Exceptional News for San Antonio Families
San Antonio offers the most nursing home choices of any major U.S. city at prices 34% below the national median—an unmatched combination.
- • 60 facilities—more than any other major metro
- • 12 facilities with 4+ stars (20%)
- • $202/day—34% below national median
- • $73,730 annually vs. $131,400 national median
San Antonio's 60 nursing homes serve a population of over 185,000 seniors aged 65 and older—the largest senior population among Texas cities. At just $202/day for semi-private care, San Antonio combines unprecedented scale with exceptional affordability.
This massive scale provides advantages smaller markets cannot match: specialized facilities for specific conditions (dementia care, post-surgical rehabilitation, hospice partnerships), diverse neighborhoods ensuring proximity to family, and competitive pricing that keeps quality facilities affordable.
San Antonio at a Glance
This guide provides comprehensive insights to help San Antonio families navigate the nation's largest nursing home market and find exceptional value.
Compare All San Antonio Nursing Homes
View detailed quality ratings, costs, and inspection reports for all 60 San Antonio facilities.
View San Antonio Facilities →Understanding San Antonio Nursing Home Costs
San Antonio achieves remarkable affordability at scale. With 60 facilities serving 185,000+ seniors, the market demonstrates how size drives competitive pricing.
2025 San Antonio Nursing Home Costs
How San Antonio Compares: Scale-Driven Savings
San Antonio's $202/day rate combines competitive Texas pricing with economies of scale:
- 34% below the national median ($305/day) — saves $37,585 annually
- 12% above Texas average ($180/day) — reflects major metro amenities
- 42% below Los Angeles ($347/day) — saves $52,925 annually
- 54% below Philadelphia ($437/day) — saves $85,775 annually
- 44% below San Diego ($360/day) — saves $57,670 annually
- 5% below Austin ($213/day) — saves $4,015 annually
- 4% above Dallas ($194/day) — pays $2,920 more for greater choice
💰 San Antonio: Maximum Choice at Minimum Cost
At $73,730 annually, San Antonio nursing home care costs $57,670 less per year than the national median ($131,400).
What 60 facilities means for families:
- • 12 facilities with 4+ stars = extensive quality options
- • Geographic coverage across entire metro area
- • Specialized care (dementia, rehab, hospice partnerships)
- • Competitive market keeps prices low, quality improving
- • Save $144,175 over typical 2.5-year stay vs. national median
💡 Cost-Saving Tip
Medicare covers up to 100 days following a qualifying hospital stay. At San Antonio prices, this saves approximately $15,200 in the first 100 days—money that extends private-pay periods by months.
San Antonio Nursing Home Quality: The Data
San Antonio's 2.4 average star rating reflects a market where quality varies significantly. However, with 60 facilities, families have 12 high-quality options (4+ stars)—more than most entire cities offer.
⚠️ Star Rating Distribution (Selective Strategy Required)
✓ Scale Enables Selectivity
With 12 facilities earning 4+ stars (20%), San Antonio families can be highly selective despite the market's lower average rating.
Critical approach: Focus exclusively on the 12 facilities with 4+ stars. San Antonio's size means you can prioritize quality AND location—many smaller markets force families to choose between the two.
What Makes San Antonio Unique
- Military Heritage & Healthcare: Brooke Army Medical Center, Wilford Hall Medical Center, and Lackland Air Force Base create robust military healthcare infrastructure. The Army Residence Community serves military families with five-star care.
- Healthcare Hub: UT Health San Antonio, Methodist Healthcare System, Baptist Health System, and University Health provide comprehensive medical support across the metro.
- Cultural Richness: 64% Hispanic population means most facilities offer Spanish-language services and culturally appropriate programming. Diverse cuisine, festivals, and family-centered culture.
- Affordability Leadership: San Antonio maintains lowest cost-of-living among major metros, enabling nursing home care at prices comparable to rural markets while offering major metro amenities.
- Year-Round Mild Climate: Average winters of 51°F and summers of 95°F support outdoor programming most months with seasonal adjustments.
