10 Best Nursing Homes in San Antonio, TX
San Antonio is the second largest city in Texas and home to a growing senior population. The city accommodates these seniors with continually evolving support services and increasing care options. This includes nursing homes — an umbrella term commonly used to refer to a breadth of senior living facilities. However, nursing home care is a specific form of care involving skilled nursing services. This form of care offers the highest level of medical care outside of a hospital, ideal for seniors who require 24-hour medical oversight, hospice, or rehabilitative services.
If your loved one doesn’t require a skilled nursing level of care but does need assistance with activities of daily living and medication assistance, an assisted living senior care facility might be a better fit. Or, if your loved one faces cognitive issues, a memory care facility may be ideal. A Place for Mom partners with 55 senior care facilities within a 10-mile radius of San Antonio’s downtown, including assisted living and memory care. These facilities provide personal care, supportive services, individualized activities, and social programming to support the health and well-being of seniors. Most of these facilities also offer skilled nursing services on-site for their current residents. Read on for a thorough overview of these local senior care facilities in San Antonio, including costs, care types, and valuable senior resources.
Nursing Homes Facilities near San Antonio, TX
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- Costs of nursing homes in the San Antonio area
- What families are saying about nursing homes in San Antonio
- How people pay for a nursing home in San Antonio
- Understand Texas laws and regulations for nursing home and senior care facilities
- San Antonio: A city committed to supporting its aging population
- San Antonio nursing homes services and amenities
- Explore senior care with confidence
- Unfamiliar with San Antonio? Highlights for seniors
Costs of nursing homes in the San Antonio area
San Antonio nursing homes typically have a heftier price tag due to the fact that they are staffed with doctors and nurses and provide 24-hour medical observation, similar to what you would receive in a hospital. However, if your loved one doesn’t require 24-hour skilled nursing, assisted living facility costs might be more relevant. Here’s a glimpse at average monthly costs of Houston nursing homes versus senior care facilities:
Nursing homes
- Semi-private room: $5,262
- Private room: $7,756 [01]
Assisted living communities
- Semi-private room: $2,843
- Private room: $4,200 [02]
Memory care communities
- Semi-private room: $4,145
- Private room: $4,900 [02]
Assisted living and memory care communities can care for your loved one in an engaging environment filled with enticing amenities and activities. Assisted living amenities include movie theaters, fitness centers, holiday parties, person-centered programming, and care services, such as personalized assistance with activities of daily living, medication management, and some basic skilled nursing services. Memory care facilities typically have the same offerings as assisted living facilities with the addition of secured areas, supervision from staff specialized in memory care, and specialized therapies and activities.
Average monthly cost of Nursing Homes in San Antonio, TX vs. nearby cities
Average monthly cost of Nursing Homes in San Antonio, TX vs. the state and national average
Average monthly cost of Nursing Homes in San Antonio vs. other types of senior living
Median monthly costs of Nursing Homes in San Antonio, TX by room type
What families are saying about nursing homes in San Antonio
Recent reviews for nursing homes in San Antonio
The William in San Antonio, TX
The Forum at Lincoln Heights in San Antonio, TX
Heritage Creek Assisted Living in San Antonio, TX
How people pay for a nursing home in San Antonio
There are several ways to pay for a San Antonio senior care facility. Most families combine private pay methods and public pay options to cover long-term care costs. Below, you’ll find several methods and resources to help you understand your payment options, so you can carefully devise a payment plan for your loved one’s senior care facility.
Private pay methods include your senior loved one’s income sources like their savings, Social Security benefits, pensions, and investment returns. Keep in mind that Texas is one of the few U.S. states without a personal income tax, meaning your loved one won’t have to worry about paying taxes on their Social Security benefits, retirement income, or pensions.[03,04] Depending on your family’s resources, other private pay methods may include the following:
Note: Long-term care insurance policies vary in what they can cover, so it’s best practice to consult with your loved one’s policy provider to learn more.
