Senior care in San Antonio–New Braunfels

Best Nursing Homes in San Antonio–New Braunfels

Facilities:17
Avg Score:41.0
High-Performing:12%

Quick Answer

San Antonio–New Braunfels has 17 Medicare-certified nursing homes with an average SunsetWell score of 41.0/100. Top-rated facility: MORNINGSIDE MANOR (score: 96). Typical costs range $6,000-$12,000/month for private pay. 12% of facilities score 75+ (high-performing).

Market Overview

San Antonio's skilled nursing landscape shows below average quality with 17 facilities averaging a SunsetWell score of 41.0. 12% of facilities score 75 or higher, indicating limited availability of high-performing options.

The 91-point gap between highest and lowest-rated facilities highlights quality variation in this market. Families should review current state inspection reports, tour multiple facilities, and verify Medicaid/Medicare acceptance before making decisions.

Score Distribution

90-100 (Exceptional)
2
2 facilities
75-89 (Excellent)
0 facilities
60-74 (Above Average)
3
3 facilities
40-59 (Mixed)
3
3 facilities
0-39 (Lower)
9
9 facilities

🏆 Exceptional Care (90-100)

#1

MORNINGSIDE MANOR

Health: ⭐⭐⭐⭐⭐
Staffing: ⭐⭐⭐
Quality: ⭐⭐⭐⭐
96(96%)
Exceptional
#2

EDEN HOME

Health: ⭐⭐⭐⭐
Staffing: ⭐⭐⭐⭐
Quality: ⭐⭐⭐⭐
94(94%)
Exceptional

Above Average (60-74)

#3

ST. FRANCIS NURSING HOME

Health: ⭐⭐⭐
Staffing: ⭐⭐⭐
Quality: ⭐⭐⭐⭐⭐
70(71%)
Good
#4

SUNDANCE INN HEALTH CENTER

Health: ⭐⭐⭐⭐
Staffing:
Quality: ⭐⭐⭐⭐⭐
66(67%)
Good
#5

LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR

Health: ⭐⭐⭐
Staffing: ⭐⭐⭐
Quality: ⭐⭐⭐
65(65%)
Good

Mixed Quality (40-59)

#6

HARBOR VALLEY HEALTH AND REHABILITATION

Health: ⭐⭐⭐
Staffing: ⭐⭐
Quality: ⭐⭐⭐⭐
52(52%)
Average
#7

MERIDIAN CARE MONTE VISTA

Health: ⭐⭐⭐
Staffing:
Quality: ⭐⭐⭐
52(52%)
Average
#8

MESA VISTA INN HEALTH CENTER

Health: ⭐⭐⭐
Staffing:
Quality: ⭐⭐⭐⭐⭐
41(42%)
Average

⚠️ Lower-Performing (0-39)

#9

BUENA VIDA NURSING AND REHAB-SAN ANTONIO

Health: ⭐⭐⭐
Staffing:
Quality: ⭐⭐⭐⭐⭐
38(39%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#10

HUNTERS POND REHABILITATION AND HEALTHCARE

Health: ⭐⭐
Staffing: ⭐⭐
Quality: ⭐⭐⭐⭐
34(34%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#11

THE SARAH ROBERTS FRENCH HOME

Health: ⭐⭐
Staffing:
Quality: ⭐⭐⭐⭐⭐
25(25%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#12

THE RIO AT MISSION TRAILS

Health:
Staffing: ⭐⭐
Quality: ⭐⭐⭐⭐⭐
20(20%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#13

WURZBACH NURSING AND REHABILITATION

Health: ⭐⭐
Staffing:
Quality: ⭐⭐
16(16%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#14

SUNRISE NURSING & REHAB CENTER

Health: ⭐⭐
Staffing:
Quality: ⭐⭐
11(11%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#15

CASTLE HILLS REHABILITATION AND CARE CENTER

Health:
Staffing:
Quality: ⭐⭐⭐
6(6%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#16

SAN ANTONIO NORTH NURSING AND REHABILITATION

Health:
Staffing:
Quality: ⭐⭐⭐
5(5%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.
#17

WINDCREST NURSING AND REHABILITATION

Health:
Staffing:
Quality: ⭐⭐⭐
5(5%)
Below Average
⚠️ Note: Lower scores indicate quality concerns. Families should carefully review current state inspection reports, conduct thorough personal tours, and verify current staffing levels before making decisions.

How to Choose the Right Facility

If quality is your top priority:

→ Consider: MORNINGSIDE MANOR, EDEN HOME
These facilities score 75+ and demonstrate consistent excellence in health inspections, staffing, and quality measures.

For urgent placement:

Contact top-rated facilities first to check availability. Consider expanding search to nearby metros if needed. Avoid rushing into lower-scoring facilities—invest time in thorough evaluation even in emergencies.

Important: Always tour facilities personally, review current state inspection reports, and verify Medicare/Medicaid acceptance before making final decisions. Scores provide objective comparison but cannot replace in-person evaluation.

Detailed Comparison

RankFacility
SunsetWell Score®
(0-100 weighted)
Percentile
(vs. state peers)
HealthStaffingQuality
1
MORNINGSIDE MANOR
9696⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐
2
EDEN HOME
9494⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐
3
ST. FRANCIS NURSING HOME
7071⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐⭐
4
SUNDANCE INN HEALTH CENTER
6667⭐⭐⭐⭐⭐⭐⭐⭐⭐
5
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
6565⭐⭐⭐⭐⭐⭐⭐⭐⭐
6
HARBOR VALLEY HEALTH AND REHABILITATION
5252⭐⭐⭐⭐⭐⭐⭐⭐⭐
7
MERIDIAN CARE MONTE VISTA
5252⭐⭐⭐⭐⭐⭐
8
MESA VISTA INN HEALTH CENTER
4142⭐⭐⭐⭐⭐⭐⭐⭐
9
BUENA VIDA NURSING AND REHAB-SAN ANTONIO
3839⭐⭐⭐⭐⭐⭐⭐⭐
10
HUNTERS POND REHABILITATION AND HEALTHCARE
3434⭐⭐⭐⭐⭐⭐⭐⭐
11
THE SARAH ROBERTS FRENCH HOME
2525⭐⭐⭐⭐⭐⭐⭐
12
THE RIO AT MISSION TRAILS
2020⭐⭐⭐⭐⭐⭐⭐
13
WURZBACH NURSING AND REHABILITATION
1616⭐⭐⭐⭐
14
SUNRISE NURSING & REHAB CENTER
1111⭐⭐⭐⭐
15
CASTLE HILLS REHABILITATION AND CARE CENTER
66⭐⭐⭐
16
SAN ANTONIO NORTH NURSING AND REHABILITATION
55⭐⭐⭐
17
WINDCREST NURSING AND REHABILITATION
55⭐⭐⭐

Additional Resources

State Oversight

  • • State Health Department: Check current inspection reports
  • • Medicare Nursing Home Compare: medicare.gov/care-compare
  • • State Ombudsman: Resident advocacy and complaints

Financial Planning

  • • Elder Law Attorney Referral: Plan Medicaid eligibility
  • • Veterans Benefits: VA Aid & Attendance
  • • Long-Term Care Insurance: Review policy coverage

Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.

Last updated: January 2025 | Data source: CMS Nursing Home Compare, State Health Departments, SunsetWell Analysis