Nursing homes in San Antonio, TX
58 CMS-certified nursing homes in San Antonio, with an average overall rating of 2.3/5. That is 0.35 stars below the Texas average of 2.7.
Source: CMS Provider Data Catalog, processing date 2026-09-01.
Highest-rated nursing homes in San Antonio
By CMS overall rating, then by size.
All 58 facilities in San Antonio
Filter by name or minimum rating. Column headings sort.
Within these facilities, 4 carry a substantiated abuse citation and 3 are on the CMS Special Focus Facility watch list. Both designations are marked in the table above.
Touring a nursing home in San Antonio
Ask the same questions of each facility so the answers are comparable. The ones that separate good homes from poor ones are rarely about décor.
- Who is the director of nursing, and how long have they been here? Administrator and nursing turnover is published for every facility and is the clearest early warning sign.
- What are the staffing numbers on the unit my relative would live on? Facility-wide averages hide a thinly staffed wing.
- What happened in the last inspection, and what changed afterwards? Ask to see the plan of correction, not just the citation.
- How does Medicaid work here? Whether a facility accepts Medicaid on admission, or only after a private-pay period, changes the total cost more than any published average.
- How often do residents leave for the hospital? Rehospitalization rates trace directly back to staffing and clinical capability.
How many nursing homes are in San Antonio, TX?
58 CMS-certified facilities, with 7164 certified beds between them.
What is the average rating of nursing homes in San Antonio?
2.3 out of 5 stars. That is 0.35 stars below the Texas average of 2.7.
How much does nursing home care cost in TX?
The state figure is on our Texas cost page and in the calculator. Facility pricing varies well beyond the state average, so confirm the daily rate with each home directly.