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Best Nursing Homes in San Antonio, TX

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 21 homes in San Antonio, TX

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

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Watch this Video to see San Antonio's Top-rated Senior Communities
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San Antonio offers senior living communities that complete the urban and rural atmosphere of the city. The neighborhoods in San Antonio are considered to be affordable and described as a place that offers suburban comfort– making it an attractive location for families looking to build a family or stay connected with their senior loved ones. San Antonio in Texas is a city that is the ideal place for people looking for a community that is diverse, especially one that is highly populated by Asian and Hispanic communities.

Compare Nursing Homes around San Antonio

21 facilities compared · CMS & TX Dept. of Health data · Updated Apr 2026

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The Army Residence Community Health Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northeast Side)
189
70.1%
+10%
4.74
+8%
+31%
0
18
4.5
0
53
-
6
Army Retirement Residence Foundation San Antonio
$33.6M
$14.2M
42.4%
675697
Saint Francis Nursing Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Midtown)
122
65.0%
+2%
6.10
-63%
+68%
0
17
4.3
0
75
-
71
Dixon, Ginger
$10.2M
$4.1M
40.7%
45410
Legend Oaks West Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Far West Side)
124
85.1%
+34%
3.86
+9%
+6%
1
11
2.8
1
110
-
24
Bertetti Healthcare, Inc.
$14.7M
$6.9M
46.9%
676312
Remington Transitional Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northwest Side)
60
96.2%
+52%
3.77
+36%
+4%
1
20
5.0
0
57
-
75
Regency Ihs Of San Antonio Llc
$12.1M
$4.4M
36.2%
676216
Lakeside Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Far West Side)
118
84.5%
+33%
3.42
-3%
-6%
1
24
3.4
3
112
-
19
Crystal Lake Healthcare, Inc.
$15.0M
$6.2M
41.4%
676325
Silver Creek Nursing and Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Far West Side)
120
67.7%
+7%
2.70
+4%
-26%
1
22
2.8
1
89
-
62
Timber Nursing And Rehab Center Llc
$11.2M
$0.0M
0%
455652
Blue Skies of Texas East
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Valley High North)
80
68.3%
+8%
6.51
+1%
+79%
2
31
3.1
2
46
-
47
Air Force Village Inc
$15.2M
$4.6M
30%
676041
San Antonio West Nursing and Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Edgewood)
139
9.6%
-85%
2.92
-29%
-20%
3
49
3.1
6
13
-
53
Maverick County Hospital Distict
$8.0M
$0.0M
0%
675002
Wurzbach Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Northwest Side)
140
38.6%
-39%
3.23
-67%
-11%
4
57
4.4
4
54
C
75
E&R Cunningham Investments Lp
$7.8M
$3.3M
42%
455824
San Antonio North Nursing and Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Antonio (Tobin Hill)
132
33.9%
-47%
3.05
+15%
-16%
4
52
2.9
5
40
-
87
Tobin Hill Nursing And Rehab Center Llc
$8.1M
$0.0M
0%
455817
Memorial Medical Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Antonio (Tobin Hill)
135
77.0%
+21%
2.66
+69%
-27%
2
52
4.3
2
104
-
86
San Pedro Nursing And Rehab Center Llc
$10.6M
$0.0M
0%
455597
Pleasanton North Nursing and Rehab
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Pleasanton
46
87.0%
+37%
2.86
+45%
-21%
2
45
5.6
5
34
-
65
Pleasanton Nursing And Rehab Center, Llc
$2.9M
$0.0M
0%
675502
The Village at Incarnate Word
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

SAN ANTONIO
60
90.5%
+43%
4.38
-65%
+21%
0
13
4.3
0
55
A+
-
Incarnate Word Retirement Community, Inc.
$7.6M
$7.5M
99%
676498
Juniper Village at Lincoln Heights
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

SAN ANTONIO
143
58.8%
-7%
4.78
+32%
+32%
1
18
4.5
1
27
-
-
Weiser, Tiffany
$9.0M
$3.8M
42%
675542
Independence Hill Assisted Living
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

SAN ANTONIO
115
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Beds shows the number of beds currently filled in each community agianst the total number of beds. Higher occupied beds usually indicates strong demand and reputation, while lower occupancy may suggest more availability for new residents.

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The Village at Incarnate Word is a senior living community in San Antonio, Texas, established by the Sisters of Charity of the Incarnate Word. It offers a range of services including Independent Living, Assisted Living, Memory Care, and Nursing & Rehabilitation. The community is dedicated to providing compassionate care and a spiritually enriched environment for seniors.
Overview of The Village at Incarnate Word
The Village at Incarnate Word is a senior living community in San Antonio, Texas, established by the Sisters of Charity of the Incarnate Word. It offers a range of services including Independent Living, Assisted Living, Memory Care, and Nursing & Rehabilitation. The community is dedicated to providing compassionate care and a spiritually enriched environment for seniors.
Contact The Village at Incarnate Word

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
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We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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