About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
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About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
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NON -CHALLENGER h1 from CMS10 Best Assisted Living Facilities in Helotes, TX

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If you’re looking for assisted living in Helotes, our local senior living advisors can help you find a safe, welcoming community for you or your loved one. Whether you’re searching for luxury assisted living in Helotes or sticking to a budget, we’ll work with you to understand the cost of assisted living in Helotes.

From there, we’ll show you the best assisted living communities in Helotes for your family member’s budget, lifestyle, and personal care needs. With 43 assisted living facilities in the Helotes area, A Place for Mom makes it easier to find a secure and social community for this next stage of life.

We are also serving Assisted Living facilities in surrounding neighborhoods like Greater Harmony Hills, Crownhill Park and The Oaks/Oak Park-Northwood.
You may also consider nearby communities such as San Antonio, Castroville and Boerne.

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top3CommunitiesWithLinks: Senior Haven Assisted Living LLC, The Waterford at Westover Hills and The Landing at Stone Oak
zipAveragecost: $4,114

Helotes Assisted Living Facilities | 1425 Reviews

Showing 37 communities
Last Updated: 12/11/25
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The highest-rated senior living communities stand out for their exceptional care and support of seniors in independent living, assisted living, memory care and home care. Our Best of Senior Living Award winners represent the top reviewed senior care providers nationwide based on reviews submitted by residents and families.

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Photo of The Lodge at Leon Springs
88 Photos available
5 star
44%
4 star
45%
3 star
11%
2 star
0%
1 star
0%
See all reviews
When we started looking for an assisted living community that would be a good fit for my aunt, we had all but given up...until we stepped onto the grounds of The Lodge At Leon Springs. The beautiful and...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
The Lodge at Leon Springs is an assisted living community located in the vibrant southwestern city of San Antonio, TX. Our tranquil, tight-knit community is set in a quiet residential neighborhood surrounded by mature shade trees, lush green gardens and a spring-fed pond. San Antonio is a...
Photo of The Ridge at Westover Hills
1111 Photos available
5 star
70%
4 star
30%
3 star
0%
2 star
0%
1 star
0%
See all reviews
They did not have enough staffing for care services. Evening patient supervision was minimal. Not enough care staff with medical qualifications. If you had even 40 residents at $[removed] a month, I...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
For the best memory care for your loved one with Alzheimer's or dementia in the San Antonio area, consider Cedar Ranch at Westover Hills assisted living and memory care community. We focus exclusively on memory care, providing care that's based on the most up-to-date research, for our residents...
Photo of Grandview of Westover Hills
1313 Photos available
5 star
47%
4 star
43%
3 star
6%
2 star
0%
1 star
4%
See all reviews
5 across the board except housekeeping. I found my parents' apartment needing more attention, e.g. bathroom sink, kitchen floor needed to be swept. There is only one licensed nurse (LPN) for about 60...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Grandview of Westover Hills-Serving the San Antonio and the surrounding communities, Grandview of Westover Hills offers Assisted Living and Memory care in the ideal environment for active seniors, as well as those who need a little extra help with daily care. We work with a variety of local...
Photo of Adante Assisted Living and Memory Care
1212 Photos available
55 Floor plans available
5 star
73%
4 star
22%
3 star
2%
2 star
0%
1 star
3%
See all reviews
This has been a wonderful experience for my family and loved one. The staff are very friendly and professional. I would recommend the community to others for their loved ones.
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Life at Adante Assisted Living & Memory Care revolves around modest luxury, personal freedom, and optimal health. Comfortable surroundings, social activity, delicious meals, accommodating staff, and a prime location come together on this unique campus to form a fresh and vivacious lifestyle....
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9.2
Review score
46 reviews
9.2
Review score
46 reviews
5 star
96%
4 star
4%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Very nice staff and very good at what they do...Yes, we would recommend this community to other families based on the experience so far.
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
The Seasons on Tezel is an assisted living community that is located in San Antonio, Bexar County, Texas. Families will enjoy visiting and living in San Antonio because of the vibrant culture, rich historical sites, a flourishing arts scene, as well as delicious traditional Mexican food. Seasons...
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Photo of Laurelhurst Assisted Living
8.5
Review score
5 reviews
8.5
Review score
5 reviews
5 star
60%
4 star
40%
3 star
0%
2 star
0%
1 star
0%
See all reviews
We struggled to find the right place for our 95-year-old mom. Once we visited with [name removed], we knew it was the best place to move mom into. The home is beautiful, warm, clean and with very inviting...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
In Texas, there are several different types of Assisted Living Facilities. With so many options, it can be overwhelming. It is important to consider where mom and dad may thrive the most in their golden years. At Laurelhurst, we are considered a small assisted living. We are licensed and...
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Photo of Honey's House Of Helotes II
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of San Antonio - A+ CARE 1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of San Antonio - A-Z Senior Care 1
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Rise and Shine group home
Provides: Assisted Living, Memory Care, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
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Photo of Greenwood Home Care
5 star
67%
4 star
0%
3 star
33%
2 star
0%
1 star
0%
See all reviews
Greenwood home is a very nice home. I would rate it on the highest level so far. Our loved one has just moved in recently so she is still getting adjusted but it seems to be a good fit for her. She is...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
We are a small homelike facility that gives personal attention to 6 or less residents. The setting is conductive to getting to know the likes and preference as well as needs of every single person. The owners are intimately involved with day to day care and have over 15 years of experience.
Photo of Lopez Homes Mcg LLC
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Helotes, TX

