Highest-rated nursing homes in San Antonio, TX

Legend Oaks Healthcare and Rehabilitation Center San Antonio is a 126-bed nursing home in Bexar County licensed for Medicare and Medicaid, managed by Hutchins Healthcare under licensee Dewitt Medical District. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and 4-star health inspection score. Staffing comes in at 2 stars — the one area below peer performance. The facility carried zero CMS fines as of the March 2026 data pull.

Legend Oaks Healthcare and Rehabilitation – West San Antonio is a 124-bed nursing home in San Antonio's Bexar County, operated under management by Bertetti Healthcare, Inc. CMS rates it 5 stars overall, with 5-star quality-of-care ratings for both long-stay and short-stay residents and a 4-star health inspection score. Staffing comes in at 3 stars. About 108 residents are in the facility on an average day, leaving some open beds.

Lakeside Nursing And Rehabilitation Center is a 120-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), managed by Crystal Lake Healthcare and licensed to the West Wharton County Hospital District. CMS rates it 5 stars overall, with a 5-star quality rating and 4-star health inspection score. Staffing earns 3 stars — 208 minutes of nursing care per resident per day, about 33 minutes below the threshold for a 4-star-staffing facility in Texas. The license is active through April 2028.

The Heights on Huebner is a 120-bed nursing home in San Antonio, licensed to Bexar County Hospital District and managed by Touchstone Communities. CMS rates it 5 stars overall, with a 5-star health inspection score and a 4-star quality-of-care rating for long-stay residents. Staffing is rated 2 stars — the one notable gap in an otherwise strong regulatory record. All 120 beds are Medicare- and Medicaid-certified, and the facility is currently running at about 89% of capacity.

Army Residence Community is a 91-bed nonprofit nursing home in San Antonio's Bexar County, licensed through January 2026 and operated by The Army Retirement Residence Foundation. All 91 beds are Medicare-certified; the facility accepts no Medicaid. CMS rates it 5 stars overall — top marks on health inspections and care outcomes — alongside a 2-star staffing rating. About 56 residents occupy the facility on an average day, leaving roughly 35 beds open.

San Pedro Manor is a 150-bed Medicare/Medicaid nursing home in San Antonio's Bexar County, operated by West Ashby Healthcare under a hospital district license. CMS rates it 4 stars overall, with a 5-star quality-of-care rating but a 2-star staffing rating. Occupancy runs at about 64% of licensed beds. Three administrators have turned over in the past year.

Westover Hills Rehabilitation And Healthcare is a 124-bed nursing and rehabilitation facility in San Antonio, licensed through December 2026 and operating at about 89% of capacity. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. It is part of The Ensign Group and managed by Sage Terrace Healthcare LLC under a Guadalupe County Hospital Board license.

Mystic Park Nursing and Rehabilitation Center is a 119-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), operated under management by Fox Sparrow Healthcare and licensed to West Wharton County Hospital District. CMS rates it 4 stars overall, with a 5-star quality-of-care rating but a 2-star staffing rating. One CMS fine of $111,121 has been issued. All 119 beds are Medicare/Medicaid-certified; the facility is running at roughly 92% of licensed capacity.

Coronado At Stone Oak is a 112-bed nursing home in San Antonio's Stone Oak area, licensed for Medicare and Medicaid residents. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. Nursing staff turnover is exceptionally low — about 3 in 10 left in the past year, well below the Texas median of 5 in 10. Managed by Coronado Continuing Care Center Ltd Co under a Cantex Continuing Care affiliation, the facility is operating at roughly 91% of its 112 licensed beds.

Remington Transitional Care of San Antonio is a 60-bed Medicare-only nursing home in Bexar County, operated by Regency Integrated Health Services under a nonprofit structure. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and 4-star staffing. The facility is running at 98% of licensed beds — essentially full — and has no active memory-care program.

The Village at Incarnate Word is a 60-bed nonprofit nursing home in San Antonio, licensed through June 2028 and certified for Medicare and Medicaid. CMS rates it 4 stars overall, with 4 stars on health inspections and quality measures. Staffing comes in at 3 stars — the one area below its otherwise solid ratings. The facility runs at roughly 91% of licensed capacity, with no recorded fines and no abuse findings.

Juniper Village at Lincoln Heights is a 46-bed Medicare-only nursing home in San Antonio (Bexar County) with a 4-star overall CMS rating. Quality-of-care measures rate 5 stars, and staffing rates 4 stars. One CMS fine of $121,976 has been issued. The facility is operating at roughly 55% of licensed beds — about 25 residents on an average day — and holds an active state license through April 2026.