$4,042/mo
Texas:$4,244/mo
U.S.:$4,162/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 Wilson County, 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 Wilson County.

What families are saying about assisted living in Wilson County

Recent reviews for assisted living in Wilson County

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.

Wilson County review score based on 703 family reviews

8.6
Review score133 facilities703 reviewsWrite a review
This proprietary review score is based on 703 reviews of 133 Wilson County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Wilson County 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

Wilson County review score compared against nearby cities

8.6
Wilson County, TX133 facilities
8.6
Floresville, TX149 facilities
8.6
Poth, TX135 facilities

Review subcategories for Wilson County 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 703 reviews of 133 Wilson County assisted living communities. This chart helps you compare Wilson County 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.
Wilson County, TX averageNational average
Cleanliness
4.0
4.1
Friendliness
4.2
4.2
Care services
3.9
3.8
Staff
4.0
4.0
Meals & dining
3.7
3.7
Activities
3.8
3.7
Value for cost*
3.8
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Wilson County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Wilson County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Wilson County, 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 Wilson County 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 Wilson County that offer these care services compared to the percentage of partners that offer them nationally.
Wilson County, TXNational
Full medication management
Full medication management
63.9%
52.5%
Doctor on call
Doctor on call
49.6%
33.8%
24-Hour awake staff
24-Hour awake staff
91%
96.1%
Diabetic care
Diabetic care
95.5%
97.6%
*Visiting health care professionals
*Visiting health care professionals
70.7%
56.7%
Home care agency on-site
Home care agency on-site
35.3%
30%
Non-ambulatory care
Non-ambulatory care
91%
96.7%
Respite or short term stays
Respite or short term stays
54.1%
47.6%
Hospice available on-site
Hospice available on-site
57.1%
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 Wilson County 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 Wilson County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Wilson County, TXNational
Dementia behaviors care
Dementia behaviors care
60.9%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
39.8%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
51.9%
41.1%
Memory care only community
Memory care only community
28.6%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Wilson County 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 Wilson County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Wilson County, TXNational
Nutritionist / dietician
Nutritionist / dietician
23.3%
27.2%
Low / no sodium
Low / no sodium
50.4%
40.9%
No sugar
No sugar
48.9%
37.5%
Vegetarian
Vegetarian
43.6%
36.2%
Pureed meals
Pureed meals
28.6%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Wilson County 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 Wilson County communities that offer dining options to their discerning residents compared to our partners nationally.
Wilson County, TXNational
Professional chef
Professional chef
36.1%
31.5%
Restaurant style dining
Restaurant style dining
42.9%
42.3%
Room service
Room service
48.9%
36.7%
Anytime dining
Anytime dining
22.6%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Wilson County 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 Wilson County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Wilson County, TXNational
Activity director
Activity director
50.4%
46.4%
Pet-focused programs
Pet-focused programs
35.3%
31%
Community service programs
Community service programs
34.6%
30.4%
Devotional activities on-site
Devotional activities on-site
58.6%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
59.4%
49.3%
Outings / off-site activities
Outings / off-site activities
51.1%
52.3%
Piano or organ
Piano or organ
44.4%
41.3%
Arts and crafts center
Arts and crafts center
39.8%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
36.1%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
53.4%
46.8%
Live performances
Live performances
54.9%
46.9%
Dances
Dances
37.6%
30.5%
Fitness center
Fitness center
20.3%
24.6%
Fitness classes
Fitness classes
51.9%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Wilson County

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 Wilson County protect seniors.
Learn about Texas assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

New Haven Assisted Living and Memory Care of Floresville, Serenity Oaks Assisted Living and Memory Care and Senior Haven Assisted Living LLC are the top-rated assisted living facilities near Wilson County, Texas. See full list of communities.
There are 151 assisted living facilities near Wilson County, Texas. See the full list.
The best assisted living facilities near you in Wilson County, Texas are The Waterford at Westover Hills, Brookdale Maltsberger and Arden Courts San Antonio, A Memory Care Community. These assisted living communities received the highest rankings based on verified family reviews.
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