The average cost of senior living in Helotes is $4,114 per month. Cheaper nearby regions include Somerset, TX with an average of $4,012 per month.

Assisted living costs in Helotes, TX, vs. nearby cities

Helotes, TX
$4,114/mo

Assisted living costs in Helotes, TX, vs. state and national averages

Helotes, TX
$4,114/mo
$4,821/mo
U.S. national average
$4,557/mo

Assisted living costs in Helotes, TX, vs. other senior living options

Assisted Living
$4,114/mo
$4,461/mo

Assisted living costs in Helotes, TX, by floor plan type

Semi-Private
$4,085/mo
Private
$4,167/mo
Studio
$4,356/mo
1 Bedroom
$4,274/mo
2 Bedroom
$5,245/mo
Detached Cottage/Bungalow
$3,800/mo

Senior living costs in Helotes vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Helotes, TX
Column state: Texas
Column national: U.S.
Community typeHelotes, TXTexasU.S.
Assisted Living$4,114/mo$4,821/mo$4,557/mo
Memory Care$4,461/mo$5,003/mo$4,794/mo
Independent Living$3,856/mo$4,319/mo$4,016/mo
Assisted Living
Helotes, TX:$4,114/mo
Texas:$4,821/mo
U.S.:$4,557/mo
Memory Care
Helotes, TX:$4,461/mo
Texas:$5,003/mo
U.S.:$4,794/mo
Independent Living
Helotes, TX:$3,856/mo
Texas:$4,319/mo
U.S.:$4,016/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Helotes, TX

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Helotes.

What families are saying about assisted living in Helotes

Recent reviews for assisted living in Helotes

The William in San Antonio, TX

4.5
[Name removed] was a sales manager that helped us initially. She was wonderful with the move-in process and even helped us find some movers to help move my dad's furniture. The nurses and housekeeping people that I met were very nice as well as the staff in the dining room. I liked how the ...
Read more

Parkway Assisted Living in San Antonio, TX

4.5
We moved my mother to Parkway assisted living facility . The entire staff was caring and took great care of my mother. The care they provide is outstanding.This place is clean and the furniture is in pristine condition. The staff is helpful and very friendly. The residents that live there ...
Read more

Serenity Oaks Assisted Living and Memory Care in Live Oak, TX

5.0
We have been nothing short of pleased with our experience with serenity Oaks. My grandmother is getting the absolute best care there. Everybody is so friendly. The food is great and the place is always clean. The staff is always smiling. You can tell they really enjoy their jobs.

