2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in San Antonio, TX

2026 monthly care rates for San Antonio (Bexar County), local Census affordability metrics, and 58 CMS-certified care facilities.

Assisted Living🏠
$5,600/mo
$67,200/yr
-10% vs U.S. avg
Memory Care🧠
$6,830/mo
$81,960/yr
-10% vs U.S. avg
In-Home Care🤝
$31.64/hr
$6,030/mo (44h/wk)
-10% vs U.S. avg
Nursing Home (Semi)🏥
$8,660/mo
Private: $9,760/mo
-10% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$5,600/mo
Memory Care$6,830/mo
Home Care$31.64/hr
Nursing Semi$8,660/mo
Nursing Priv$9,760/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $227k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in San Antonio, TX

40.8 hrs/wk Break-even threshold

At San Antonio, TX's average caregiver rate of $31.64/hr, hiring in-home care equals the $5,600/mo cost of Assisted Living at exactly 40.8 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.8 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,742/mo

Saves $2,858/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$6,032 vs. $5,600/mo

Full-time home care costs $432/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$10,968/mo

Assisted Living saves $5,368/mo; Memory Care averages $6,830/mo.

San Antonio vs. Texas & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Bexar County economic indicators.

San Antonio, TX$5,600/mo
Texas State Average$5,920/mo
U.S. National Median$6,200/mo

Bexar County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $70,571/yr ($5,881/mo)
Median Home Value $244,100
Median Gross Rent $1,290/mo
Texas Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in San Antonio, TX