San Antonio is home to many military bases and jobs for veterans, so it’s no surprise that it’s the Texas city with the largest veteran population. To support this large population and enhance the local veteran’s quality of life, the city offers over 200 veteran resources and support services. To narrow down the most suitable resources for your senior loved one, you can reach out to Texas Veterans Network — San Antonio (also known as TVN). A TVN staff member will happily evaluate their current situation and needs to recommend relevant support services and programs. Help doesn’t stop with recommendations, TVN employees will continue communicating with recommended veteran organizations to confirm that solutions work for your loved one.
Veterans pension and Aid and Attendance benefit
Veterans who receive a veterans pension from the U.S. Department of Veterans Affairs (or VA) and are enrolled in VA health care may also qualify for additional disability benefits to help pay for senior care costs. The Aid and Attendance benefit is one benefit addition to the senior’s pension that can be used to pay for anything that improves the veteran’s quality of life. A senior veteran can qualify for this benefit if they have recognition from VA health care of a disability due to wartime service. The approval process for VA benefits is long and difficult, so it is a good idea to reach out to a local veteran resource center for assistance and advocacy with the process.
San Antonio veteran resource centers
To better understand benefit options and to receive assistance with applying, you can reach out to several departments and organizations throughout the area. San Antonio has its own Military and Veteran Affairs Department that supports and assists city veterans. The Bexar County Military and Veterans Services Center also helps San Antonio veterans obtain their eligible benefits and file claims. The Texas Veterans Commission is another advocate for Texas veterans and their families, with eight programs dedicated to helping veterans obtain benefits.
Number of veterans who live in San Antonio, according to the U.S. Census Bureau
About 42% of San Antonio veterans are 65+, according to the U.S. Census Bureau
Resources for San Antonio veterans
City of San Antonio: Military and Veterans Affairs Department
100 W. Houston St., Suite 1008
San Antonio, TX 78205
Phone: 210-207-3995
Bexar County Military and Veterans Services Center (MVSC)
1422 E. Grayson St., 4th Floor
San Antonio, TX 78208
Phone: 210-335-6775
Email: vets@bexar.org
Hours: Monday through Friday, 8 a.m. – 12 p.m., 1 p.m. – 5 p.m.
Medicaid is a joint state and federal program that provides health insurance to individuals with limited income and resources. In Texas, the Texas Health and Human Services Commission (or the HHSC) runs the state’s Medicaid programs. The HHSC offers numerous programs through their local area agencies on aging (also known as AAAs) for seniors 60+, as well as other long-term care programs for low-income seniors and seniors with a disability.
The HHSC oversees the operation of STAR+PLUS — the state’s Medicaid managed care program for 65+ adults and individuals with disabilities. This program covers some basic health care services and some skilled nursing services through agencies that’ve been licensed and certified by Texas Health and Human Services. To receive Medicaid within a skilled nursing facility, residents must have an approved medical necessity that confirms their need for full-time nursing services provided by a licensed nurse within a nursing facility.
Home and Community Based Services (HCBS) waiver
If your senior loved one doesn’t require 24-hour care services within a nursing home, they may benefit from the Home and Community Based Services (or HCBS) waiver program. When a senior applies for Medicaid, the HHSC assesses their need for the HCBS program. The waiver can be used anywhere a senior calls home, meaning it can be used in an assisted living or memory care facility that contracts with the senior’s managed care provider. The HCBS program enables seniors to receive care within a residential setting, as opposed to an institutional setting commonly found in nursing homes.[06]
The Home and Community Based Services (or HCBS) waiver program can help cover the following services:
- Personal care
- Medical supplies
- Dental services
- Adaptive aids, such as eyeglasses, hearing aids, orthotic devices, and orthopedic shoes
- Nursing services
- Respite care
- Cognitive rehabilitation therapy
- Physical, occupational, and speech therapies[07]
To qualify for the Home and Community Based Services waiver, seniors must meet the following requirements:
- Be 65 years of age or older
- Require an institutional level of care, typically found in a nursing home
- Have a monthly income of less than $2,523 individually or $5,046 as a couple[08]
Note for Home and Community Based Services (HCBS) settings: Not all San Antonio senior living facilities qualify as an HCBS setting, so be sure to check with each prospective community if you plan to use Medicaid to pay for care services. Qualifying facilities must do the following:
- Be integrated into a greater community
- Provide opportunities for interested residents to seek work or volunteer
- Help an interested senior engage in local community life
- Allow the senior to control their personal resources
- Allow the senior to receive Medicaid care services[06]
San Antonio has many Medicaid resources throughout the city. Below, you’ll find some websites that can connect you to nearby offices for assistance with Medicaid applications and services. You’ll also find FAQs and an online application form.
