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Nursing homes and assisted living in San Antonio, Texas

Our directory lists 192 places to live with care in San Antonio, Texas: 58 nursing homes certified by Medicare or Medicaid and 134 assisted living communities. 53 of the 58 nursing homes are certified by Medicaid, and 13 have 4 or 5 stars in Medicare’s overall rating. Most are in Bexar County.

Call the place you’re interested in directly: hogaresparamayores.com doesn’t charge families or act as a go-between.

San Antonio on the map of Texas. Each dot is a place with official data.

See only the 53 that accept Medicaid in San Antonio

The map loads as you scroll. Locations are approximate, based on the official records.

Sorted by Medicare’s overall rating (when there is one) and by name. Phone numbers and addresses come from the official records: confirm them when you call. Where the data comes from.

More care options in San Antonio

Adult day centers20Home care agencies264Home health agencies133Hospice providers129

Nearby cities

Castle Hills2 places · 0.6 miles awayShavano Park3 places · 5 miles awayLeon Valley1 place · 5.6 miles awayHollywood Park1 place · 6.2 miles awayWindcrest1 place · 8.1 miles awayHelotes2 places · 11 miles awayLive Oak3 places · 11 miles awayConverse3 places · 12 miles awaySelma1 place · 14 miles awayGarden Ridge2 places · 16 miles away

Frequently asked questions

How many nursing homes and assisted living communities are in San Antonio?
Our directory lists 192 in San Antonio, Texas: 58 nursing homes certified by Medicare or Medicaid and 134 state-licensed assisted living or residential care homes. The data comes from CMS and the state’s licensing records.
How many accept Medicaid in San Antonio?
53 of the 58 nursing homes are certified by Medicaid. Being certified doesn’t guarantee an open Medicaid spot: ask when you call. How Medicaid works.
How much does a nursing home cost in San Antonio?
Each place sets its own prices. As a reference, the median cost of a nursing home in Texas is $185 a day for a semi-private room (about $5,627 a month), and assisted living is $5,666 a month, according to CareScout 2025. Costs in Texas.
Are there places with Spanish-speaking staff in San Antonio?
No place in San Antonio has told us yet whether its staff speaks Spanish. Ask when you call: it’s on the list of questions on every listing.
What’s the difference between a nursing home and assisted living?
A nursing home provides nursing and personal care for people who need a lot of help or are recovering after a hospital stay. Assisted living is housing with help bathing, dressing and taking medications, for people who don’t need nursing care around the clock. Types of care, explained.

Family guide to Texas: what care settings are called there and how Medicaid helps. Questions about Medicaid, Medicare or a license? Who to call in Texas.

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