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

The Heights On Huebner
10127 Huebner Rd, San Antonio, TX 78240 • 2108580828
120 Certified Beds For profit - Corporation CCN: 676224
5/5 CMS Rating
Lakeside Nursing And Rehabilitation Center
8707 Lakeside Parkway, San Antonio, TX 78245 • 2105103200
118 Certified Beds Government - Hospital district CCN: 676325
5/5 CMS Rating
Coronado At Stone Oak
19638 Stone Oak Parkway, San Antonio, TX 78258 • 2104025750
112 Certified Beds For profit - Limited Liability company CCN: 676353
5/5 CMS Rating
St. Francis Nursing Home
630 W Woodlawn Ave, San Antonio, TX 78212 • 2107363177
107 Certified Beds For profit - Corporation CCN: 45F410
5/5 CMS Rating
Army Residence Community
7400 Crestway Dr, San Antonio, TX 78239 • 2106465200
91 Certified Beds Non profit - Corporation CCN: 675697
5/5 CMS Rating
The Mission At Blue Skies Of Texas East
4949 Ravenswood Drive, San Antonio, TX 78227 • 2105685100
80 Certified Beds Non profit - Corporation CCN: 676041
5/5 CMS Rating
Remington Transitional Care Of San Antonio
5423 Hamilton Wolfe Rd, San Antonio, TX 78229 • 2106949494
60 Certified Beds Non profit - Corporation CCN: 676216
5/5 CMS Rating
San Pedro Manor
515 W Ashby Pl, San Antonio, TX 78212 • 2107325181
150 Certified Beds Government - Hospital district CCN: 455689
4/5 CMS Rating
Morningside Manor
602 Babcock Rd, San Antonio, TX 78201 • 2107311000
147 Certified Beds Non profit - Corporation CCN: 455523
4/5 CMS Rating
Legend Oaks Healthcare And Rehabilitation Center -
2003 W Hutchins Place, San Antonio, TX 78224 • 2109270800
126 Certified Beds For profit - Individual CCN: 676113
4/5 CMS Rating
Pecan Valley Rehabilitation And Healthcare
3838 E Southcross Blvd, San Antonio, TX 78222 • 2105812273
124 Certified Beds For profit - Corporation CCN: 676250
4/5 CMS Rating
Westover Hills Rehabilitation And Healthcare
9922 State Hwy. 151, San Antonio, TX 78251 • 2105462273
124 Certified Beds Government - Hospital district CCN: 676281
4/5 CMS Rating
Silver Creek Nursing And Rehabilitation
9014 Timber Path, San Antonio, TX 78250 • 2105232455
120 Certified Beds For profit - Limited Liability company CCN: 455652
4/5 CMS Rating
The Atrium Rehabilitation Center
7602 Louis Pasteur St., San Antonio, TX 78229 • 2106149974
87 Certified Beds For profit - Individual CCN: 675205
4/5 CMS Rating
The Village At Incarnate Word
4707 Broadway, San Antonio, TX 78209 • 2108297561
60 Certified Beds Non profit - Corporation CCN: 676498
4/5 CMS Rating
The Sarah Roberts French Home
1315 Texas Ave, San Antonio, TX 78201 • 2107364238
60 Certified Beds For profit - Corporation CCN: 745040
4/5 CMS Rating
San Antonio Wellness & Rehabilitation
1 Heartland Drive, San Antonio, TX 78247 • 2106531219
154 Certified Beds For profit - Corporation CCN: 455762
3/5 CMS Rating
Stone Oak Care Center
505 Madison Oak Drive, San Antonio, TX 78258 • 2104819000
152 Certified Beds For profit - Limited Liability company CCN: 675968
3/5 CMS Rating
Windsor Mission Oaks
3030 S Roosevelt Ave, San Antonio, TX 78214 • 2109248151
150 Certified Beds Non profit - Other CCN: 675409
3/5 CMS Rating
Wurzbach Nursing And Rehabilitation
8300 Wurzbach Rd., San Antonio, TX 78229 • 2106172200
140 Certified Beds For profit - Corporation CCN: 455824
3/5 CMS Rating
Inspiration Hills Rehabilitation Center
1939 Bandera Rd, San Antonio, TX 78228 • 2104340671
134 Certified Beds For profit - Individual CCN: 675138
3/5 CMS Rating
Hunters Pond Rehabilitation And Healthcare
9903 Hunters Pond, San Antonio, TX 78224 • 2104772200
128 Certified Beds For profit - Corporation CCN: 676331
3/5 CMS Rating
Legend Oaks Healthcare And Rehabilitation - West S
222 Bertetti Dr, San Antonio, TX 78227 • 2106731700
124 Certified Beds For profit - Corporation CCN: 676312
3/5 CMS Rating
Mystic Park Nursing And Rehabilitation Center
8503 Mystic Park, San Antonio, TX 78254 • 2102560906
119 Certified Beds For profit - Corporation CCN: 676012
3/5 CMS Rating
Southeast Nursing & Rehabilitation Center
4302 East Southcross Blvd, San Antonio, TX 78222 • 2103331223
116 Certified Beds Government - Hospital district CCN: 675883
3/5 CMS Rating
Sorrento
2739 Babcock, San Antonio, TX 78229 • 2106163250
112 Certified Beds For profit - Limited Liability company CCN: 676378
3/5 CMS Rating
Ignite Medical Resort San Antonio, Llc
6035 Eckhert Rd, San Antonio, TX 78229 • 2106425300
105 Certified Beds For profit - Corporation CCN: 676447
3/5 CMS Rating
Patriot Heights Health Care Center
5000 Fawn Meadow, San Antonio, TX 78240 • 2106966005
74 Certified Beds For profit - Corporation CCN: 455969
3/5 CMS Rating
San Jose Nursing Center
406 Sharmain Pl, San Antonio, TX 78221 • 2109248136
54 Certified Beds For profit - Corporation CCN: 45E312
3/5 CMS Rating
Sage Park San Antonio
855 E Basse Rd, San Antonio, TX 78209 • 2109301040
46 Certified Beds For profit - Partnership CCN: 675542
3/5 CMS Rating
Broadway Nursing & Rehabilitation
8223 Broadway, San Antonio, TX 78209 • 2108280606
237 Certified Beds For profit - Limited Liability company CCN: 455467
