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Assisted Living Communities in San Antonio, Texas

Among the 10 largest cities in the United States, San Antonio lies between Central and South Texas. Within the city, older adults can choose between 101 assisted living facilities, which charge an estimated monthly fee of $5,125 in 2024. Although higher than the statewide mid-price of $4,915, the local median rate falls around $225 below the U.S. norm.

Reviewers rate San Antonio’s assisted living homes with an average of 4.4 out of 5 stars stars, and you’ll find 933 reviews community reviews in our following guide.    

 

Directory of Assisted Living in San Antonio, TX

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The Cost of Assisted Living in Nearby Cities

According to Genworth’s 2024 Cost of Care Survey, prices for assisted living in Texas vary widely. San Antonio's fees sit mid-range at $5,125. Facilities in Sherman charge around $3,274, while in Corpus Christi, they cost roughly $7,604. Compared to other major Texan cities, San Antonio’s monthly base rate is lower than Houston’s median of $5,200 and Austin’s $6,035. 

San Antonio

$5,125

Texas

$4,915

United States

$5,350

Corpus Christi

$7,604

Houston

$5,200

Sherman

$3,274

Austin

$6,035

How to Pay for Assisted Living in San Antonio

Many assisted living communities in San Antonio offer various payment options, letting residents utilize multiple funding sources for their care. Depending on a resident’s financial and functional needs, they pay for services using state or federal benefits or private pay options.

  • Medicaid: While Medicaid doesn’t provide direct coverage for assisted living in Texas, its STAR+PLUS managed care program pays for residential care and custodial services for San Antonio residents who qualify.    
  • Medicare: The federally funded health insurance program doesn’t pay for nonmedical daily supports, including assisted living services. However, it pays for covered skilled nursing services, including those residents receive in assisted living, which may help reduce overall monthly care costs.
  • VA Benefits: The U.S. Department of Veterans Affairs administers the VA Aid and Attendance program, which provides a cash benefit for those who meet functional criteria. Veterans can use this benefit toward care expenses, including assisted living costs, at their discretion. 
  • Private payments: Most assisted living residents in San Antonio pay for their housing and care fees with their existing financial resources, such as pension income, federal retirement benefits and personal savings. After government-funded benefits, private payments cover remaining assisted living costs, such as housing, meal services and personal care.

Financial Assistance for Assisted Living in San Antonio

Look for programs designed to ease the cost of assisted living. The Texas Department of Health and Human Services has a number of services to help seniors stretch limited budgets.

Learn more about these programs, plus who’s eligible, on our Assisted Living in Texas page.

Financial Assistance for Assisted Living in San Antonio

Inflation's Impact on the Cost of Assisted Living in San Antonio, TX

Assisted living rates in San Antonio has seen a significant rise due to inflation, causing many seniors to have to budget more carefully to cover care costs. Costs jumped from $2,799 in 2022 to $3,066 in 2023 — a difference of more than 9%. They're expected to rise even more to $3,302 by 2024. Fortunately, these rates still present an affordable option compared to what seniors pay in the average American city ($4,459). San Antonio also remains less expensive than other nearby cities in Texas, including Houston ($3,877) and Corpus Christi ($3,218).

Location2022 Cost (Historical)2023 Cost (Current)2024 Cost (Estimated)
San Antonio$2,799$3,066$3,302
U.S. Average$4,070$4,459 $4,802
Texas$3,134$3,312$3,481
Austin$2,660$2,914 $3,138
Houston$3,539$3,877$4,175
Corpus Christi$2,937$3,218 $3,466

The Cost of Other Types of Senior Care

In San Antonio, assisted living offers a more economical option than home health care, saving seniors over $400 each month. It’s also significantly cheaper than skilled nursing care, with a semi-private room in a nursing facility costing about $5,323 monthly. Seniors who remain at home with nonmedical support typically pay less than assisted living, at $4,767 for in-home care. Monthly rates decrease much more to $758 for adult day health care.

In-Home Care

$4,767

Home Health Care

$5,529

Adult Day Health Care

$758

Assisted Living Facility

$5,125

Nursing Home Facility (semi-private room)

$5,323

Free and Low-Cost Resources for Seniors in San Antonio, TX

There are many resources in San Antonio, TX that assist seniors in their retirement. Caring.com has compiled information on local organizations, programs and agencies and categorized them into care types for easy reference.

For information about statewide resources and those in nearby cities, go to Caring's Texas state page.