Additional San Antonio resident Medicaid resources
Medicare is a federal program that provides health insurance to adults 65+ and individuals with disabilities. It covers skilled nursing care costs for a limited time. In Texas, Medicare may fully cover up to 20 days in a nursing home or skilled nursing facility and partially cover up to 100 days. Medicare is no longer responsible for payments after the 100-day limit.[09] Below, you’ll find a breakdown of what Medicare can cover along with some programs that can help your loved one save on Medicare costs and apply for benefits:
- The Texas Medicare Savings Program helps cover some Medicare Parts A and B deductibles, premiums, copayments, and/or coinsurance. Part A covers hospital stays, care in a skilled nursing facility, hospice care, and some home health care services. Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services. Seniors must meet certain income requirements to qualify for this program.
- The Kidney Health Care program covers costs for some treatments, surgeries, medicines, and premiums for Texas residents with end-stage renal disease.
- The Texas Health Information, Counseling, and Advocacy Program (also known as HICAP) offers legal advice, referrals, and assistance to Texans who are 60+ and eligible for Medicare.
For assistance with your eligible benefits and enrollment, contact your local long-term care (LTC) ombudsman. An ombudsman advocates for the health care rights of assisted living, memory care, and skilled nursing facility residents as well as helps families learn about senior care options and payment methods. The Alamo Area Council of Governments also helps San Antonio seniors access the long-term care they need. It provides benefits counseling, care coordination, caregiver support, and more to aging San Antonio residents.
San Antonio resident Medicare resources
Apply for the Texas Medicare Savings Program
Texas Health and Human Services
Long-term care ombudsman
Cindy Boyum, Managing Local Ombudsman at AAA of Bexar County
2700 NE. Loop 410, Suite 101
San Antonio, TX 78217
Phone: 210-362-5236
Email: cboyum@aacog.com
Alamo Area Council of Governments
Aging Services for Bexar County and Alamo Area
Phone: 210-477-3275
Email: info@askasc.org
Federal Medicare resources
- Medicare website
- Dial 2-1-1
Texas residents who qualify for both Medicare and Medicaid are eligible to receive dual coverage through one joint Medicare-Medicaid Plan (MMP) called the Dual Eligible Integrated Care Demonstration Project, commonly referred to as “the Demonstration.” With the Demonstration, Texas strives to improve service coordination, enhance quality of care, eliminate cost shifting between Medicare and Medicaid, and reduce costs for the state and federal government. To qualify for the Demonstration, seniors must meet the following eligibility requirements:
- Have Medicare Parts A, B, and D and receive full Medicaid benefits
- Be enrolled in Texas’ STAR+PLUS program for a minimum of 30 days
If your senior loved one qualifies for dual coverage, they should be automatically enrolled and may choose to opt out of the Demonstration after they’ve received a notifying letter of enrollment in the mail. For additional information on the Demonstration, you can email Managed_Care_Initiatives@hhsc.state.tx.us.
