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Step to Paradise LLC
7703 Robert Mondavi, San Antonio, TX 78253
"Welcome home! We offer a home environment where you can live in comfort with your daily needs met by a caring staff. Our 6 room home is a ..."
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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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Happy Living Care Home
9143 Aqua Drive, Boerne, TX 78006
5.0
(5 reviews)
"Happy Living is a blessing in every sense of that word. Tabita and Ben and the whole team fill the house with love and care. They are simply the best care-givers we could wish for. They make possible a life for my mother that allows her dignity, humo..."
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The Brooks of Cibolo Senior Living
816 Everyday Way, Cibolo, TX 78108
4.7
(8 reviews)
"I toured The Brooks of Cibolo for myself and my wife. I was happy with everything I saw. I don't know if any one thing is better than the rest. I liked it. The staff was very professional. The place is very new. Everything was very nice. I was impres..."
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Shavano Park Senior Living
3220 North Loop 1604 W, Shavano Park, TX 78231
4.7
(11 reviews)
"Shavano Park Senior Living is a very nice facility. It's clean. The memory care, which is where my mother is being placed, has ample open space for the residents to walk around. They have ongoing activities, but they have enough room to do those and ..."
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Franklin Park Boerne
18 Old San Antonio Road, Boerne, TX 78006
4.5
(15 reviews)
"We were able to visit the Franklin Park Boerne for my mother-in-law. It was super nice and we liked that, but it would feel too fancy for her. We didn't like that it was so huge with super long halls. The people were nice and helpful, it's a beautifu..."
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Bulverde Assisted Living
1396 Bulverde Rd, Bulverde, TX 78163
4.5
(2 reviews)
" I was very impressed with the staff how clean the facility Looked. How careful they Handled my needs. Very Happy all the way around. ..."
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The Legacy at Forest Ridge
5001 Schertz Pkwy, Schertz, TX 78154
4.5
(2 reviews)
"I picked The Legacy at Forrest Ridge for my mom because they had more actual apartments. Like the one that we are getting actually has three rooms because it has a little kitchen area where it has just the refrigerator and counters and counter doors,..."
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New Haven Assisted Living and Memory Care - Schertz
2300 FM 3009, Schertz, TX 78154
4.4
(12 reviews)
"My mom was a resident of New Haven Assisted Living and Memory Care. There's nothing that we disliked. We liked it immensely. It felt like home. My mom loved it even though she wasn't there very long. She thrived with what little bit that she had whil..."
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Serenity Oaks Assisted Living And Memory Care
6684 Randolph Blvd, Live Oak, TX 78233
5.0
(3 reviews)
"Looking for somewhere for my mom and came across this community and absolutely fell in love. Staff cares and as soon as i moved her in i knew it was a great fit for my mom. Even with all her behaviors they took care of her and and kept me updated on ..."
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Morningside Ministries at Menger Springs
1100 Grand Blvd., Boerne, TX 78006
5.0
(2 reviews)
"I did a tour of Morningside Ministries at Menger Springs. They have a larger facility that includes all levels of care for your loved one, regardless of what you're looking for. They have a beautiful campus; I think it's on thirty-four acres. The l..."
READ MORENew Hope Assisted Living
112 Buckskin Dr, Boerne, TX 78006
5.0
(2 reviews)
"My dad stayed at New Hope Assisted Living. They have been wonderful. They were very caring, and they took care of my dad very well. The staff was wonderful, informative, very helpful, and kind. It was like being in a home. I didn't feel like my dad w..."
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La Casona PCH
9841 Mulhouse Dr, Schertz, TX 78154
5.0
(1 reviews)
"My mom has been living at La Casona PCH for two months now. It's been awesome. They can only accommodate a maximum of five people. They have private rooms. The interaction with the staff was great. It's like a home. Everybody has their own TV, but it..."
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Hummingbird Assisted Living and Memory Care
8602 Flint Rock Dr, Boerne, TX 78006
5.0
(1 reviews)
"My uncle moved into Hummingbird Assisted Living and Memory Care. It's a new facility. It has a very nice, open, airy, and bright interior. It's a small community with about eight residents now, but they can take as many as 16 residents. One of the di..."
READ MOREHoney's House
10410 Parrigin Road, Helotes, TX 78023
5.0
(1 reviews)
"Honey's House of Helotes is pretty much a first-class facility. It's very nice because of the way everything is set up and what they offer. It is a 14-unit place, and there are people in different stages. The people are a lot more viable. The staff s..."
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Heritage Place of Boerne
120 Crosspoint Drive, Boerne, TX 78006
4.8
(9 reviews)
"My mom has been at Heritage Place for two years and I couldn't be happier with the facility! The staff, at all levels, are warm, friendly, and I know most of them by name. Mom's room is spacious. There is a full calendar with a variety of activiti..."
READ MOREMorningside Ministries at Menger Springs - Cibolo House Assisted Living Community
1000 Grand Blvd, Boerne, TX 78006
4.3
(14 reviews)
"I went to Morningside Ministries at Menger Springs - Cibolo House Assisted Living Community. People can buy a house in that area or they can live in the assisted living apartments there. It's nice. Our church goes there to have a worship service, and..."
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Esplanade Gardens
10790 Toepperwein Rd, Converse, TX 78109
4.1
(33 reviews)
"Esplanade Gardens was nice. It was close to our primary physician who is just down the road, which is nice for us and the family. We don't need it but that was pretty cool. It was a newer facility so it was nice but it was multiple floors too. So, we..."
READ MOREAnton's Assisted Living
1033 E Blanco Rd, Boerne, TX 78006
4.0
(1 reviews)
"We toured Anton's Assisted Living. It was very small. There were only ten rooms in the place, and they were super small. It was just a bedroom and a bathroom. The girl that was there, and the family that runs it, were super nice. We met a few of the ..."
READ MOREHill Country Assisted Living
116 West Fabra Lane, Boerne, TX 78006
3.7
(4 reviews)
"Beautiful facility with loving, caring, Christian staff. Wish I had known about this facility before my mother passed away in a cold nursing home!! ..."
READ MOREFirst Street Assisted Living and Adult Day Care
312 1st Street, Schertz, TX 78154
"To learn more about this provider�s license and review other available state reports, please visit: Texas Long-Term Care Provider Search"
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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.
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).
| Location | 2022 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 Name | Phone Number | Description |
|---|---|---|
| Meals on Wheels - San Antonio | 210-735-5115 | Meals 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 Program | 210-223-6363 | Project 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 Office | 210-212-3700 | Texas 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 Antonio | 800-252-2412 | The 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) | 210-967-6372 | NESA 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 Services | 210-207-6000 | San 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 Diseases | 210-450-9960 | The 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 Antonio | 210-567-7000 | Dementia 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 Chapter | 800-272-3900 | The 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 Offices | 800-772-1213 | The 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 Center | 210-650-0422 | The 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 Center | 210-688-0606 | The 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 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
5.0
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...
Assisted Living
Jan-27
3.0
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.
Assisted Living
Deborah
4.0
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...