Program NamePhone NumberDescription
Meals on Wheels - San Antonio210-735-5115Meals on Wheels distributes nutritious meals to San Antonio seniors who would otherwise be unable to acquire food. This volunteer-led program also addresses loneliness and isolation by providing wellness checks on program participants.
Project MEND Medical Equipment Reuse Program210-223-6363Project MEND supplies San Antonio's older adults with sanitized and refurbished durable medical equipment, such as walkers, wheelchairs and bath and toileting aids. The nonprofit organization also repairs durable medical equipment and helps qualified individuals obtain financial assistance for assistive technologies.
Texas RioGrande Legal Aid - San Antonio Office210-212-3700Texas RioGrande Legal Aid provides free legal aid and representation in civil matters for San Antonio residents aged 60 and over. Its legal professionals specialize in helping seniors understand assisted living contracts, navigate Texas' power of attorney laws and apply for public benefits.
Long-Term Care (LTC) Ombudsman - San Antonio800-252-2412The Office of the Long-Term Care Ombudsman has two San Antonio-based ombudsmen who protect and advocate for the rights of local assisted living residents. Seniors can contact this office for assistance with filing complaints against a facility, disputing involuntary discharges and addressing billing concerns.
Northeast Senior Assistance (NESA)210-967-6372NESA supports San Antonio seniors through free services such as nonemergency medical transportation, grocery shopping and food pantry deliveries. This nonprofit organization combats loneliness in older adults through social events and a telephone reassurance program.
City of San Antonio Senior Services210-207-6000San Antonio's Senior Services Division operates nearly a dozen senior centers and congregate meal sites, offering nutrition, educational and health and wellness resources to Bexar County residents aged 60 and older. While the senior centers don't charge for participation in these programs, individuals must register through the website.
Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases210-450-9960The Glenn Biggs Institute organizes programs for those with memory loss, including virtual yoga sessions, Memory and Music activities and support groups. It also oversees educational programs, such as the South Texas Alzheimer's Conference and Dialogue on Dementia.
Dementia Friendly San Antonio210-567-7000Dementia Friendly San Antonio provides outreach for seniors and families affected by dementia through information services, educational opportunities and support programs. The organization also helps older adults with memory loss access necessary supports, such as mobility aids and medical trackers.
Alzheimer's Association San Antonio and South Texas Chapter800-272-3900The regional chapter of the Alzheimer's Association operates a free helpline that individuals can call to speak with clinicians and dementia experts who provide information, practical advice and reassurance. The chapter oversees various engagement programs and support groups for seniors, families and informal caregivers.
San Antonio Social Security Offices800-772-1213The Social Security Administration has five field offices in San Antonio proper. These offices distribute information on government-funded programs and provide in-person assistance with applying for Medicare, Medicaid and survivors, disability or retirement benefits.
San Antonio Northeast Vet Center210-650-0422The San Antonio Northeast Vet Center serves veterans through one-on-one and group mental health counseling programs in person and through telehealth. The center helps veterans and their families connect with local peer support groups and resources, including those that provide senior services.
San Antonio Northwest Vet Center210-688-0606The San Antonio Northwest Vet Center has mental health care professionals on staff who offer no-cost counseling for depression and post-traumatic stress disorder. It also provides referrals for local programs and services that cater to veterans and their qualified family members.

Benefits and Drawbacks of Assisted Living in San Antonio

  • San Antonio has a higher crime rate than 98% of Texas cities, reporting an annual frequency of about 60 illegal incidents per 1,000 people. Prospective assisted living residents may want to consider facilities in the outer neighborhoods with lower crime rates, such as Timberwood Park West and Scenic Oaks.
  • San Antonio's cost of living runs 8.7% below the national norm and 3.1% below Texas' average, which may drive down assisted living costs. Many local assisted living residences accept payment through the state-funded STAR+PLUS program
  • San Antonio's subtropical climate brings average temperatures between 44 degrees Fahrenheit in the winter and 94 degrees Fahrenheit in the summer. Many local assisted living facilities support residents' comfort through amenities such as swimming pools and unit-controlled thermostats. 
  • As a member of the AARP Age-Friendly Network, San Antonio fosters a welcoming environment for seniors through targeted transportation services, affordable housing and civic and social involvement opportunities.
  • Texas doesn't have a state income tax, reducing the tax burden on seniors and freeing up money for assisted living costs. The state also exempts groceries and medications from sales tax. While property taxes run high, seniors may avoid this expense by choosing residential care.

Assisted Living Laws and Regulations in San Antonio

San Antonio Assisted Living Communities must adhere to the comprehensive set of state laws and regulations that all Assisted Living facilities in Texas are required to follow. Visit our Assisted Living in Texas page for more information about these laws.

Assisted Living Laws and Regulations in San Antonio

Assisted Living Services and Amenities in San Antonio

An assisted living facility’s services and amenities contribute significantly to its culture and appeal. By selecting a residence that offers tailored services, individuals can ensure caregivers can adapt to changes in their care needs as they age. Amenities provide daily enrichment, promote an active lifestyle and offer opportunities to build friendships. Common amenities in San Antonio’s assisted living facilities include:

  • Wellness Programs: Some assisted living facilities offer wellness suites with rehabilitative therapy services, nutrition counseling and medical check-ups with on-call physicians or staff nurses.
  • Activity Centers: Computer labs, arts and crafts studios and game lounges offer diverse entertainment opportunities and provide settings for participating in group activities.
  • Outdoor Living Space: Paved walking paths, dog parks and patios with alfresco dining let residents enjoy San Antonio’s sunny weather without leaving the campus.
  • Special Interest Clubs: Resident-led or community-organized clubs provide a chance to share tips and knowledge with others who have similar interests.
  • Multiple Floor Plans: Many assisted living communities have several floor plans to choose from, including private and semi-private options, suites and apartment-style one- and two-bedroom units.

Learn more about the amenities available in San Antonio’s assisted living communities by contacting a Caring.com Family Advisor.

Frequently Asked Questions about Assisted Living in San Antonio

Reviews of Communities Nearby

Assisted Living

Patricia

I visited this facility

Review of Villa De San Antonio

Villa de San Antonio was a nice place. It didn't look like a nursing home. They had lots of activities. It was around mealtime, so I got to see client interactions and they just seemed happy and...

Read more

Assisted Living

Jan-27

I visited this facility

Review of Camino Real

Camino Real was a nice facility. They showed me a couple of different room options and what they offer for those rooms. They're spacious. I went in the middle of the day and there was not a lot of...

Provider response

Thank you for taking the time to provide us with your feedback. Your feedback will be shared with management.

Read more

Assisted Living

Deborah

I visited this facility

Review of Brookdale Hamilton Wolfe

I liked the location of Brookdale Hamilton Wolfe and I liked their setup. Our situation with my parents is very unique and a struggle, and when we met with the executive director, Teffanie, she was...

Read more

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The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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