How much does assisted living cost in San Antonio, Texas?

San Antonio assisted living averages $3,700–$4,400/month — among the most affordable for a major Texas metro. Memory care averages $4,800–$6,200/month. Loop 1604 and Medical Center area communities tend to be the most in-demand.

Does Medicaid pay for assisted living in San Antonio?

Texas STAR+PLUS HCBS waivers can cover personal care services inside participating communities for eligible low-income residents. Room and board is not covered. San Antonio has a high VA-eligible population — check VA Aid & Attendance eligibility in addition to Medicaid.

Are there bilingual assisted living communities in San Antonio?

Yes. San Antonio's majority-Hispanic population means many assisted living communities offer bilingual English-Spanish staff, Spanish-language activities, and culturally aligned menus. Ask about bilingual care during your first call to each community.

City Guide

Assisted Living in San Antonio, TX: Costs & Communities (2026)

San Antonio assisted living costs, STAR+PLUS Medicaid basics, and how to verify ALF licenses in Bexar County.

6 min readUpdated 2026-07-06

San Antonio offers relatively affordable assisted living for a major Texas metro — averaging $3,700–$4,400/month — thanks to a lower cost of living and strong supply of both non-profit and faith-based communities. Military families are common: San Antonio hosts five major military bases including Fort Sam Houston, Lackland AFB, and Randolph AFB.

Communities concentrate along the Loop 1604 corridor, in the Medical Center area near University Hospital, and in suburbs like Schertz and New Braunfels. Many facilities offer bilingual English-Spanish staff for San Antonio's majority-Hispanic community.

San Antonio Assisted Living Costs (2026)

Studio with basic ADL help: $3,400–$4,200/month
One-bedroom with Level 2 care: $4,000–$4,800/month
Memory care unit: $4,800–$6,200/month
One-time community fee: $1,000–$3,000

Verifying Bexar County ALF Licenses

Before touring any San Antonio community, search Texas HHS TULIP for the facility's license type, inspection date, and deficiency history. Look for Type A vs Type B designation — Type B facilities can serve residents who may need nighttime assistance or are not fully ambulatory.

VA Benefits and STAR+PLUS

San Antonio's large veteran population makes VA Aid & Attendance a major funding source — eligible married veterans can receive $2,300+/month toward assisted living costs. Texas STAR+PLUS HCBS waivers may cover care services (not room and board) for income-eligible residents. Use our VA benefits calculator and Texas Medicaid screener before touring.

Frequently Asked Questions

How much does assisted living cost in San Antonio, Texas?: San Antonio assisted living averages $3,700–$4,400/month — among the most affordable for a major Texas metro. Memory care averages $4,800–$6,200/month. Loop 1604 and Medical Center area communities tend to be the most in-demand.
Does Medicaid pay for assisted living in San Antonio?: Texas STAR+PLUS HCBS waivers can cover personal care services inside participating communities for eligible low-income residents. Room and board is not covered. San Antonio has a high VA-eligible population — check VA Aid & Attendance eligibility in addition to Medicaid.
Are there bilingual assisted living communities in San Antonio?: Yes. San Antonio's majority-Hispanic population means many assisted living communities offer bilingual English-Spanish staff, Spanish-language activities, and culturally aligned menus. Ask about bilingual care during your first call to each community.

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