San Antonio is the seat of Bexar County, which had about 2.16 million residents on July 1, 2025. About 14.3% of the county was 65 or older, roughly 309,000 people. In the city, 13.4% of about 1.55 million residents were 65 or older, roughly 207,000 people, a higher share than Dallas, Fort Worth, Houston or Austin (U.S. Census Bureau QuickFacts, Vintage 2025 estimates).
This is a bilingual market. About 64.6% of San Antonio residents are Hispanic or Latino and 40.4% of residents age 5 and older speak a language other than English at home (QuickFacts). The 2020-2024 American Community Survey counts about 88,500 city residents 65 and older who speak Spanish at home. That is a lot of grandparents. Spanish pages, Spanish-speaking staff named on the contact page and photos of real families from your community will matter more here than almost anywhere else in Texas.
San Antonio also has a large veteran population. QuickFacts counts about 90,500 veterans living in the city (ACS 2020-2024). If you work with VA South Texas Health Care or accept VA benefits, say so clearly and explain how the process works.
Major referral sources include University Health (Bexar County's public system), Methodist Healthcare, Baptist Health System and CHRISTUS Santa Rosa. Give discharge planners a referral page with payers, clinical services, admission hours and a direct line.
Families often search from the suburbs and the Hill Country: New Braunfels, Schertz, Converse, Live Oak, Universal City, Helotes, Boerne and Seguin. Name the ones you actually serve.
Hospitals and health systems that refer patients
- University Health (University Hospital)
- Methodist Healthcare
- Baptist Health System
- CHRISTUS Santa Rosa Hospital - Westover Hills
- VA South Texas Health Care
Towns families search from
New Braunfels, Schertz, Converse, Live Oak, Universal City, Helotes, Boerne, Seguin, Alamo Heights, Leon Valley. A good San Antonio site names the places your residents and their families actually come from.
Texas rules that apply here
Licensing, inspections, payment programs and the ombudsman for San Antonio are set at the state level. See what a Texas care provider website should show.
Questions
How important is Spanish on a San Antonio care provider website?
Very. About 64.6% of San Antonio residents are Hispanic or Latino, and Census data count about 88,500 residents 65 and older who speak Spanish at home. Translate the pages families use to decide: admissions, payment, visiting and contact.
Should a San Antonio provider mention veterans benefits?
If you accept VA referrals or benefits, yes. San Antonio has about 90,500 veterans (Census QuickFacts, 2020-2024), and families will look for that information.
Where can San Antonio families report a concern about a nursing home or assisted living?
The Texas Long-term Care Ombudsman Program helps residents and families for free at 800-252-2412.
Sources
- U.S. Census Bureau QuickFacts: Dallas, Fort Worth, Houston, San Antonio, Austin and Plano cities
- U.S. Census Bureau QuickFacts: Bexar, Travis, Collin, Denton, Williamson and Fort Bend counties
- U.S. Census Bureau ACS 2020-2024 5-year, Table S1601 (Language Spoken at Home): San Antonio city, Texas
- Texas HHS: Long-Term Care Provider Search
- Texas HHS: Long-Term Care (find a provider)
- Texas Long-term Care Ombudsman Program
- University Health: University Hospital
- Methodist Healthcare (San Antonio)
- Baptist Health System
- CHRISTUS Santa Rosa Hospital - Westover Hills
- VA South Texas Health Care
