Best nursing homes in San Antonio, TX
These are the 58 CMS-certified nursing homes in San Antonio, Texas, ranked best-first by the home’s CMS overall star rating. When two homes tie, we break the tie by the health-inspection rating — the domain assigned by independent state surveyors rather than self-reported by the facility. Nothing on this page is sponsored: no home pays to appear or to rank higher.
Check the certification chip before anything else. Most homes here are certified for both Medicare and Medicaid, but CMS certifies some for only one — and a 5-star home that doesn’t take your programme is not an option, however it ranks. Certification is not a quality measure and we don’t rank on it; we label it, because it decides whether the rest of the row matters to you.
How to read this: a high overall star can be lifted by self-reported quality-measure and payroll-staffing scores, so we surface the inspection rating and any serious citations, fines, abuse flags or ownership changes right on the row. A lower-ranked home with a clean inspection record can be the better fit than a higher-ranked one carrying red flags — open each profile.
- 1Medicare only — no MedicaidNo major red flags on record7400 Crestway Dr, San Antonio, TX
- 2Medicare & Medicaid certifiedNo major red flags on record19638 Stone Oak Parkway, San Antonio, TX
- 3Medicare & Medicaid certified$14,611 in federal fines8707 Lakeside Parkway, San Antonio, TX
- 4Medicare only — no Medicaid1 serious citation$17,345 in federal fines4949 Ravenswood Drive, San Antonio, TX
- 5Medicare & Medicaid certifiedNo major red flags on record3838 E Southcross Blvd, San Antonio, TX
- 6Medicaid only — no MedicareNo major red flags on record630 W Woodlawn Ave, San Antonio, TX
- 7Medicare & Medicaid certified$9,600 in federal fines7602 Louis Pasteur St., San Antonio, TX
- 8Medicare & Medicaid certifiedNo major red flags on record10127 Huebner Rd, San Antonio, TX
- 9Medicare & Medicaid certifiedNo major red flags on record4707 Broadway, San Antonio, TX
- 10Medicare & Medicaid certified$5,000 in federal finesSelf-reported scores 2★ above inspection602 Babcock Rd, San Antonio, TX
- 11Medicare only — no MedicaidSelf-reported scores 2★ above inspection5423 Hamilton Wolfe Rd, San Antonio, TX
- 12Medicare & Medicaid certified1 serious citation$24,285 in federal finesSelf-reported scores 2★ above inspection515 W Ashby Pl, San Antonio, TX
- 13Medicare & Medicaid certified1 immediate-jeopardy citation$20,156 in federal finesSelf-reported scores 2★ above inspection9922 State Hwy. 151, San Antonio, TX
- 14Medicare & Medicaid certifiedNo major red flags on record5437 Eisenhauer Road, San Antonio, TX
- 15Medicare & Medicaid certifiedNo major red flags on record9014 Timber Path, San Antonio, TX
- 16Medicare & Medicaid certifiedNo major red flags on record1939 Bandera Rd, San Antonio, TX
- 17Medicare & Medicaid certified1 immediate-jeopardy citation$8,632 in federal fines222 Bertetti Dr, San Antonio, TX
- 18Medicare & Medicaid certifiedNo major red flags on record2003 W Hutchins Place, San Antonio, TX
- 19Medicaid only — no MedicareNo major red flags on record406 Sharmain Pl, San Antonio, TX
- 20Medicare & Medicaid certified$10,842 in federal fines3030 S Roosevelt Ave, San Antonio, TX
- 21Medicare & Medicaid certified3 immediate-jeopardy citations$66,531 in federal finesSelf-reported scores 3★ above inspection9903 Hunters Pond, San Antonio, TX
- 22Medicare only — no MedicaidSelf-reported scores 3★ above inspection6035 Eckhert Rd, San Antonio, TX
- 23Medicare & Medicaid certified2 immediate-jeopardy citations$111,121 in federal finesSelf-reported scores 3★ above inspection8503 Mystic Park, San Antonio, TX
- 24Medicare only — no Medicaid1 immediate-jeopardy citation$121,976 in federal finesSelf-reported scores 3★ above inspection855 E Basse Rd, San Antonio, TX
- 25Medicare & Medicaid certified$9,087 in federal fines505 Madison Oak Drive, San Antonio, TX
- 26Medicare & Medicaid certified2 immediate-jeopardy citations1315 Texas Ave, San Antonio, TX
- 27Medicare & Medicaid certified2 immediate-jeopardy citations$8,281 in federal fines11106 Christus Hills, San Antonio, TX
- 28Medicare & Medicaid certified6 immediate-jeopardy citations$161,844 in federal finesSelf-reported scores 2★ above inspection130 Spencer Ln., San Antonio, TX
- 29Medicare & Medicaid certifiedAbuse icon1 immediate-jeopardy citation$18,989 in federal fines6211 Old Pearsall Road, San Antonio, TX
- 30Medicare & Medicaid certified4 immediate-jeopardy citations$38,630 in federal finesSelf-reported scores 2★ above inspection9738 Westover Hills Blvd, San Antonio, TX
- 31Medicare & Medicaid certified$9,280 in federal fines7302 Oak Manor Dr, San Antonio, TX
- 32Medicare & Medicaid certifiedAbuse icon$28,033 in federal finesSelf-reported scores 3★ above inspection5000 Fawn Meadow, San Antonio, TX
- 33Medicare & Medicaid certified1 immediate-jeopardy citation$104,627 in federal finesSelf-reported scores 2★ above inspection1 Heartland Drive, San Antonio, TX
- 34Medicare & Medicaid certifiedSelf-reported scores 3★ above inspection2739 Babcock, San Antonio, TX
- 35Medicare & Medicaid certified1 serious citation$34,945 in federal finesSelf-reported scores 2★ above inspection8300 Wurzbach Rd., San Antonio, TX
- 36Medicare & Medicaid certified5 immediate-jeopardy citations$10,631 in federal finesSelf-reported scores 4★ above inspection4302 E Southcross Blvd, San Antonio, TX