Understand Texas laws and regulations for nursing home and senior care facilities
In Texas, all skilled nursing, assisted living, and memory care facilities must be licensed and regulated by Texas Health and Human Services (also known as the HHSC or HHS) before they’re able to provide housing and care services to residents. Additionally, if a nursing or senior care facility wishes to accept Medicaid or Medicare, it must be certified by the HHS to do so. Below, you’ll find a summarized list of the certification requirements for nursing homes and senior care facilities in Texas:
Resident admission processes
- Using a doctor’s order, skilled nursing facilities must craft a person-centered care plan for each resident. This care plan must assess their dietary, therapeutic, social, psychological, and daily care needs.[10,11]
- In assisted living and memory care facilities, a similar procedure must be followed except they are not required to use a doctor’s order for care plans. For memory care facilities, there must be a specialized admissions process in place to confirm a resident’s need for memory care services.[12]
Management and staffing requirements
- Texas nursing homes and skilled nursing units are required to have licensed nurses, certified nursing assistants, nurse aids, and registered nurses on staff. All nursing facilities must also meet specific staff-to-resident ratios — one on-site nurse for every 20 residents at all times.[13]
- Assisted living facilities must have an on-site, full-time manager to oversee the facility’s day-to-day operation. These managers are required to complete at least one 24-hour assisted living management course alongside their staff.[14]
- Memory care facility managers and staff members must continually participate in specialized memory care training in order to remain a licensed memory care facility.[15,16]
Safety and health standards
- A certified skilled nursing facility in Texas must meet design, construction, and equipment standards that support the health and safety of residents, staff, and visitors. Each nursing facility must have safety equipment and emergency procedures for accidents, fires, or power outages.[17]
- Both assisted living and memory care facilities are required to have similar processes in place. In addition, memory care facilities must have measures in place to prevent residents from harming themselves or wandering. All facilities must allow for safe access to fresh air and common areas for activities.[18]
- Memory care facilities, specifically, must designate an activities director to encourage socialization among residents. It’s required for the director to tailor activities based on each individual’s abilities. These directors are also responsible for arranging special equipment that enables all residents to participate in activities.[19]
Senior care facility inspections
The Texas Health and Human Services Commission performs inspections on all skilled nursing, assisted living, and memory care facilities. These inspections are done approximately every two years and check for a facility’s compliance with the life safety and health code requirements.[20] The health code and life safety code require nursing homes and senior care facilities to regulate the following:
- Sufficient staff-to-resident ratios
- Employee background checks
- Management of the facility
- General construction of the facility
- Implementation of safety and emergency features
- Protection from hazardous areas
- Documentation of fire drills, system checks, etc.[20]
You can access a licensed community’s most recent inspection report and general facility information through the Texas Health and Human Services’ Long-term Care Provider Search. You can also email RSLTCR.RecordsMgmt@hhsc.state.tx.us to request any information not found on the site.
Nursing home reviews
In an effort to continually enhance the quality of care provided in Texas nursing homes, the Health and Human Services Commission implemented a Quality Monitoring Program (or QMP) to monitor nursing facilities with a history of resident care deficiencies. These QMPs are conducted by nurses, pharmacists, and dieticians who may recommend changes to policies or procedures, conduct staff on in-service training, offer technical assistance, and educate staff about evidence-based best practices, during their visits to facilities.
Families can also visit the federal Medicare website to compare and contrast ratings, staffing practices, and overall quality of Medicare- and Medicaid-certified nursing homes.
Texas Health and Human Services Commission (HHSC or HHS) contact information
4601 W. Guadalupe St.
Austin, TX 78751
Phone: 512-424-6500
Hours: Monday through Friday, 8 a.m. – 5 p.m.
COVID-19 regulations for San Antonio nursing homes
COVID-19 regulations in San Antonio have loosened since the start of the pandemic; however, some practices have been adopted permanently to keep the aging population safe. Texas Health and Human Services (or HHS) has put out a COVID-19 response plan for nursing facilities to keep the state’s nursing home residents safe and healthy.
Currently, all San Antonio nursing homes and senior care facilities must allow visitors, as it is a resident’s right. Facilities are also expected to develop their own policies and procedures for infection control — including COVID-19 and any other spreadable viruses.[21] The updated COVID-19 response plan includes the following practices:
Vaccinations. COVID-19 vaccines aren’t mandatory for residents or visitors.
Masking. Visitors, staff, and residents aren’t required to wear masks unless indicated in the facility’s infection control policies and procedures.
Facility cleanliness. Frequently touched surfaces must be disinfected often, alcohol-based hand sanitizers must be available in all common areas, and sinks must be well-stocked with soap and paper towels.
CDC guidelines. HHS recommends that all Texas nursing facilities default to CDC guidelines when it comes to COVID-19 infection control and vaccination guidance.