Helotes review score based on 324 family reviews

8.9
Review score35 facilities324 reviewsWrite a review
This proprietary review score is based on 324 reviews of 35 Helotes assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Helotes review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Helotes review score compared against nearby cities

8.9
Helotes, TX35 facilities
8.9
Grey Forest, TX38 facilities
8.6
Leon Valley, TX63 facilities

Review subcategories for Helotes assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 324 reviews of 35 Helotes assisted living communities. This chart helps you compare Helotes resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Helotes, TX averageNational average
Cleanliness
4.2
4.1
Friendliness
4.3
4.2
Care services
4.1
3.8
Staff
4.2
4.0
Meals & dining
4.0
3.7
Activities
3.9
3.7
Value for cost*
4.1
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Helotes assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Helotes assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Helotes, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Helotes assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Helotes that offer these care services compared to the percentage of partners that offer them nationally.
Helotes, TXNational
Full medication management
Full medication management
82.9%
53.2%
Doctor on call
Doctor on call
57.1%
34.1%
24-Hour awake staff
24-Hour awake staff
100%
98.9%
Diabetic care
Diabetic care
100%
99.4%
*Visiting health care professionals
*Visiting health care professionals
82.9%
57.9%
Home care agency on-site
Home care agency on-site
42.9%
30.8%
Non-ambulatory care
Non-ambulatory care
100%
99.1%
Respite or short term stays
Respite or short term stays
62.9%
49.1%
Hospice available on-site
Hospice available on-site
80%
54.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Helotes assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Helotes Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Helotes, TXNational
Dementia behaviors care
Dementia behaviors care
77.1%
52%
Specialized memory care training for staff
Specialized memory care training for staff
51.4%
32.8%
Secured community and/or wander guard
Secured community and/or wander guard
62.9%
42.1%
Memory care only community
Memory care only community
37.1%
14%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Helotes assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Helotes partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Helotes, TXNational
Nutritionist / dietician
Nutritionist / dietician
28.6%
27.4%
Low / no sodium
Low / no sodium
68.6%
40.6%
No sugar
No sugar
60%
37.5%
Vegetarian
Vegetarian
51.4%
36%
Pureed meals
Pureed meals
31.4%
13.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Helotes assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Helotes communities that offer dining options to their discerning residents compared to our partners nationally.
Helotes, TXNational
Professional chef
Professional chef
57.1%
31.5%
Restaurant style dining
Restaurant style dining
54.3%
42.6%
Room service
Room service
65.7%
36.3%
Anytime dining
Anytime dining
37.1%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Helotes assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Helotes offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Helotes, TXNational
Activity director
Activity director
60%
46.8%
Pet-focused programs
Pet-focused programs
60%
31.5%
Community service programs
Community service programs
45.7%
30.4%
Devotional activities on-site
Devotional activities on-site
62.9%
50.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
74.3%
49.6%
Outings / off-site activities
Outings / off-site activities
60%
53.5%
Piano or organ
Piano or organ
54.3%
41.7%
Arts and crafts center
Arts and crafts center
51.4%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
45.7%
38%
Clubs / games / karaoke
Clubs / games / karaoke
71.4%
47.1%
Live performances
Live performances
71.4%
47.4%
Dances
Dances
45.7%
29.9%
Fitness center
Fitness center
25.7%
24.4%
Fitness classes
Fitness classes
68.6%
46.3%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Helotes

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Texas assisted living regulations will help you understand how assisted living communities in Helotes protect seniors.
Learn about Texas assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Senior Haven Assisted Living LLC, The Waterford at Westover Hills and The Landing at Stone Oak are the top-rated assisted living facilities near Helotes, Texas. See full list of communities.
There are 43 assisted living facilities near Helotes, Texas. See the full list.
The best assisted living facilities near you in Helotes, Texas are The Waterford at Westover Hills, Brookdale Maltsberger and Arden Courts A ProMedica Memory Care Community in San Antonio. These assisted living communities received the highest rankings based on verified family reviews.
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