5-star 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.