Best memory care in San Antonio
1 Alzheimer-certified facilities, ranked by HHSC inspection records — every finding drawn from Long-Term Care Regulation (LTCR).
Last updated May 2026
Browse Texas facilitiesSan Antonio blends major medical infrastructure with a large military-adjacent family population. HHSC LTCR inspection records for each facility are the primary public quality signal — read scope and severity of cited deficiencies alongside certification status.
Alzheimer-certified assisted living facilities indexed in San Antonio
Facilities with at least one cited deficiency in the indexed LTCR inspection record on file
↑ 100% of indexed facilitiesFacilities with full StarlynnCare profile published
San Antonio — by the data
Derived from indexed inspections and deficiency records. Only shown when sufficient data exists.
- Citation trend · 3-year window
- → Stable0 → 0 → 0 (citations per 12-month window)
- San Antonio vs. Texas avg
- 0citations/facility here vs.0statewide (36 months)
- Median beds per home
- 72beds
- Last inspected (region)
- February 2023
Sources: indexed state inspection records. See methodology.
All memory care in San Antonio, ranked by inspection record.
Memory care · 50+ beds
(1)Community-style facilities (purpose-built buildings, common in regional chains).
The public record behind every profile.
What memory care costs in this city.
Median monthly cost in San Antonio ranges from approximately $4,500–$7,500/month based on regional benchmarks. For how we separate pricing estimates from inspection-derived facts, see how we source data.
Source: Regional estimate · Genworth 2024 + Texas HHSC public rate data · Facility-specific quotes required before signing
Paying for memory care in San Antonio.
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 San Antonio.
How much does memory care cost in San Antonio?
Memory care in San Antonio typically runs $4,500–$7,500/month for a Texas Type B ALF with HHSC Alzheimer's certification, depending on room type and care level. Full monthly bills nearly always exceed the advertised base rate.
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 Type B ALFs (for residents who cannot evacuate without assistance) carrying the optional Alzheimer's Disease and Related Disorders certification — 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 San Antonio facilities have a serious deficiency on file?
Of the 1 licensed memory care facilities indexed in San Antonio, 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 methodology for how deficiency classes are mapped across states.
How does StarlynnCare rank memory care facilities in San Antonio?
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 starlynncare.com/methodology.
What should I look for on a memory care tour in San Antonio?
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.
Where can I find inspection reports for memory care facilities in San Antonio?
Every facility profile on StarlynnCare links directly to its state inspection records — the same documents regulators use to evaluate compliance. For California facilities, reports come from the CDSS Community Care Licensing portal; for Texas, from HHSC LTCR; for Oregon, DHS Long-Term Care Licensing; for Washington, DSHS. On each facility profile, navigate to the "Inspection record" section to see full verbatim citations with dates and regulatory citations. You can also access the underlying raw data (open dataset).
How are memory care facilities in San Antonio rated?
StarlynnCare uses state inspection data — not self-reported surveys or paid placements — to evaluate facilities. Each profile surfaces four signals: citation severity (e.g. Type-A vs. Type-B in California), citation frequency relative to peers, repeat-finding rate, and inspection recency. Facilities with too few inspections receive a "limited history" label rather than a misleading composite score. You can sort the list of San Antonio facilities by inspection record using the "By record" sort toggle to see the cleanest inspection histories first. No referral commissions influence how facilities appear.
Does Texas Medicaid cover memory care in San Antonio?
Traditional Texas Medicaid does not pay ALF room and board. The STAR+PLUS 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 San Antonio.