San Antonio: A city committed to supporting its aging population
San Antonio’s 60+ population is expected to grow roughly 20% by 2040.[22] The city of San Antonio recognizes this fast growth and aims to keep San Antonio aging-friendly. The San Antonio Department of Human Services established a Senior Services Strategic Plan in 2019 to improve local senior support services. This plan includes enhancing programs in city senior centers, expanding medical services, and generally supporting local seniors as they age. Furthermore, you’ll find that senior care facilities are expanding their on-site care services and activities to provide seniors with a range of living options and care services.
Check out some of the most unique features of San Antonio senior care facilities below:
A wide range of care services
To help ensure residents maintain a healthy lifestyle without ever having to move, our partner care communities provide a range of on-site care services — from personal care to skilled nursing care. A majority of A Place for Mom’s partner senior communities in San Antonio offer diabetic care, incontinence care, medication management, and other on-site nursing services. For unique care services not available on-site, some communities even partner with local, home health care agencies. Many communities offer multiple care types on the same campus, such as independent living, assisted living, and memory care. This enables seniors to age in place without having to worry about moving if they ever need more specialized care.
On-site and off-site devotional activities
Aging adults are often devoted to a certain faith. Many of our partner senior care communities recognize this and provide a safe and peaceful devotional area, such as a chapel, to enable residents to practice their faith on-site. Some communities will even let the current resident consensus decide what religious services to host. For example, some communities are Catholic-dominant, so they’ll invite a Catholic priest to host a weekly Mass. Communities without a devotional space will often assist residents in practicing their faith by offering rides to a nearby chapel, temple, or synagogue.
Veteran recognition and celebrations
As Texas’ city with the largest veteran population, you’ll find that San Antonio doesn’t take military service for granted. In fact, several of our partnered senior care facilities memorialize their local veterans with displays to recognize their years of service. These communities also pull out all the stops during Veterans Day to celebrate and honor veteran residents, both within the senior community as well as the greater community. San Antonio hosts a myriad of Veterans Day events and activities, including a grand parade that some residents attend with friends and loved ones. It’s not uncommon for communities to organize off-site outings to these local festivities for their residents.
San Antonio nursing homes services and amenities
Availability of select care services in San Antonio nursing homes
Availability of select dementia care services in San Antonio nursing homes
Availability of select dietary accommodations in San Antonio nursing homes
Availability of select dining options in San Antonio nursing homes
Availability of select programs and activities in San Antonio nursing homes
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Unfamiliar with San Antonio? Highlights for seniors
Number of seniors over the age of 65 currently living in San Antonio, according to the U.S. Census Bureau
Percentage of seniors 65+ in San Antonio with a disability, according to the U.S. Census Bureau
Median annual retirement income for San Antonio seniors 65 and older, according to the U.S. Census Bureau
Health care for seniors in San Antonio
San Antonio offers a range of health care options for seniors and veterans. See what top-rated medical centers have to offer:
Methodist Hospital — San Antonio
This hospital is No. 1 in San Antonio and No. 13 in Texas, according to U.S. News and World Report. It’s high performing in 11 procedures and conditions, including diabetic care, kidney failure, and post-stroke care.
Baptist Medical Center
This hospital is No. 2 in San Antonio. It’s high performing in nine procedures and conditions, including some cancer surgeries, heart failure, and diabetes.
Brooke Army Medical Center
This hospital is the largest and most robust military health care organization in the U.S. It serves military service members, veterans and their families, and civilian emergency patients. It is known for its exceptional patient-centered care and treating combat causalities and trauma.
Transportation for seniors in San Antonio
Public transportation isn’t the safest, most reliable form of transportation for nursing home residents, so many of our partnered senior care facilities provide modes of transportation to get their residents around safely. In fact, approximately 85% of our in-network assisted living and memory care facilities provide at-cost or complimentary transportation services. Some facilities limit their rides to appointments, while others also offer rides for errands and events.
If the senior is more independent or if you’re a visiting friend or family member, you may want to look at local transportation options provided through VIA Metropolitan Transit. Seniors ages 62+ can ride for only a quarter Monday through Friday, 9 a.m. to 3 p.m., and receive free rides Saturday and Sunday. Seniors must obtain a VIA Reduced Fare ID to receive their senior discounts.
