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Nursing homes and assisted living in San Marcos, Texas

Our directory lists 11 places to live with care in San Marcos, Texas: 3 nursing homes certified by Medicare or Medicaid and 8 assisted living communities. 3 of the 3 nursing homes are certified by Medicaid. All of them are in Hays County.

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

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

See only the 3 that accept Medicaid in San Marcos

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 Marcos

Home care agencies9Home health agencies2Hospice providers4

Nearby cities

Martindale1 place · 6.8 miles awayMaxwell2 places · 6.8 miles awayKyle5 places · 9.9 miles awayWimberley3 places · 12 miles awayWimberly1 place · 13 miles awayNew Braunfels15 places · 14 miles awayLockhart4 places · 16 miles awayBuda3 places · 16 miles awaySeguin10 places · 18 miles awayManchaca3 places · 19 miles away

Frequently asked questions

How many nursing homes and assisted living communities are in San Marcos?
Our directory lists 11 places in San Marcos, Texas: 3 nursing homes certified by Medicare or Medicaid and 8 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 Marcos?
3 of the 3 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 Marcos?
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 Marcos?
No place in San Marcos 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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