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5 Best Retirement Homes in San Antonio (2026)

Ranked by real Google ratings and review volume · How we chose

Fenris Morrow
By Fenris Morrow, Expert in Professional Services · ✓ Updated · 8 min read

We compared 17 retirement homes in San Antonio on Google Maps · 5 listed · How we rank

Choosing among retirement homes in San Antonio starts with a question the ratings cannot answer: how much help does your family member need? The communities below hold more than 800 Google reviews between them, with ratings from 4.4 to 5, but they are not the same kind of place. Some are independent living apartments, one adds assisted living, and one is a nursing and rehabilitation center.

Short answer: Villa de San Antonio Senior & Assisted Living has the top rating, 5.0 from more than 230 Google reviews, and offers independent and assisted living. The Waterford at Thousand Oaks (4.7, independent living for adults 55 and older) and Adante Independent Living (4.7, apartments and cottages) follow. San Pedro Manor is a nursing and rehab center, not an independent community. Ask each for its current monthly rates in writing.
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Senior Living Options Compared

# Business Rating Reviews Best for
1 Villa de San Antonio Senior & Assisted Living 5.0 ★ 234 Independent and assisted living View ›
2 The Waterford at Thousand Oaks 4.7 ★ 173 Independent living, adults 55+ View ›
3 Adante Independent Living 4.7 ★ 123 Independent apartments and cottages View ›
4 San Pedro Manor 4.4 ★ 166 Short-term rehab and nursing care View ›
5 Madison Estates - Sky Active Living 4.4 ★ 137 Independent living with optional services View ›
5 Best Retirement Homes in San Antonio (2026)

Community by community

Villa de San Antonio Senior & Assisted Living logo
#1 Overall🕑 Open 7 days↩ Responds to reviews

Villa de San Antonio Senior & Assisted Living

5.0234 Google reviews

Villa de San Antonio Senior & Assisted Living is a senior community on N Hollow in the 78240 area. Google lists it as an assisted living facility and retirement community, and the community's own replies to reviewers describe it as offering both assisted and independent living. Its website sits on the Stellar Living site.

What people praise

  • A family reviewer says long-serving staff give residents consistent care
  • Residents and visitors describe a friendly, clean and well-kept community
  • A visitor who stayed overnight with a resident praised the staff and the dining room food
  • Reviewers call the staff kind and helpful
Reputation scorecardrank in San Antonio
Rating5 / 5
Review volume234 · 97th
Confidencehigh
Recency8 weeks ago
Info completenesssite · phone · hours
Rating breakdown97% 5-star
✓ VerifiedSource: Google

Our take: The best-rated community on the page, and the only one here that clearly offers both independent and assisted living. Its review base is modest, so tour it and ask about care levels before deciding.

8103 N Hollow, San Antonio, TX 78240

The Waterford at Thousand Oaks logo
#2🕑 Open 7 days↩ Responds to reviews

The Waterford at Thousand Oaks

4.7173 Google reviews

The Waterford at Thousand Oaks is an independent living community for adults 55 and older on Thousand Oaks Dr, and its page sits on the Sonida Senior Living website. The site lists a maintenance-free apartment with three daily meals and snacks, activities, housekeeping and laundry, maintenance and security, and 24-hour staff support. It also mentions a respite stay option.

What people praise

  • Reviewers praise the tour experience and a guide who answered their questions
  • Clean building and friendly staff, according to several visitors
  • Good food and community events and holidays, per family members
  • A resident's son says his mother has lived there for about six years and is happy

Worth knowing

  • Presented as independent living, so ask what extra support is available if needs change
Reputation scorecardrank in San Antonio
Rating4.7 / 5
Review volume173 · 91st
Confidencemoderate
Recency6 weeks ago
Info completenesssite · phone · hours
Rating breakdown87% 5-star
✓ VerifiedSource: Google

Our take: A good fit for someone who wants to live independently with meals and services included. It has a larger review base than Adante or Madison Estates, with a 4.7 rating.

4243 Thousand Oaks Dr, San Antonio, TX 78217

Adante Independent Living logo
#3🕑 Open 7 days↩ Responds to reviews

Adante Independent Living

4.7123 Google reviews

Adante Independent Living is a retirement community on Cembalo Blvd in the 78230 area. Its site lists independent living apartments and cottages with chef-prepared daily meals, and reviewers describe an active calendar of events, from fitness classes to happy hours and card games.

What people praise

  • A cottage resident of seven years says the neighbors and staff are excellent
  • Residents praise the chef and the variety of meals
  • Staff handled a plumbing problem by getting water to residents, according to two reviewers
  • Fitness classes and social events mentioned by residents and an instructor

Worth knowing

  • Its site lists independent apartments and cottages, so ask what support is available if needs change
Reputation scorecardrank in San Antonio
Rating4.7 / 5
Review volume123 · 74th
Confidencemoderate
Recency4 months ago
Info completenesssite · phone · hours
Rating breakdown89% 5-star
✓ VerifiedSource: Google

Our take: A strong option for active seniors who want a cottage or apartment. It has the smallest review base on the page, so the 4.7 reflects fewer voices.

