San Antonio, TX has 135 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $5,939/mo. That's above the Texas state median by about 5%. Most assisted living in San Antonio is small: 61% of licensed providers have 16 beds or fewer, against 65% nationally.
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Median monthly price, San Antonio
$5,939/mo
Estimated range $5,241 – $6,332
● San Antonio $5,939 ○ National median $6,230
2025 figures
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Home care in San Antonio runs about $31 an hour. Here is what common schedules cost a month:
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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.
Here is what different monthly budgets cover in San Antonio.
San Antonio is a market of small licensed homes. 61% have 16 beds or fewer, against 65% nationally. The typical one has 16 beds.
On the most recent inspection on file, state inspectors recorded an average of 8.9 findings per provider here, above the Texas average of 7.4.
In the last 365 days: 895 newly licensed · 8 closed. Counts come from our ingestion diffs, not a complete state registry dump.
San Antonio, in Bexar County, has about 1,479,835 residents. About 198,597 of them (13%) are 65 or older. The median household income is $65,056.
Source: US Census BureauArea Agency on Aging serving this city.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
VA Medical Center in San Antonio.
Can help pay for care if your parent qualifies.
1 VA Community Living Center or State Veterans Home nearby.
VA Aid & Attendance overview →National helplines, including the Eldercare Locator and 211, are listed on paying for care.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →
San Antonio's median assisted living cost is about 5% higher than the Texas state median.
Tell us what you need and your budget, and we will email you licensed options right away.
Reading up first? Assisted Living across Texas → · Assisted Living cost across Texas → · Adult Day Care vs Assisted Living →
Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.