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San Antonio is often listed as a hot retirement destination on many “Best Cities for Retirement” lists. The city’s relatively low cost of living, warm weather, walkable downtown, and abundance of health care options make it a popular choice for retirement. Plus, the range of senior living options enables seniors to age in place. With 46 assisted living facilities to choose from in A Place for Mom’s network alone, seniors in San Antonio can easily find the most suitable option for their care needs.
In this guide to San Antonio assisted living, we use our 20+ years of experience in the senior living industry to help your senior loved one find their ideal assisted living community. We’ve used proprietary data to bring you information on local costs, how seniors pay, local assisted living features, senior demographics, and senior-specific resources and activities. With this hyperlocal data and helpful information, we can help you narrow your options. Below, you’ll be able to navigate assisted living communities by what matters most to you — highest overall ratings, affordability, dining options, amenities, services, and more.
Types of care available in San Antonio, TX
Assisted Living
I chose The Forum at Lincoln Heights because of the friendliness of both the staff and the residents here. As far as the food goes - So many of the dishes are covered with sauces or gravies. Offering the dishes with these on the side would be a major improvement. The vegetables are over cooked. They do have a good variety though.
It has been a good experince. It's a nice place, and my loved one is pretty content. I picked this community because of the cleanliness, it's smaller in size and close to home.
While she lived in this care home, my mom felt at home. She was well cared for. She was clean and well kept and felt good about getting her hair and nails done. She really enjoyed all the meals and snacks, and she really loved all the offered activities. It really helps that [name removed] is an experienced nurse because she better understands how to assess issues, implement a course of action, and then reassess. [name removed] stayed on top of mom’s medications and communicated well with mom’s PCP so to ensure the medication was appropriate and working well. It turns out that with previous providers mom was taking a lot of unnecessary medication with debilitating side effects. I am so grateful [name removed] picked up on it and intervened. Mom was a lot more functional and interactive after that. This adult care home really promotes quality of life and that made my mom enjoy life once again. I really appreciate that mom had a lot of companionship with all the staff and other residents.
3417 Forest Frost, San Antonio, TX 78247
710 Fenwick, Windcrest, TX 78239
4711 Saddle Ridge, San Antonio, TX 78217
4711 Saddle Ridge, San Antonio, TX 78217
7402 Crestway Drive, San Antonio, TX 78239
6427 Falcons Height, San Antonio, TX 78233
18914 Llano Ledge, San Antonio, TX 78256
5450 Maple Vista, San Antonio, TX 78247
We have operated our Department of Aging and Disability-licensed care home for 11 years now. It is a safe, caring home managed by a licensed nurse with over 20 years experience in senior care. We have both private and semi-private living quarters available. Our residents receive assistance...
5100 John D. Ryan Blvd., San Antonio, TX 78245
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...
8150 Cactus Bend Drive, San Antonio, TX 78254
9514 Fm 1863, San Antonio, TX 78266
The cost of assisted living in San Antonio depends on many factors — location, floor plan, amenities, and your loved one’s required level of care. The median rent for partner assisted living communities is $3,635 per month in San Antonio, according to A Place for Mom’s 2022-2023 proprietary data. This figure doesn’t include the cost of any service or amenity add-ons.
This price is higher than the average rent in San Antonio, but you’ll find that it’s for good reason. The cost accounts for rent as well as utilities and the following services and amenities, depending on your loved one’s chosen community and needs:
Below, you’ll find average starting costs for San Antonio assisted living before the cost of care and additional fees:
18.89 miles from you
Your zip code
18.23 miles from you
There are several means to pay for assisted living in San Antonio. Most families and seniors start their financial planning by looking at private income sources and insurance policies. They also turn to federal and state programs, such as the Veteran Affairs (or VA), Medicaid, and Medicare, to help offset some medical and assisted living costs. Here’s an in-depth look at some payment methods.
Your loved one’s available private pay methods depend on their current financial situation.