Senior activities in San Antonio
San Antonio is rich with history and culture. Seniors can easily find things to do, even for some of their niche interests. Oftentimes, seniors living in senior care facilities have limited mobility. To engage residents with varying mobility levels, many of our partner assisted living and memory care facilities arrange wheelchair-friendly transportation to off-site activities that accommodate individuals with disabilities. These off-site activities include outings to parks, museums, and other local attractions. Seniors can also enjoy off-site activities with visiting loved ones. Some of the most popular attractions among seniors include the following:
Historic sites
- The Alamo. The Alamo is a historic fortress compound, and it’s the location of the 1836 Battle of the Alamo. Seniors can spend a day at the Alamo exploring its historic church, priceless artifacts, and memorials set against captivating gardens full of solemn, old-growth oak trees. The Alamo also offers self-guided audio and guided tours. It also accommodates individuals with disabilities upon request.
- San Fernando Cathedral. Founded in 1731, this stunning cathedral is the oldest standing church in Texas. It attracts thousands of visitors every year. Seniors particularly enjoy absorbing its rich history and joining in on weekend Mass.
Arts and culture
- San Antonio Museum of Art. This art museum displays rotating exhibits from all around the world. Examine and bask in the sights of wondrous artworks, including sculptures, paintings, and more. The museum even offers bilingual programs, a senior discount, and wheelchairs for individuals with disabilities.
- Majestic and Empire Theatres. As San Antonio’s oldest and largest atmospheric theatres, Majestic and Empire host a variety of events, including Broadway musicals, comedy shows, and concerts. They both offer ADA-compliant seating and other accommodations for individuals with disabilities.
Recreation
- Parks. San Antonio has plenty of gorgeous parks scattered throughout the city, with the most popular being Brackenridge Park. This park is home to several attractions, including the San Antonio Zoo, an 18-hole golf course, picnic areas, walking trails, and historic sites.
- Community and senior centers. San Antonio offers a few community and senior centers throughout the city to keep seniors socially and physically active. Some centers host senior-specific activities, including engaging art classes, fitness classes, and social activities.
Frequently Asked Questions
Serenity Oaks Assisted Living and Memory Care, Gemstone at Bulverde and The Waterford at Westover Hills are the top-rated Nursing Homes facilities near San Antonio, TX. These Nursing Homes facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Nursing Homes in San Antonio is $4,496 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
References
Genworth. (2021). Cost of care survey.
A Place for Mom. (2023). A Place for Mom proprietary data.
TurboTax. (2022, December 1). States with the lowest taxes and the highest taxes.
Fritts, J. (2020, August 9). Does your state tax social security benefits? Tax Foundation.
United States Census Bureau. (2021). Veteran status (S2101) [Data Set]. American Community Survey.
Texas Health and Human Services. (2022). Home and Community Based Services (HCBS).
Texas Health and Human Services. (2022). STAR+PLUS, STAR+PLUS Client FAQs.
Texas Health and Human Services. (2022, September 1). Appendix XXXI, Budget reference chart. In Medicaid for the Elderly and People with Disabilities Handbook.
Texas Health and Human Services. (2012, September 1). H-7000, Medicare and co-payment. In Medicaid for the Elderly and People with Disabilities Handbook.
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.801 (1999 & rev. 2020).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.259 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.207 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1001 (1995 & rev. 2022).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.253 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.301 (2021).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.303 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1701 (1996 & rev. 2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.2208 (1995 & rev. 2020).
Licensing Standards for Assisted Living Facilities, Texas Administrative Code § 553.309 (2021).
Assisted Living Facility Licensing Act, Health Facilities § 247.001 (2021).
Nursing Facility Requirements for Licensure and Medicaid Certification, Texas Administrative Code § 554.1601 (1995 & rev. 2022).
City of San Antonio, Department of Human Services & the University of North Texas. (2019). 2019 Senior services strategic plan.
United States Census Bureau. (2021). Population 65 years and over in the United States (S0103) [Data Set]. American Community Survey.
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