- 37Medicare & Medicaid certified1 immediate-jeopardy citation$29,494 in federal fines50 Briggs Ave., San Antonio, TX
- 38Medicare & Medicaid certified3 immediate-jeopardy citations$84,129 in federal finesSelf-reported scores 2★ above inspection8223 Broadway, San Antonio, TX
- 39Medicaid only — no Medicare1 immediate-jeopardy citationSelf-reported scores 2★ above inspection5819 Pecan Valley Dr, San Antonio, TX
- 40Medicare & Medicaid certified1 immediate-jeopardy citation$14,327 in federal fines8306 Huebner Rd, San Antonio, TX
- 41Medicare & Medicaid certified$8,160 in federal fines5756 North Knoll Drive, San Antonio, TX
- 42Medicare & Medicaid certifiedAbuse icon2 immediate-jeopardy citations$18,503 in federal finesSelf-reported scores 2★ above inspection921 Nolan St, San Antonio, TX
- 43Medicare & Medicaid certified2 immediate-jeopardy citations$80,964 in federal finesSelf-reported scores 2★ above inspection18514 Sonterra Place, San Antonio, TX
- 44Medicare & Medicaid certified1 immediate-jeopardy citation$10,039 in federal fines18803 Hardy Oak, San Antonio, TX
- 45Medicare & Medicaid certified3 immediate-jeopardy citations$22,052 in federal finesSelf-reported scores 2★ above inspection3935 Medical Drive, San Antonio, TX
- 46Medicare & Medicaid certified1 immediate-jeopardy citation$174,496 in federal fines7703 Briaridge Drive, San Antonio, TX
- 47Medicare & Medicaid certified3 immediate-jeopardy citations$153,825 in federal finesSelf-reported scores 2★ above inspection6211 S New Braunfels Ave, San Antonio, TX
- 48Medicare & Medicaid certified1 immediate-jeopardy citation$27,710 in federal finesSelf-reported scores 3★ above inspection5757 N. Knoll, San Antonio, TX
- 49Medicare & Medicaid certifiedSpecial Focus candidate (CMS is watching this home)Abuse icon3 immediate-jeopardy citations$174,889 in federal fines5027 Pecan Grove, San Antonio, TX
- 50Medicare & Medicaid certified7 immediate-jeopardy citations$112,386 in federal fines8020 Blanco Rd, San Antonio, TX
- 51Medicare & Medicaid certified1 immediate-jeopardy citation$73,977 in federal fines7181 Crestway Dr, San Antonio, TX
- 52Medicare & Medicaid certified2 immediate-jeopardy citations$35,396 in federal fines307 W Cypress St, San Antonio, TX
- 53Medicare & Medicaid certified1 immediate-jeopardy citation$23,438 in federal fines616 W Russell Pl, San Antonio, TX
- 54Medicare & Medicaid certifiedAbuse icon3 immediate-jeopardy citations$287,359 in federal finesSelf-reported scores 2★ above inspection841 Rice Road, San Antonio, TX
- 55Medicare & Medicaid certified1 immediate-jeopardy citation$15,616 in federal finesSelf-reported scores 3★ above inspection603 Corinne St, San Antonio, TX
- 56Medicare & Medicaid certifiedSelf-reported scores 3★ above inspection2 Towers Park Lane, San Antonio, TX
- 57Medicare & Medicaid certified4 immediate-jeopardy citations$17,268 in federal fines501 Ogden, San Antonio, TX
- 58Medicare & Medicaid certified4 immediate-jeopardy citations$364,695 in federal fines636 Cupples Rd, San Antonio, TX
Keep looking: read the Texas state guides — nursing homes and assisted living — for how the state’s system works, find the closest homes to your ZIP or location, filter every facility by rating, cost and inspection record, or compare any of these side by side. Or see assisted living in San Antonio, TX. Back to every Texas city.
How we rank
We order this list strictly by each home’s CMS overall star rating — the government’s own rating, not a score of our own. When two homes carry the same overall rating we break the tie by the health-inspection rating — the domain scored by independent state surveyors rather than self-reported — and then alphabetically. Homes with no rating on file sink to the bottom.
We should be straight with you about a tension here. The CMS overall star is a blend of three domains, and elsewhere on this site we argue that blend can be misleading: the staffing and quality-measure components lean on data facilities report about themselves, and they can lift a home’s overall star above what inspectors actually found. We still sort by it, for one reason — it is the only ranking of nursing homes the government publishes, and the alternative is us deciding which domain ought to count, which is our opinion dressed up as an official rating. We won’t do that. (It is the same reason we refuse to rank assisted living at all.) So instead of quietly re-sorting to our taste, we un-blend the star on every row: the inspection rating sits next to the overall one, and serious citations, fines and abuse flags are on the row too. Where the two disagree, trust the inspection record and the citations — and treat our sort order as the government’s claim, not ours. See our methodology.
No home pays to appear here or to rank higher. There is no sponsored placement, no paid listing, and no referral fee. The page carries ordinary Google display advertising, sold against the page by Google: it cannot move a home up or down this list, and no advertiser sees who you are. The ratings, citations and fines are assigned by government inspectors (CMS), not by Eldercare Lens.
Common questions
Does Medicaid pay here?
How current is this data?
What does the star rating mean?
Ratings and citations are assigned by government inspectors (CMS), not by Eldercare Lens. The absence of a citation does not guarantee the absence of problems. Always verify with the facility and your state Long-Term Care Ombudsman.