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
About Memory CareMemory 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. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
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
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Wilson County, TX

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Assisted living costs in Wilson County average about $4,313 per month. To find the best assisted living options for your needs and budget, browse through 140 communities in Wilson County. Our detailed directory has 3239 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as La Vernia, Floresville and Leming.

Wilson County Assisted Living Facilities | 3239 Reviews

Showing 125 communities
Last Updated: 5/23/25
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Photo of Avalon Memory Care - Mystic Park
1010 Photos available
33 Floor plans available
5 star
50%
4 star
0%
3 star
50%
2 star
0%
1 star
0%
See all reviews
We chose Avalon Memory Care because it is a smaller facility that offers much more personalized care. The way the staff interact with family members is great, they are very accommodating and flexible with...
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.
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 Seasons Alzheimers Care and Assisted Living
9.8
Review score
34 reviews
9.8
Review score
34 reviews
5 star
79%
4 star
15%
3 star
0%
2 star
0%
1 star
6%
See all reviews
My husband was only there two weeks before he passed. Everyone was so professional, kind and caring. I could not have been more pleased with my husband’s care. The admission process was seamless. Their...
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.
Season's Alzheimer's and Assisted Care is a residential care home for seniors that is located in the city of San Antonio, Texas which is in Bexar County with small portions extending into Medina and Comal counties. San Antonio is a city with a great deal of history. The Alamo is a national...
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9.6
Review score
45 reviews
9.6
Review score
45 reviews
5 star
96%
4 star
4%
3 star
0%
2 star
0%
1 star
0%
See all reviews
This is a small facility that is all around what we were looking for. It is quiet and clean. It's like walking into a family members home, not an impersonal memory care unit. The staff keeps me up to date...
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
9.0
Review score
5 reviews
9.0
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 Sage Springs
8.9
Review score
4 reviews
8.9
Review score
4 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Three years ago I placed both of my parents in assisted living at Sage Springs. My mom was admitted into the memory care unit, where she received very good care from all the staff. They were very patient and...
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.
Photo of Heart to Heart Assisted Living
7.5
Review score
24 reviews
7.5
Review score
24 reviews
5 star
32%
4 star
25%
3 star
13%
2 star
13%
1 star
17%
See all reviews
I like most their attention to the residents. They get a lot of interaction. I like least that our resident doesn't seem to be happy and I can't tell if that's just him or not.
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.
Heart to Heart Residential Care Home is a senior care home located in the historic city of San Antonio, Texas, in the county of Bexar. Our quaint community is located in a peaceful and quiet neighborhood. The eclectic city of San Antonio is located in the southwestern corner, known as the Texas...
Photo of Outreach For Life
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 Outreach For Life II
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.
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.
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Photo of Rios Boarding Care
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
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 St Marys Assisted Living Inc
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.
Photo of Sunny Spirits at Hickory Hollow
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 Sunny Spirits
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 Gruene Senior Living
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.
Photo of Brooks Home For Seniors
5 star
67%
4 star
33%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Our experience with Brooks Home for Seniors has been a good one, so far! It's a nice looking, well kept community, and one of the cleanest places I've ever seen! The people are friendly, and they do a great...
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.
Brooks Home For SeniorsBrooks Home For Seniors is a senior residential care home located in the larger city of San Antonio, TX and in Medina county. San Antonio is situated in southern central Texas and is known for its richness in cultural and historical heritage. The boardwalk of the San...
Photo of Kingsley Place at Oakwell Farms
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.
Photo of Chandler Assisted Living
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 Morningside Ministries at Chandler Estate
5 star
33%
4 star
33%
3 star
34%
2 star
0%
1 star
0%
See all reviews
Things are going very well for my friend at Morningside Ministries. She had a relationship with them before moving and that helped her transition. The staff is friendly and answers all of our questions. She...
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.
Listed on the National Register of Historic Places, the beautiful Monte Vista Historic District is located just north of downtown San Antonio, and is home to Morningside Ministries at The Chandler Estate. The centerpiece of The Chandler Estate is the grand Victorian-style home, built in 1887,...
Photo of The Outreach for Life
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 Grace Place Alzheimers Activity Centers
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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I think it's a good program. I think it's up at the very good to excellent range. I think it's good for elderly folks to interact and have activities. They do a little bit of everything. They do activities...
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.
Photo of Alterra Sterling House of Nacogdoches
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 Saddle Ridge House
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 Ortega's Home Style Assisted Living
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 Havens Inn
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 Wilson County, TX

The average cost of senior living in Wilson County is $4,313 per month. Cheaper nearby regions include Karnes City, TX with an average of $3,455 per month.

