Texas cost of care
Cost of senior care in San Antonio
What care costs in the San Antonio area, what the homes here are actually like, and how families pay for it. The cost figures are estimates, built from national survey medians adjusted for the local cost of living. The quality figures are the government's own records for the 93 rated nursing homes in this metro.
Estimated monthly cost in San Antonio
National median cost adjusted for the San Antonio area's price level (95 where the U.S. average is 100). These are estimates to plan around, not quotes.
| Type of care | Estimated monthly cost |
|---|---|
Nursing home (semi-private room) 24-hour skilled nursing care, shared room. | $8,340 – $9,800 |
Nursing home (private room) 24-hour skilled nursing care, private room. | $9,410 – $11,050 |
Memory care Assisted living in a secured unit for dementia/Alzheimer's. | $5,360 – $6,300 |
Assisted living Housing plus help with daily activities; not skilled nursing. | $5,140 – $6,040 |
Cost basis: CareScout 2025 Cost of Care Survey national medians, adjusted by BEA Regional Price Parities (All items, 2024, U.S. = 100). Estimates, not quotes. Individual homes vary by room, level of care, and services.
Will your parent's savings cover it?
At roughly $9,070 a month for a nursing home, savings can run down faster than families expect. Our free calculator shows how long the money would last and when Medicaid would step in.
Open the cost calculatorNursing home quality in San Antonio
Cost is only half the decision. Here is what the government's data says about the 93 rated homes in this metro.
The typical San Antonio home reports 3.3 nurse hours per resident per day, against a statewide median of 3.27 and a federal target of 3.48. 9 homes carry a federal abuse-warning flag. A high star rating does not guarantee a clean record, so it is worth checking each home you are considering.
Top-rated nursing homes in San Antonio
The highest-rated homes in this metro. Open any report card for its full record.
- FAvir At New BraunfelsNew Braunfels, TX1★ overall⚠ Abuse
- FBuena Vida Nursing And Rehab-San AntonioSan Antonio, TX1★ overall10% below median staffing⚠ Abuse
- FMesa Vista Inn Health CenterSan Antonio, TX1★ overall21% below median staffing
- FMeridian Care Monte VistaSan Antonio, TX1★ overall
- FBroadway Nursing & RehabilitationSan Antonio, TX1★ overall
How families pay for care in San Antonio
Most families use some mix of savings, long-term care insurance, veterans benefits, and Texas Medicaid. The biggest mistakes happen early, when families give money away or sign over the house before getting advice. Our guides walk through the Texas rules in plain English.
The 5 costliest Texas Medicaid mistakes
A free one-page guide to the errors that cost families the most, and how to avoid them. We will email it to you.
Common questions
How much does a nursing home cost in San Antonio?
A nursing home in the San Antonio area runs an estimated $8,340 to $9,800 a month for a semi-private room. This is the CareScout national median adjusted for the San Antonio area's cost of living, which sits below the national average. Actual prices vary by home and level of care.
Does Medicaid pay for nursing home care in San Antonio?
Yes. Texas Medicaid covers long-term nursing home care for people who meet the income and asset limits, anywhere in the state including San Antonio. In 2026 a single applicant can have no more than $2,000 in countable assets and about $2,982 a month in income. Our guides explain how families qualify without losing the house.
Are the nursing homes in San Antonio any good?
The San Antonio area has 93 rated nursing homes with an average CMS rating of 2.34 stars. 21 are rated 4 or 5 stars and 58 are rated 1 or 2 stars. You can check any home's full safety record on our report cards before you decide.
Other Texas metros
Cost estimates: CareScout 2025 Cost of Care Survey (CareScout / Genworth) national medians, adjusted by BEA Regional Price Parities, All items, 2024, U.S. = 100. Quality data: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Ellery Care accepts no payment from any facility. Educational information, not financial or medical advice.