2/5 CMS Rating
Oak Park Nursing And Rehabilitation Center
7302 Oak Manor Dr, San Antonio, TX 78229 • 2103448537
170 Certified Beds For profit - Individual CCN: 455789
2/5 CMS Rating
Huebner Creek Health & Rehabilitation Center
8306 Huebner Rd, San Antonio, TX 78240 • 2106913111
146 Certified Beds For profit - Limited Liability company CCN: 676136
2/5 CMS Rating
Las Colinas Of Westover
9738 Westover Hills Blvd, San Antonio, TX 78251 • 2103055730
140 Certified Beds For profit - Corporation CCN: 676328
2/5 CMS Rating
Sonterra Health Center
18514 Sonterra Place, San Antonio, TX 78258 • 2105454800
124 Certified Beds For profit - Limited Liability company CCN: 676158
2/5 CMS Rating
Windemere At Westover Hills
11106 Christus Hills, San Antonio, TX 78251 • 2106726190
112 Certified Beds For profit - Corporation CCN: 676402
2/5 CMS Rating
Normandy Terrace Nursing & Rehabilitation Center
841 Rice Road, San Antonio, TX 78220 • 2106480101
320 Certified Beds For profit - Limited Liability company CCN: 675823
1/5 CMS Rating
Buena Vida Nursing And Rehab-San Antonio
5027 Pecan Grove, San Antonio, TX 78222 • 2103336815
222 Certified Beds Government - Hospital district CCN: 455390
1/5 CMS Rating
Avir At Heritage
5437 Eisenhauer Road, San Antonio, TX 78218 • 2106469576
150 Certified Beds For profit - Corporation CCN: 675858
1/5 CMS Rating
Mesa Vista Inn Health Center
5756 North Knoll Drive, San Antonio, TX 78240 • 2103215200
144 Certified Beds For profit - Corporation CCN: 455444
1/5 CMS Rating
Castle Hills Rehabilitation And Care Center
8020 Blanco Rd, San Antonio, TX 78216 • 2103444553
143 Certified Beds For profit - Limited Liability company CCN: 455510
1/5 CMS Rating
The Enclave
18803 Hardy Oak, San Antonio, TX 78258 • 2109824600
142 Certified Beds For profit - Corporation CCN: 676425
1/5 CMS Rating
San Antonio West Nursing And Rehabilitation
636 Cupples Rd, San Antonio, TX 78237 • 2104340611
135 Certified Beds For profit - Corporation CCN: 675002
1/5 CMS Rating
Memorial Medical Nursing And Rehabilitation
307 W Cypress St, San Antonio, TX 78212 • 2102235521
135 Certified Beds For profit - Corporation CCN: 455597
1/5 CMS Rating
The Heights At Medical Center
3935 Medical Drive, San Antonio, TX 78229 • 2106144888
134 Certified Beds For profit - Limited Liability company CCN: 675890
1/5 CMS Rating
The Rio At Mission Trails
6211 S New Braunfels Avenue, San Antonio, TX 78223 • 2105310569
124 Certified Beds Government - Hospital district CCN: 676297
1/5 CMS Rating
Parklane West Healthcare Center
2 Towers Park Lane, San Antonio, TX 78209 • 2108291400
124 Certified Beds Government - Hospital district CCN: 675509
1/5 CMS Rating
Harbor Valley Health And Rehabilitation
6211 Old Pearsall Rd, San Antonio, TX 78242 • 2105010825
120 Certified Beds For profit - Individual CCN: 676478
1/5 CMS Rating
Northeast Rehabilitation And Healthcare Center
603 Corinne Drive, San Antonio, TX 78218 • 2108247331
120 Certified Beds Government - Hospital district CCN: 455754
1/5 CMS Rating
Avir At San Knoll
5757 N. Knoll, San Antonio, TX 78240 • 2106998535
120 Certified Beds For profit - Limited Liability company CCN: 455804
1/5 CMS Rating
Crestway Nursing & Rehabilitation
7181 Crestway Rd., San Antonio, TX 78239 • 2105993005
120 Certified Beds For profit - Limited Liability company CCN: 675171
1/5 CMS Rating
Avir At San Antonio
50 Briggs Ave., San Antonio, TX 78224 • 2109210184
119 Certified Beds For profit - Corporation CCN: 455713
1/5 CMS Rating
San Antonio North Nursing And Rehabilitation
501 Ogden, San Antonio, TX 78212 • 2102254588
118 Certified Beds For profit - Limited Liability company CCN: 455817
1/5 CMS Rating
Meridian Care Monte Vista
616 W Russell Pl, San Antonio, TX 78212 • 2107359233
106 Certified Beds For profit - Individual CCN: 455450
1/5 CMS Rating
The Lev At San Antonio
7703 Briaridge Drive, San Antonio, TX 78230 • 2103416121
106 Certified Beds For profit - Limited Liability company CCN: 455742
1/5 CMS Rating
Golden Estates Rehabilitation Center
130 Spencer Ln., San Antonio, TX 78201 • 2107364544
93 Certified Beds For profit - Limited Liability company CCN: 675690
1/5 CMS Rating
River City Care Center
921 Nolan St, San Antonio, TX 78202 • 2102266397
92 Certified Beds For profit - Individual CCN: 675896
1/5 CMS Rating
Highland Nursing Center
5819 Pecan Valley Dr, San Antonio, TX 78223 • 2105321911
51 Certified Beds For profit - Corporation CCN: 45E341
1/5 CMS Rating

Frequently Asked Questions About Senior Care in San Antonio

The estimated median cost of assisted living in San Antonio, TX is $5,600 per month ($67,200 per year), adjusted for Bexar County housing and income data.
A semi-private room in a skilled nursing facility in San Antonio averages $8,660 per month, while a private room averages $9,760 per month.
In-home caregiver services in San Antonio, TX average $31.64 per hour, or roughly $6,030 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Texas is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby Texas Cities