Board and Care Homes in San Antonio, TX

If you're looking for board and care homes san antonio, this is the most complete and current resource for San Antonio. We track every licensed facility in the area, verify pricing monthly, and only show options with active Texas HHSC licenses and no open disciplinary actions. Every option here has been vetted for level of care, room availability, and family experience.

Below: a curated list, real 2026 pricing ranges, what to ask on a tour, and how to move quickly if care is urgent. Need a personal recommendation? A free advisor is one phone call away — (830) 355-0287.

What to expect in San Antonio

• 2026 monthly pricing range: $3,200–$7,800 depending on level of care, room type, and whether the facility is a small board-and-care home or a larger community.
• Typical wait time for placement: when a move isn't urgent, plan on 3–14 days; hospital discharges and memory-care openings can move as fast as same-day to 72 hours.
• What's included: housing, three meals a day, and 24/7 staff, plus housekeeping, scheduled transport, social programming, and a basic care plan. Memory care adds secured units and dementia-trained staff.
• What's extra: one-on-one aide hours, on-site hospice, special diet preparation, and medication management beyond a basic tier.

How we vet every facility we recommend

1. Active Texas ODHS APD license, no open disciplinary action
2. Survey results reviewed (we look at the last two cycles)
3. Real family references — not curated reviews
4. Pricing transparency: refuses to disclose monthly cost = we won't refer to them
5. On-site visit by our advisor within the last 12 months

Questions to ask on a tour

• What's the staff-to-resident ratio at night?
• What's your average length of stay?
• What care needs would force a move out?
• For our parent's care level, what's every line item in the all-in monthly cost?
• How do you handle a change in care needs (e.g., a fall)?