Top-Rated San Antonio Nursing Homes
These twelve facilities earn the highest CMS ratings in San Antonio:
Seven Five-Star Facilities
The Army Residence Community Health Care Center
⭐⭐⭐⭐⭐7400 Crestway Dr
91 beds | Five-star CMS rating | Serves military families
The Village at Incarnate Word
⭐⭐⭐⭐⭐4707 Broadway Street
60 beds | Five-star CMS rating | Near Alamo Heights
St. Francis Nursing Home
⭐⭐⭐⭐⭐630 W Woodlawn Ave
107 beds | Five-star CMS rating | Established facility
Legend Oaks Healthcare and Rehabilitation Center - Alamo Ranch
⭐⭐⭐⭐⭐2003 W Hutchins Place
126 beds | Five-star CMS rating | West San Antonio
The Heights on Huebner
⭐⭐⭐⭐⭐10127 Huebner Rd
120 beds | Five-star CMS rating | Northwest San Antonio
Legend Oaks Healthcare and Rehabilitation - West Stone Oak
⭐⭐⭐⭐⭐222 Bertetti Dr
124 beds | Five-star CMS rating | Stone Oak area
Coronado at Stone Oak
⭐⭐⭐⭐⭐19638 Stone Oak Parkway
112 beds | Five-star CMS rating | Far North Stone Oak
Five Four-Star Facilities
Patriot Heights Health Care
⭐⭐⭐⭐5000 Fawn Meadow | 74 beds
Juniper Village at Lincoln Heights
⭐⭐⭐⭐855 E Basse Rd | 46 beds
Remington Transitional Care
⭐⭐⭐⭐5423 Hamilton Wolfe Rd | 60 beds
Compare All 60 San Antonio Facilities
View detailed CMS ratings, inspection histories, and quality measures.
Compare All Facilities →San Antonio Neighborhoods: Where to Find Nursing Homes
San Antonio's 60 facilities provide coverage across the entire metro area:
Stone Oak / Far North
Facilities: Coronado at Stone Oak (5⭐), Legend Oaks West Stone Oak (5⭐)
Upscale master-planned community with newer facilities. Proximity to Methodist Stone Oak Hospital and premium shopping/dining. Popular for families in far north suburbs.
Northwest / Huebner Road
Facilities: The Heights on Huebner (5⭐, 120 beds)
Established area with Medical Center proximity. Easy I-10 and Loop 1604 access. Good for families in northwest suburbs and Hill Country.
Alamo Heights / Broadway
Facilities: The Village at Incarnate Word (5⭐)
Prestigious neighborhood near Incarnate Word University. Boutique facility (60 beds) with premium location and walkable amenities.
West San Antonio / Alamo Ranch
Facilities: Legend Oaks Alamo Ranch (5⭐, 126 beds)
Fast-growing area with newer construction. Access to UT Health San Antonio. Good for families on west side or commuting from nearby towns.
Military Areas
Facilities: The Army Residence Community (5⭐)
Serves military families near Fort Sam Houston. Access to Brooke Army Medical Center and military healthcare system. Specialized understanding of military benefits.
How to Pay for Nursing Home Care in San Antonio
At $73,730 annually, San Antonio's nursing home costs make extended private-pay periods feasible for middle-class families.
Texas Medicaid
With 60 facilities, San Antonio offers more Medicaid-accepting facilities than most entire states. Verify acceptance at specific facilities as not all participate.
💡 San Antonio Scale Advantage
With 60 facilities, families have negotiating power and options if preferred facilities have waitlists. The competitive market also drives quality improvements as facilities compete for residents.
Next Steps: Finding the Right San Antonio Nursing Home
Your Action Plan
- 1.Start with the 12 facilities with 4+ stars (20% of San Antonio facilities)
- 2.Filter by location to find facilities near family
- 3.Review CMS reports for recent violations
- 4.Tour 4-5 facilities to compare directly
- 5.Verify Medicaid acceptance if anticipated
Start Comparing San Antonio Facilities Now
View all 60 facilities with detailed ratings and inspection reports.
Compare All 60 Facilities →