2702 Cembalo Blvd, San Antonio, TX 78230

San Pedro Manor logo
#4🕑 Open 7 days↩ Responds to reviews

San Pedro Manor

4.4166 Google reviews

San Pedro Manor is a nursing home and rehabilitation center on W Ashby Pl, not a retirement community. Its site describes a health and rehabilitation center for short-term rehabilitation and long-term care, and reviewers mention physical and occupational therapy.

What people praise

  • A visitor says their sister is getting the physical and occupational therapy she needs
  • A reviewer says staff check in on a friend every few minutes
  • Front desk and staff described as friendly and welcoming

Worth knowing

  • A nursing and rehab setting, so it is a different kind of place from the independent communities on this page
  • One reviewer found the outdoor areas uninviting, and another raised a concern about how overnight-stay rules were explained to family
Reputation scorecardrank in San Antonio
Rating4.4 / 5
Review volume166 · 85th
Confidencemoderate
Recency2 months ago
Info completenesssite · phone · hours
Rating breakdown78% 5-star
✓ VerifiedSource: Google

Our take: Relevant if the need is rehab or ongoing nursing care. Its 4.4 is tied for the lowest rating on the page, so visit and ask about how family visits and overnight stays work.

515 W Ashby Pl, San Antonio, TX 78212

Madison Estates - Sky Active Living logo
#5🕑 Open 7 days↩ Responds to reviews

Madison Estates - Sky Active Living

4.4137 Google reviews

Madison Estates - Sky Active Living is an independent living community on Fredericksburg Rd in the 78240 area. Its site says residents live in private apartment homes and can arrange optional supportive services, such as home health visits or therapy, through third-party providers.

What people praise

  • Residents praise the staff, who know them by name
  • Dining room food and activities such as bingo and a walking club mentioned by residents
  • A resident likes the transportation to places she needs to go
  • A reviewer says a new chef improved the food

Worth knowing

  • One reviewer reported a broken door keypad and an air conditioning outage, and the community replied that it wanted to hear more and address the concerns
Reputation scorecardrank in San Antonio
Rating4.4 / 5
Review volume137 · 79th
Confidencemoderate
Recency3 months ago
Info completenesssite · phone · hours
Rating breakdown64% 5-star
✓ VerifiedSource: Google

Our take: A friendly independent community with plenty of resident praise. Ask how outside services are arranged and how maintenance issues get handled.

8645 Fredericksburg Rd, San Antonio, TX 78240

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How the scores work

The scorecards use public Google data on the date shown. Rating is the live Google star average. Review volume is how many people have rated the community, ranked against other San Antonio senior living options. Confidence weighs the rating by that volume. Recency reflects how recently people are still leaving reviews. These scores describe reviewer satisfaction, not the quality of medical care.

What senior living costs in San Antonio

We have not sourced independent figures for this page, so no prices are listed in the table. Monthly cost depends on the type of care (independent living, assisted living or nursing care), the size of the apartment or cottage, and the services added on. Some communities publish starting rates on their own sites, and rates can change, so ask each one for its current pricing and what is included in the monthly fee.

Senior communities around San Antonio

These communities are spread across San Antonio, in the 78240, 78217, 78230 and 78212 ZIP codes. If you are searching for retirement homes near me, each listing below has a phone number and directions so you can arrange a tour.

What to ask on a tour

  • What level of care is offered today, and what happens if needs increase?
  • What does the monthly fee include, and what costs extra?
  • Are meals, housekeeping and transportation included?
  • What are the visiting hours and the rules for overnight stays?
  • How are maintenance issues and emergencies handled?

Frequently asked questions

What is the difference between independent living, assisted living and a nursing home?

In general, independent living gives you your own apartment with services such as meals and housekeeping, assisted living adds help with daily care, and a nursing home provides ongoing medical and rehabilitation care. On this page, The Waterford at Thousand Oaks, Adante Independent Living and Madison Estates are independent living, Villa de San Antonio offers independent and assisted living, and San Pedro Manor is a nursing and rehab center.

Which San Antonio communities here offer assisted living?

Villa de San Antonio Senior & Assisted Living describes both assisted and independent living in its replies to reviewers. The others are independent living or, in the case of San Pedro Manor, nursing and rehab, so confirm directly what each can provide.

Can I tour a community or stay overnight before deciding?

Reviewers of The Waterford at Thousand Oaks describe guided tours, and a visitor to Villa de San Antonio stayed overnight with a friend who lives there. One San Pedro Manor reviewer was told overnight stays by family were against the rules, so ask about visiting and overnight policies before you go.

Is rehabilitation available after a hospital stay?

San Pedro Manor describes itself on its site as offering short-term rehabilitation and long-term care, and a reviewer mentions physical and occupational therapy. The other communities here focus on independent living, with Madison Estates saying residents can arrange therapy through outside providers.

The bottom line

Villa de San Antonio has the top rating and the widest range of living options, while The Waterford at Thousand Oaks and Adante Independent Living suit active seniors who want independent living. Choose by care level first, then tour two or three and get the monthly rate in writing.

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