Keep in mind, long-term care insurance policies vary drastically on what they can cover. It’s best practice to consult with your policy provider to learn what assisted living costs are covered under your plan.
Also, the state of Texas has no personal income tax, meaning seniors don’t have to worry about paying additional taxes on their Social Security and/or pensions.[02,03]
Your loved one can use their income resources, such as savings, Social Security benefits, retirement pensions, and investment returns, to cover assisted living costs. Or, they can use a combination of the following:
In Texas, all assisted living facilities must be licensed and certified by Texas Health and Human Services (also known as HHS) in order to operate and house residents. Texas Health and Human Services refers to assisted living facilities as ALFs and categorizes them into Type A and Type B. Type A ALFs house residents who don’t require routine attendance and are capable of following directions in an emergency situation. On the other hand, Type B ALFs provide care to residents who require nighttime attendance and assistance for evacuation during emergencies.
All Texas ALFs must pass a life safety code, physical plant inspection, and health inspection before they are officially licensed. The life safety code examines a facility’s ability to safely house residents, while the health inspection can help ascertain whether it’s equipped to protect resident health. After an initial inspection, facilities are inspected at least once every two years. During an inspection, Texas Health and Human Services checks for the following in an ALF:
The general public can use the Long-term Care Provider Search to access each licensed assisted living facility’s most recent inspection report and general facility information. To request any additional information not found on the site, email RSLTCR.RecordsMgmt@hhsc.state.tx.us.
4601 W. Guadalupe St.
Austin, TX 78751
Phone: 512-424-6500
Hours: Monday through Friday, 8 a.m. – 5. p.m.
The city of San Antonio doesn’t have any COVID-19 regulations in place for assisted living facilities; however, the city offers regular updates and resources on its City of San Antonio COVID-19 website. Visitors are allowed on-site at assisted living facilities, but they must follow any protocols set forth by the community. Facilities are currently required to develop their own infection prevention and control measures regarding masks, physical distancing, and additional protocols for personal protective equipment (PPE) to help ensure resident safety during any active serious infection and/or outbreaks.
Number of in-network assisted living facilities in market
San Antonio has an increasing senior population. In fact, the 60+ population is projected to grow by approximately 20% by 2040. The city aims to accommodate this aging population and has implemented a Senior Services Strategic Plan to evolve senior support services. This plan outlines efforts to rebrand city senior centers, expand medical services, and generally support local seniors. You’ll also find that San Antonio has expanded its senior living scene, especially the assisted living market, to accommodate seniors’ care needs and unique lifestyles. See what our in-network San Antonio assisted living communities have to offer:
When searching for senior living, many seniors look to age in place. Luckily, this is made easy with our in-network assisted living communities as they offer tiered levels of care. Seniors with minimal assistance needs can move in to the independent living unit and then transition to assisted living once their care needs increase. And, if memory impairments arise, many in-network communities also offer a secured memory care unit, suitable for individuals with dementia and memory loss.
Most partnering communities even provide on-site nursing care, including medication management, hospice care, and rehabilitative care. These services enable seniors to receive care within a comfortable setting, as many of these services can be provided within the resident’s unit or in an on-site clinic.
Seniors account for over 40% of the veterans in San Antonio. That is precisely why many of our in-network assisted living communities find ways to recognize and celebrate veterans. Many communities have a memorial wall in their lobby or common areas to commemorate veteran residents’ years of service.
Communities are also known to go all-out for Veterans Day celebrations. Many will host a well-planned barbecue, party, or a multitude of events. The city of San Antonio also hosts many Veterans Day celebrations, which can be enjoyed during scheduled outings or while visiting with friends or loved ones.
Many seniors choose San Antonio for their retirement due to its year-round, warm weather and access to the glorious Texas Hill Country terrain, including beaches, woodlands, and caverns. In the summer, temperatures tend to get high, but that’s no problem for seniors living at our in-network assisted living communities. Our partner communities are one step ahead of the southern heat. They provide indoor and outdoor accommodations with comfortable levels of AC.
