Worth Considering
7
Facilities graded B or better with zero fines
Best Nursing Homes in San Antonio, Texas
7 of 59 nursing homes in San Antonio (12%) meet our strict criteria. The Texas statewide average is 29%.
7 recommended · 7 caution · 45 avoid · data
City Average
2.4
★
+0.00 vs state
Total Beds
7,344
across 59 facilities
High Risk Facilities
45
42 Grade F
$4,302,886 in combined fines
Zero Fines
15
/59
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 7?
The nursing home market in San Antonio, Texas, is strong, with 59 facilities and 12% recommended. Families should be aware that while the top-rated facility is St. Francis Nursing Home (A, 5★), there are 45 facilities with significant fines totaling $4,284,246.
Exceptional (Grade A, Trust Score 90+)
- 1 ST. FRANCIS NURSING HOME (90) — Top-rated 5★ facility with an A grade and zero federal fines. St. Francis Nursing Home's non-profit status emphasizes its commitment to community-focused, high-quality care, as reflected in its impressive Trust Score of 90/100.
- 2 THE HEIGHTS ON HUEBNER (90) — A standout 5★ facility with an A grade and no federal fines, The Heights on Huebner boasts a Trust Score of 90/100. This for-profit nursing home excels in providing exceptional care, ensuring residents receive top-notch services in a comfortable environment.
Strong (Grade B+, Trust Score 80-89)
- 3 THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER (85) — The Army Residence Community Health Care Center shines with a 5★ CMS rating and a solid Trust Score of 85/100. As a non-profit facility, it emphasizes community involvement while providing quality care, reflected in its B+ grade and commitment to resident satisfaction.
- 4 THE VILLAGE AT INCARNATE WORD (85) — The Village at Incarnate Word is a commendable non-profit facility with a 5★ CMS rating and a Trust Score of 85/100. Its B+ grade highlights a strong focus on community care and personalized attention, ensuring residents feel valued and well-supported.
- 5 LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - (80) — Legend Oaks Healthcare and Rehabilitation Center stands out with a 5★ CMS rating and a Trust Score of 80/100. This for-profit facility maintains a B+ grade and zero fines, indicating a commitment to quality care and a positive living environment for its residents.
- 6 CORONADO AT STONE OAK (80) — Coronado at Stone Oak is a notable 5★ facility boasting a Trust Score of 80/100 and a B+ grade. With zero federal fines, this for-profit nursing home prioritizes quality care, providing a safe and nurturing environment for its residents.
Qualified (Grade B, Trust Score 70-79)
- 7 IGNITE MEDICAL RESORT SAN ANTONIO, LLC (70) — Ignite Medical Resort San Antonio offers a 4★ CMS rating and a Trust Score of 70/100, paired with a grade of B. Despite being a for-profit facility, it strives to deliver quality care and has no federal fines, making it a reasonable choice for residents.
The other 52 San Antonio facilities didn't qualify — 45 carry Grade D or F ratings and 44 have fines totaling $4.3M.
Recommended
Top-rated 5★ facility with an A grade and zero federal fines. St. Francis Nursing Home's non-profit status emphasizes its commitment to community-focused, high-quality care, as reflected in its impressive Trust Score of 90/100.
A standout 5★ facility with an A grade and no federal fines, The Heights on Huebner boasts a Trust Score of 90/100. This for-profit nursing home excels in providing exceptional care, ensuring residents receive top-notch services in a comfortable environment.
The Army Residence Community Health Care Center shines with a 5★ CMS rating and a solid Trust Score of 85/100. As a non-profit facility, it emphasizes community involvement while providing quality care, reflected in its B+ grade and commitment to resident satisfaction.
The Village at Incarnate Word is a commendable non-profit facility with a 5★ CMS rating and a Trust Score of 85/100. Its B+ grade highlights a strong focus on community care and personalized attention, ensuring residents feel valued and well-supported.
B+
80
Trust Score
Legend Oaks Healthcare and Rehabilitation Center stands out with a 5★ CMS rating and a Trust Score of 80/100. This for-profit facility maintains a B+ grade and zero fines, indicating a commitment to quality care and a positive living environment for its residents.
Coronado at Stone Oak is a notable 5★ facility boasting a Trust Score of 80/100 and a B+ grade. With zero federal fines, this for-profit nursing home prioritizes quality care, providing a safe and nurturing environment for its residents.
Ignite Medical Resort San Antonio offers a 4★ CMS rating and a Trust Score of 70/100, paired with a grade of B. Despite being a for-profit facility, it strives to deliver quality care and has no federal fines, making it a reasonable choice for residents.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Also Worth Considering
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | San Antonio Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 2.4 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 52?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 42 Grade F — critical inspection failures
- Facilities with fines
- 44 Have fines totaling $4,302,886
- Low-scoring facilities
- 8 Scored below B — Trust Scores under 70
- Caution group
- 7 Had good grades but fines disqualified them
Questions San Antonio Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
San Antonio's city average is 2.4 stars
-
2
"Have you received any fines in the past 3 years?"
44 of 59 San Antonio facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; San Antonio avg is 0 min
-
4
"What were your most recent inspection findings?"
San Antonio facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in San Antonio, TX are recommended?
7 of 59 nursing homes in San Antonio (12%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in San Antonio "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in San Antonio?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.