Assisted Living Communities in San Antonio, Texas

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. 

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.

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.

• 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.