Senior Living in San Antonio, TX
Home to nearly 191,000 seniors, San Antonio offers diverse senior living options with more affordable costs than many major Texas cities.
16 Senior Living Communities in San Antonio
16 communities
Adante Assisted Living & Memory Care
2739 Cembalo Boulevard
Adante Independent Living
2702 Cembalo Boulevard
Discovery Village Stone Oak
21902 Franklin Park
Discovery Village at Dominion
6870 Heuermann Road
Franklin Park® Alamo Heights
230 West Sunset Road
Landon Ridge Alamo Ranch Assisted Living & Memory Care
11349 Alamo Ranch Parkway
Landon Ridge Alamo Ranch Independent Living
11349 Alamo Ranch Parkway
Lynridge of San Antonio Assisted Living & Memory Care
15430 Huebner Road
Madison Estates
8645 Fredericksburg Road
Rosewood Nursing & Rehabilitation
5027 Pecan Grove Drive
Sodalis Stone Oak
25690 Wilderness Oak
Sodalis Windcrest of San Antonio
6849 Crestway Drive
The Forum at Lincoln Heights
311 West Nottingham Drive
The Haven & The Laurels in Stone Oak
575 Knights Cross Drive
The Inn at Los Patios
8700 Post Oak Lane
Villa de San Antonio
8103 North Hollow
San Antonio, Texas, is home to 190,908 residents aged 65 and older, representing 13.1% of the city's 1.46 million population. Known for its rich cultural heritage, warm hospitality, and strong military presence with multiple bases, San Antonio has long been a retirement destination for veterans and families seeking an affordable Texas lifestyle. The city's lower cost of living compared to other major metros, combined with no state income tax, makes it particularly attractive for seniors on fixed incomes.
The senior care landscape in San Antonio includes 16 senior living communities featured on our directory, along with 59 CMS-certified nursing facilities throughout the metro area. With assisted living averaging $5,310 monthly—well below the national average of $5,900—and nursing home care at approximately $8,349 for a semi-private room, San Antonio offers relative affordability. The city's extensive healthcare infrastructure, anchored by world-class medical centers and VA facilities, provides comprehensive care options. However, families should note that the average CMS nursing facility rating of 2.4 out of 5 stars suggests the importance of thorough research when selecting a community.
Cost of Senior Living in San Antonio
Senior living costs in San Antonio are notably more affordable than national averages, making the city an attractive option for budget-conscious families. Assisted living facilities average approximately $5,310 per month, about 10% below the national average of $5,900. Nursing home care costs around $8,349 monthly for a semi-private room, significantly lower than the national average of $9,277. These costs can vary considerably based on the level of care required, community amenities, location within the metro area, and room type selected. The city's lower cost of living, combined with Texas's absence of state income tax, helps stretch retirement dollars further for seniors and their families.
Neighborhoods in San Antonio for Seniors
Alamo Heights
Alamo Heights is one of San Antonio's most established and affluent neighborhoods, offering tree-lined streets, walkable shopping districts, and a strong sense of community. Seniors appreciate the neighborhood's proximity to top medical facilities, including Methodist Stone Oak Hospital and numerous specialty clinics. The area features excellent dining options along Broadway Street, beautiful Olmos Basin Park for gentle walks, and a reputation for safety that appeals to older residents. The neighborhood's quiet, residential character combined with easy access to amenities makes it ideal for active seniors seeking an upscale environment with convenient healthcare access.
Stone Oak
Located in far North San Antonio, Stone Oak is a master-planned community known for its newer construction, well-maintained properties, and family-friendly atmosphere. This area hosts several senior living communities and is close to Methodist Hospital Stone Oak and numerous medical offices. Seniors benefit from the neighborhood's excellent walkability within planned sections, proximity to shopping centers like The Shops at La Cantera, and access to quality restaurants. The area's modern infrastructure, including wide sidewalks and well-lit streets, makes it comfortable for seniors with mobility considerations. Stone Oak offers a suburban feel while remaining connected to San Antonio's amenities.
Terrell Hills
Terrell Hills is a small, prestigious enclave near downtown San Antonio characterized by historic homes, mature oak trees, and quiet streets. This neighborhood appeals to seniors who value tranquility and charm while remaining close to urban conveniences. Located minutes from the world-renowned South Texas Medical Center and downtown's cultural attractions, Terrell Hills offers an ideal balance of peaceful residential living and accessibility. The area's low traffic, well-maintained sidewalks, and strong community ties create a secure environment for older adults. Its proximity to both medical facilities and entertainment options like the San Antonio Botanical Garden makes it particularly convenient for retirees.
The Dominion
The Dominion is an exclusive gated community in Northwest San Antonio featuring luxurious homes, manicured landscapes, and country club amenities. This upscale neighborhood attracts affluent retirees seeking resort-style living with 24-hour security and well-maintained infrastructure. Seniors enjoy access to championship golf courses, fine dining, and proximity to top-rated healthcare facilities including Methodist Hospital and the Texas Diabetes Institute. While the area requires a vehicle for most errands, the peaceful setting, low crime rates, and high-end amenities create an attractive environment for active seniors who prioritize comfort and exclusivity in their retirement years.
Senior Care Options in San Antonio
San Antonio offers a comprehensive range of senior care options to meet varying needs and preferences. Families can choose from independent living communities for active seniors, assisted living facilities providing daily living support, memory care units specializing in Alzheimer's and dementia care, and skilled nursing facilities for those requiring medical attention. With 16 senior living communities listed in our directory and 59 CMS-certified nursing facilities, seniors have access to diverse care settings throughout the metro area.
Healthcare & Transportation
San Antonio boasts exceptional healthcare resources for seniors, anchored by the South Texas Medical Center—one of the largest medical complexes in the nation—along with Methodist Healthcare System, University Health System, and multiple VA facilities serving the region's substantial veteran population. Specialized geriatric care is readily available through institutions like UT Health San Antonio. Transportation options include VIA Metropolitan Transit's VIAtrans paratransit service for seniors and individuals with disabilities, offering door-to-door service. However, San Antonio remains largely car-dependent, with limited walkability outside specific neighborhoods. Many senior living communities provide their own transportation for medical appointments and shopping, which is particularly valuable given the city's sprawling layout.
Activities & Recreation Near San Antonio
San Antonio offers abundant recreational and cultural activities for seniors, from the iconic River Walk with its accessible pathways and dining to the historic Alamo and Spanish missions. The San Antonio Botanical Garden and Japanese Tea Garden provide peaceful walking spaces, while the McNay Art Museum and Witte Museum offer cultural enrichment. Seniors enjoy performances at the Majestic Theatre and Tobin Center for the Performing Arts. The city's numerous senior centers host programs ranging from fitness classes to social events, and mild winter weather enables outdoor activities at parks like Brackenridge and Friedrich Wilderness Park.
Weather & Climate in San Antonio
San Antonio features a subtropical climate with hot, humid summers where temperatures regularly exceed 95°F from June through September, which can be challenging for heat-sensitive seniors. Winters are mild and pleasant, with daytime temperatures typically in the 50s and 60s, rarely dipping below freezing. The city enjoys abundant sunshine year-round, with spring and fall offering the most comfortable conditions for outdoor activities and social engagement.
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