St. Mary’s Assisted Living

    1618 S St. Mary's, San Antonio, TX 78210
    • Independent Living
    • Assisted Living

    Compassionate personalized care in home

    I live here and I'm pleased with the warm, compassionate, professional staff who give attentive, personalized care in a clean, home-like historic house with home-cooked meals. The small, family-like community is welcoming, respectful of independence, and reliably caring - I would recommend it.

    Current/former resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.13·(16)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      4.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Compassionate, personalized caregiving
    • Warm, welcoming staff interactions
    • Family-like community atmosphere
    • Small resident census with close social bonds
    • Clean, well-maintained interior
    • Peaceful, home-like environment
    • Home-cooked meal service
    • Respectful treatment and dignity focus
    • Attentive assistance with daily needs
    • Historic building charm
    • Support for resident independence
    • Supportive short-term rehabilitation transition

    Cons

    • Inconsistent staffing and floor supervision
    • Gaps in security and resident-asset protection
    • Allegations of on-site illegal activity
    • Unreliable transportation and billing practices
    • Management transparency and financial oversight
    • Inadequate clinical capability for higher-acuity needs
    • Inadequate climate control and air-quality in some units
    • Odor and sanitation concerns in some common areas

    Summary of reviews

    Reviewer feedback is polarized: many families describe a warm, small, home-like environment with caring staff who provide personalized attention, while other accounts raise significant safety, security, and management concerns. The positive commentary emphasizes attentive, respectful interactions, a family-style culture, home-cooked meals, and a clean, historic setting that supports resident independence and short-term rehabilitation goals. These strengths suggest the facility can offer a comforting, community-oriented option for lower-acuity residents who value a smaller, homelike setting.

    Care and staff: Numerous reviewers highlight compassionate caregiving, individualized attention, and respectful treatment that fosters strong social connections. These comments indicate consistent strengths in everyday assistance, social support, and staff–resident rapport. Counterbalancing those positives are repeated concerns about inconsistent staffing levels and limited floor supervision; reviewers described occasions when staff responsiveness and conduct were inadequate. For prospective residents with higher medical needs, reviewers raised questions about the facility's clinical capability and whether it functions appropriately as a nursing-level provider.

    Dining and activities: The dining experience is commonly described as home-style, with family meals contributing to the community atmosphere. Reviewers also note a welcoming culture and opportunities to maintain independence and social engagement. There is less specific reporting about a structured activities program, but the small resident population appears to support frequent interpersonal engagement and peer familiarity.

    Facilities and environment: Many reviewers praise the facility's cleanliness, historic charm, and home-like décor. At the same time, there are operational concerns about climate control and localized air-quality issues in some units and odors or sanitation concerns in certain common areas. These mixed observations suggest variability across rooms and parts of the building, making an in-person inspection of sample rooms and ventilation advisable.

    Management, safety, and operations: Several operational weaknesses emerge as patterns rather than isolated incidents. Reviewers cite gaps in security and asset protection, unreliable transportation and billing practices, and concerns about management transparency and financial oversight. Some reviewers reported serious incidents, including alleged on-site illegal activity and involvement of law enforcement; such accounts underscore the importance of asking about security protocols, incident reporting, and how the facility manages external threats. Billing practices and missed appointments were also noted as areas needing clarification prior to admission.

    Practical takeaway: For families considering this facility, the core decision points are clinical needs and risk tolerance. The facility appears to offer a caring, small-community environment suitable for lower-acuity residents seeking a home-like setting and attentive day-to-day support. However, prospective residents and families should conduct a thorough tour, review staffing patterns and supervision levels (including nurse availability and emergency response procedures), inspect unit climate control and cleanliness, request details on security and incident history, and obtain clear written explanations of transportation and billing policies before committing.

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    Location

    Map showing location of St. Mary’s Assisted Living

    St. Mary’s Assisted Living is located at 1618 S St. Mary's, San Antonio, TX, 78210.

    About St. Mary’s Assisted Living

    St. Mary's Assisted Living, located in San Antonio, Texas in Bexar County, offers a home-like atmosphere with plenty of windows, friendly staff who care for each other, and a reputation for helpful, joyful, and kind support. This medium-sized community has 40 units and provides housing choices with furnished studios, one-bedroom, two-bedroom, and semi-private apartments. Residents must be at least 55 years old and able to self-evacuate in emergencies since St. Mary's Assisted Living is set up for people who value independence but still want some daily help.

    The facility gives options for independent living, assisted living, memory care, and home care. Residents can get help with bathing, dressing, medication management, and stand-by assistance getting from a bed to a wheelchair. There's special care for people with Alzheimer's, Parkinson's, diabetes, or incontinence, with regular health checks, a fall prevention program, staff available 24/7, and a call system for safety.

    Meals come prepared by a chef with a focus on balanced, nutritious options, including menus for special diets like diabetes or allergies, and there's a spacious dining room where residents can eat restaurant-style or choose all-day dining. Snacks are available throughout the day, and the staff dietitian helps make sure meals are healthy. Housekeeping, laundry, dry cleaning, and all maintenance are included.

    For an active and connected lifestyle, St. Mary's Assisted Living has a library, theatre room, gardens, games room, private dining, a beauty and barber shop, onsite and offsite devotional activities, movie nights, concierge service, and a chapel. There are indoor common areas, walking paths, large TV rooms, and a pets-welcome policy. Residents can use the community kitchen, enjoy cultural events, and participate in physical activities either onsite or offsite to support social, physical, mental, and emotional well-being.

    Memory care spaces help reduce confusion for those with dementia by keeping areas secure and easy to navigate. Licensed by the state of Texas (License #150093), the facility offers additional services like hospice, monthly physician visits, pharmacy help, ongoing health screenings, pureed food, and transportation for both medical and personal trips. Regular resident-run events encourage people to meet neighbors and enjoy daily life together.

    St. Mary's Assisted Living is a for-profit company, recognized with the Best of Senior Living award, and aims to deliver personal support and a safe, comfortable environment for seniors who want some help with daily life but still wish to stay active and social.

    People often ask...

    St. Mary’s Assisted Living offers competitive pricing, with rates starting at a cost of $3,478 per month.

    St. Mary’s Assisted Living offers independent living and assisted living.

    There are 8 photos of St. Mary’s Assisted Living on Mirador.

    The full address for this community is 1618 S St. Mary's, San Antonio, TX 78210.

    No, St. Mary’s Assisted Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqVPxAAN
    StatusActive
    Facility typeAssisted Living Facility (type A)
    License classNot Licensed
    LicenseeUnknown Owner
    Care servedType a
    View the official license record

    Inspection Reports

    1

    Reports

    7

    Citations

    0

    Complaints

    4

    Years

    27 Sept 2022Inspection
    Identified multiple deficiencies in staff training, continuing education, infection control, resident screening, and medication supervision.
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of St. Mary’s Assisted Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact St. Mary’s Assisted Living directly. There is no cost for this service. We are compensated by the community you select.

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