Nursing homes that accept Medicaid in San Antonio, Texas

CMS lists 53 nursing homes with an address in San Antonio, Texas as certified for Medicaid, out of 58 Medicare- or Medicaid-certified homes, with 6,782 certified beds. 10 of these 53 have a CMS overall rating of 4 or 5 stars. "Accepts Medicaid" means CMS lists the home as certified for Medicaid; a Medicaid bed may not be open, so ask the home.

Homes whose CMS address is in San Antonio. They are in Bexar County.

Accept Medicaid: 53
Certified beds: 6,782
4 or 5 stars: 10
Not certified for Medicaid: 5

The 53 homes Medicaid in Texas All 58 homes in San Antonio

53 homes in San Antonio that accept Medicaid

Show only 4 or 5 stars No fines Nurse staffing at or above TX average Not a Special Focus Facility Sort by 53 of 53 shown

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Listed A to Z by name. Sorting is a convenience, not a recommendation; ratings do not include price or openings. "Accepts Medicaid" means CMS lists the home as certified for Medicaid; ask the home whether a Medicaid bed is open. The nurse staffing filter compares each home's reported nurse staffing hours per resident per day with the TX average of 3.39 hours.

5 other homes in San Antonio are not listed by CMS as certified for Medicaid. See all 58 homes in San Antonio

Medicaid in Texas

Apply for Medicaid nursing home coverage Your Texas Benefits Texas Health and Human Services Commission1-877-541-7905 (for help with an application or benefits; or dial 2-1-1, choose a language, then Option 2)Apply online at YourTexasBenefits.com, or on paper Form H1200.

Personal needs allowance (Medicaid): A Medicaid resident keeps $75 a month for personal expenses ($150 for a couple). The amount rose from $60 ($120 for a couple) on January 1, 2024. State law sets it at not less than $75 a month. Source: Tex. Hum. Res. Code § 32.024(w); Texas Medicaid State Plan Amendment TX 23-0027
Holding a bed during a hospital stay or leave: Texas Medicaid pays to hold a bed only during a therapeutic home visit of up to 3 days, if a physician authorized such visits in the plan of care and the home documents the visit; a visit longer than 3 days is treated as a discharge from the first day. The state plan does not pay to hold a bed during a hospital stay. Before a hospital transfer or therapeutic leave, the home must give written information about its bed-hold policy, and it may charge to hold a bed only under a written agreement, no more than the daily Medicaid rate, and not for days the state is paying. A resident whose absence lasts longer than the bed-hold period returns to their previous room if available, or to the first available bed in a semi-private room, if they still need the home's services and are eligible for Medicaid or Medicare nursing home coverage. Source: 26 Tex. Admin. Code §§ 554.503 and 554.2603; Texas Medicaid State Plan, Attachment 4.19-C

Checked against Texas state sources on Oct 9, 2026. Rules and phone numbers change, so confirm with the office listed. All Texas nursing home rules and contacts

Federal income cap (2026)

In states that use an income cap for nursing home Medicaid, the most a state can set in 2026 is $2,982 a month for one person. That is 300% of the $994 federal SSI benefit rate. A state may set a lower level, and some states use a different route, called medically needy, where nursing home costs are counted against income.

Guides on Medicaid and nursing homes

Common questions

How many nursing homes in San Antonio accept Medicaid?

CMS lists 53 nursing homes with an address in San Antonio, Texas as certified for Medicaid as of Sep 2026, out of 58 Medicare- or Medicaid-certified homes.

Which nursing homes in San Antonio that accept Medicaid have 5 stars?

2 homes have a 5-star CMS overall rating: Coronado at Stone Oak, Lakeside Nursing and Rehabilitation Center.

How many of these homes have 4 or 5 stars?

10 of the 53 have a CMS overall rating of 4 or 5 stars; 0 have no published overall rating.

Is a Medicaid bed open now?

CMS data shows whether a home is certified for Medicaid, not whether a Medicaid bed is open today. Ask each home whether a bed is open for your coverage.

Where does this data come from?

The Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog. A home "accepts Medicaid" here when its CMS provider type is "Medicaid" or "Medicare and Medicaid." CMS does not publish prices.

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. Medicaid certification is the CMS provider type ("Medicaid" or "Medicare and Medicaid"). Homes that accept Medicaid in all of Texas · All cities and counties in Texas