Memory care in Bexar County
HHSC public listings for Alzheimer-certified assisted living — inspection findings drawn from Long-Term Care Regulation (LTCR) where published.
Last updated May 2026
Of the 1 Alzheimer-certified facilities indexed in Bexar County, 1 (100%) have at least one cited deficiency in the inspection data on file. Texas ALF license Type A/B/C is a capacityclass on the license — not the same as California’s Type-A/Type-B deficiency labels.
Source: Texas HHSC Long-Term Care Regulation · Refreshed 2026-05-11 · Deficiency labels are shown as published by HHSC; see methodology for scope
Alzheimer-certified assisted living facilities indexed in Bexar County
Facilities with at least one cited deficiency in the indexed LTCR inspection record on file
↑ 100% of indexed facilitiesFacilities with full StarlynnCare profile published
Bexar County — every licensed facility, documented in the public record.
Memory care · 50+ beds
(1)Community-style facilities (purpose-built buildings, common in regional chains).
The public record behind every profile.
Paying for memory care in Bexar County.
Texas's STAR+PLUS managed care program is the primary Medicaid pathway for seniors needing personal-care services in licensed Alzheimer-certified Assisted Living Facilities.
Texas delivers Medicaid long-term services and supports through the STAR+PLUS managed care program, administered by the Texas Health and Human Services Commission (HHSC). For residents of Alzheimer-certified ALFs, STAR+PLUS covers personal-care attendant services, case management, and certain therapies. Room and board costs are not covered and must be paid by the resident. Enrollment is through a Medicaid managed care organization (MCO) with HHSC oversight.
Eligibility for STAR+PLUS requires meeting both functional criteria (assessed through the Needs Assessment Questionnaire and Determination, NAQD) and financial Medicaid eligibility. Texas also administers a Community Living Assistance and Support Services (CLASS) waiver and a STAR+PLUS Home and Community Based Services (HCBS) waiver for individuals who need nursing-facility-level care but prefer a community setting. Contact your local HHSC Benefits Office or a certified application counselor (CAC) to determine which pathway fits your family's situation.
Private-pay Alzheimer-certified ALF care in Texas typically costs $4,500–$7,500 per month. Texas has a large network of veterans homes managed by the Texas Veterans Land Board that may be available to eligible veterans.
Veterans: The Texas Veterans Land Board operates veterans homes with memory care programs for eligible veterans. VA Aid and Attendance benefits can supplement private-pay costs at certified facilities.
Source: Texas HHSC Assisted Living Facilities · Program rules change — verify eligibility requirements directly with your county agency before making care decisions
About memory care in Bexar County.
How much does memory care cost across Bexar County?
Memory care across Bexar County typically runs $4,500–$8,500/month for a Texas-licensed Assisted Living Facility (Type A or B) holding HHSC Alzheimer's Disease and Related Disorders certification. Rates vary by metro, room type, and care level.
What makes a facility "memory care" in Texas?
Texas licenses memory care communities as Assisted Living Facilities (ALFs) under Texas Health & Safety Code ch. 247, regulated by HHSC Long-Term Care Regulation (LTCR). Most Texas memory care lives in <strong>Type B ALFs</strong> (for residents who cannot evacuate without assistance) carrying the optional <strong>Alzheimer's Disease and Related Disorders certification</strong> — a separate HHSC designation requiring dementia-specific staff training, secured environments where clinically indicated, and individualized programming. Type C is reserved for adult foster homes (≤4 residents). License type and Alzheimer's certification status appear on every StarlynnCare profile and are sourced from the HHSC public licensing portal.
What's the difference between an ALF and a nursing facility in Texas?
Texas ALFs provide non-medical residential care — room, board, ADL assistance, medication administration by trained staff. Nursing facilities (NFs, also called nursing homes or skilled nursing facilities) provide licensed nursing care 24/7 for residents needing IV therapy, complex wound care, or continuous medical management. If your family member needs ongoing skilled medical care, a Texas NF or SNF may be more appropriate than a memory-care ALF.
How many Bexar County facilities have a serious deficiency on file?
Of the 1 licensed memory care facilities indexed in Bexar County, 1 (100%) carry a documented HHSC inspection or complaint finding in the indexed inspection record. Specific findings appear on each profile with inspection date and source link. StarlynnCare sources all deficiency data directly from state regulator records — no facility-side surveys or paid submissions are used. See the <a href="https://www.starlynncare.com/methodology" class="text-teal underline underline-offset-4">methodology</a> for how deficiency classes are mapped across states.
How does StarlynnCare rank memory care facilities in Bexar County?
StarlynnCare does not assign a single letter grade. Instead, each profile shows four independent signals derived from state inspection records: deficiency severity (Type-A vs. Type-B in California, equivalent classes in other states), repeat citation rate, inspection frequency relative to peers, and trajectory over time. Facilities with too few inspections on record show a "limited history" notice rather than a misleading score. All underlying data is sourced from mandatory public records — CDSS for California, HHSC LTCR for Texas, DHS for Oregon, and equivalent agencies for other states. Full methodology is at <a href="https://www.starlynncare.com/methodology" class="text-teal underline underline-offset-4">starlynncare.com/methodology</a>.
What should I look for on a memory care tour in Bexar County?
What predicts safety usually isn't what admissions directors highlight. From clinician and family interviews, the most under-asked items: staff-to-resident ratio at night and on weekends, skin-check and wound-prevention protocol, medication management and error reporting, shower frequency, and how the facility handles behavioral escalation. We publish a free 37-question tour checklist you can print (https://www.starlynncare.com/library/37-questions-to-ask-on-a-memory-care-tour).
Does Texas Medicaid cover memory care in Bexar County?
Traditional Texas Medicaid does not pay ALF room and board. The <strong>STAR+PLUS</strong> waiver program — Texas Medicaid managed care for elderly and disabled adults — can cover certain personal care and HCBS services in a participating ALF, but room-and-board costs remain the family's responsibility and waitlists exist. Eligibility depends on functional and financial criteria. Each StarlynnCare profile notes Medicaid acceptance where documented in HHSC data. Contact 211 Texas (dial 2-1-1) or the Texas HHSC Aging and Disability Resource Center for current options in Bexar County.