Some communities provide amenities like shaded pools, patios, and walking paths, while others provide a wide array of indoor activities. Some indoor activities and amenities include on-site game rooms, movie theaters, fitness centers, lounges, and more. So, on days when venturing outside isn’t an option, there’s plenty to keep anyone entertained on-site.
Religion is very important to many seniors, so many of our in-network communities try to provide a peaceful, devotional space for residents to practice their respective faiths. Some communities even have an on-site chapel, a Bible study group, and visiting pastors. If a large number of residents practice the same faith, a community may even partner with a local religious leader who will host on-site devotional services.
Assisted living near San Antonio allows for more peace and quiet. Seniors from around the area are likely to stick to their favorite locales when searching for a community. Some of the most popular affluent assisted living options can be found towards the outskirts of San Antonio, including Stone Oak and Alamo Heights. These suburban areas reflect similar city amenities to San Antonio, with a range of shopping centers, restaurants, and other attractions. Local senior residents can explore museums, sample wine at wineries, and visit historic sites. Suburban areas also tend to have less congestion and more open spaces, allowing for more parks, golf courses, and scenic walking trails.
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Percentage of San Antonio seniors 65+ that speak a language other than English at home, according to the U.S. Census Bureau
Approximate percentage of San Antonio seniors 65+ with a disability, according to the U.S. Census Bureau
San Antonio has many health care options for seniors and veterans. Learn more about some of the city’s top-rated medical care facilities:
This hospital is No. 1 in San Antonio and No. 13 in Texas, according to U.S. News and World Report. It is high performing in 11 procedures and conditions, including diabetic care, kidney failure, and post-stroke care.
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.
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 for treating combat causalities and trauma victims.
The average age of seniors entering San Antonio assisted living facilities is 81, so their safest, most ideal mode of transportation is likely not the public transit system. To minimize any safety risk while getting residents from place to place, 84% of our San Antonio partner assisted living communities offer their own at-cost or complimentary transportation service.
If your senior loved one is more on the independent side or if you’re a visiting family member looking to take them around downtown, you may want to look into VIA Metropolitan Transit options, including buses, ride share, and paratransit services throughout the city. Seniors ages 62+ can ride for only a quarter Monday through Friday, 9 a.m. to 3 p.m., and receive free rides on Saturday and Sunday. Seniors must obtain a VIA Reduced Fare ID to receive their senior discounts.
These scores from WalkScore might also prove useful to understand the area. Keep in mind that this data reflects downtown, not the entire city. Each score is out of 100 and is based on downtown’s public density, transportation system, walking and bike routes, and other city information:
96
80
73
San Antonio is the ideal retirement destination for seniors seeking a little bit of everything. From museums and parks within San Antonio to Texas Hill Country and coastal beaches within two hours of the city — seniors and their families can enjoy a variety of Texas landscapes and activities. Take a glimpse at some favored senior activities:
Many of our in-network assisted living communities in San Antonio also take residents on outings and day trips. Outings include visits to local parks, museums, and performing arts theaters, among other attractions that match residents’ interests. Note that many of these local San Antonio attractions offer accommodations for individuals with disabilities, so be sure to inquire with the attraction when planning a visit.
Bulverde Assisted Living, Serenity Oaks Assisted Living and Memory Care and Arden Courts A ProMedica Memory Care Community in San Antonio are the top-rated Assisted Living facilities near San Antonio, TX. These Assisted Living facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Assisted Living in San Antonio is 3,984 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
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. (2016, March 1). A-3300, Home and Community-Based Services waiver programs. In Medicaid for the Elderly and People with Disabilities Handbook.
Texas Health and Human Services. (2022, June 1). Appendix IX, Medicare Savings Program information. In Medicaid for the Elderly and People with Disabilities Handbook.
Texas Health and Human Services. (2022). Assisted living facilities (ALF).
Assisted Living Facility Licensing Act, Health Facilities § 247.001 (2021).
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.
WalkScore. (2023). Downtown San Antonio.
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