Average monthly cost of Assisted Living in Wilson County, TX vs. nearby counties

Wilson County, TX
$4,313/mo
$4,276/mo

Average monthly cost of Assisted Living in Wilson County, TX vs. the state and national average

Wilson County, TX
$4,313/mo
$4,726/mo
U.S. national average
$4,672/mo

Average monthly cost of Assisted Living in Wilson County vs. other types of senior living

Assisted Living
$4,313/mo
$4,664/mo

Median monthly costs of Assisted Living in Wilson County, TX by room type

Semi-Private
$4,245/mo
Private
$4,333/mo
Studio
$5,292/mo
1 Bedroom
$4,768/mo
2 Bedroom
$6,013/mo
Detached Cottage/Bungalow
$4,705/mo

Ways to pay for Assisted Living in Wilson County, 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 Wilson County.

What families are saying about assisted living in Wilson County

Recent reviews for assisted living in Wilson County

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

Adante Assisted Living and Memory Care in San Antonio, TX

5.0
Visited several senior communities about 2 years ago with a "Senior" friend (88 YO). When we visited Adante, we both were quite impressed and loved it immediately. The price for a one bedroom apartement was the least expensive of all we visited. Our friend decided to go into Adante ...
Read more

Volante of Sage Spring in San Marcos, TX

4.1
We went with them because the layout of building, it's one story-which we liked better, the staff we were introduced to (but I think they are a bit understaffed, honestly), the location ( easy to get to without having to sit in I35 traffic) and the facility grounds (they aren't surrounded by ...
Read more

Wilson County review score based on 695 family reviews

8.6
Review score125 facilities695 reviewsWrite a review
This proprietary review score is based on 695 reviews of 125 Wilson County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Wilson County 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

Wilson County review score compared against nearby cities

8.6
Wilson County, TX125 facilities
8.6
Floresville, TX138 facilities
8.6
Poth, TX127 facilities

Review subcategories for Wilson County 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 695 reviews of 125 Wilson County assisted living communities. This chart helps you compare Wilson County 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.
Wilson County, TX averageNational average
Cleanliness
4.6
4.5
Friendliness
4.7
4.6
Care services
4.4
4.2
Staff
4.6
4.5
Meals & dining
4.2
4.1
Activities
4.2
4.1
Value for cost*
4.3
4.1
0.01.02.03.04.05.0
*Learn more about cost details

Wilson County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Wilson County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Wilson County, 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 Wilson County 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 Wilson County that offer these care services compared to the percentage of partners that offer them nationally.
Wilson County, TXNational
Full medication management
Full medication management
65.6%
52.7%
Doctor on call
Doctor on call
51.2%
33.9%
24-Hour awake staff
24-Hour awake staff
94.4%
98.5%
Diabetic care
Diabetic care
98.4%
99.2%
*Visiting health care professionals
*Visiting health care professionals
73.6%
56.9%
Home care agency on-site
Home care agency on-site
35.2%
30.2%
Non-ambulatory care
Non-ambulatory care
94.4%
98.9%
Respite or short term stays
Respite or short term stays
56.8%
48.1%
Hospice available on-site
Hospice available on-site
59.2%
53.1%
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 Wilson County 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 Wilson County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Wilson County, TXNational
Dementia behaviors care
Dementia behaviors care
63.2%
51.5%
Specialized memory care training for staff
Specialized memory care training for staff
42.4%
32.6%
Secured community and/or wander guard
Secured community and/or wander guard
52.8%
41.3%
Memory care only community
Memory care only community
29.6%
13.6%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Wilson County 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 Wilson County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Wilson County, TXNational
Nutritionist / dietician
Nutritionist / dietician
24%
27.2%
Low / no sodium
Low / no sodium
51.2%
40.9%
No sugar
No sugar
49.6%
37.5%
Vegetarian
Vegetarian
43.2%
35.9%
Pureed meals
Pureed meals
27.2%
16.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Wilson County 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 Wilson County communities that offer dining options to their discerning residents compared to our partners nationally.
Wilson County, TXNational
Professional chef
Professional chef
37.6%
31.5%
Restaurant style dining
Restaurant style dining
44%
42.5%
Room service
Room service
50.4%
36.6%
Anytime dining
Anytime dining
23.2%
18.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Wilson County 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 Wilson County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Wilson County, TXNational
Activity director
Activity director
53.6%
46.5%
Pet-focused programs
Pet-focused programs
39.2%
31.3%
Community service programs
Community service programs
36.8%
30.5%
Devotional activities on-site
Devotional activities on-site
60.8%
49.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
61.6%
49.4%
Outings / off-site activities
Outings / off-site activities
54.4%
52.6%
Piano or organ
Piano or organ
47.2%
41.4%
Arts and crafts center
Arts and crafts center
41.6%
35.3%
Educational speakers / life long learning
Educational speakers / life long learning
38.4%
38%
Clubs / games / karaoke
Clubs / games / karaoke
55.2%
46.9%
Live performances
Live performances
56.8%
47%
Dances
Dances
38.4%
30.3%
Fitness center
Fitness center
21.6%
24.6%
Fitness classes
Fitness classes
53.6%
46.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Wilson County

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to ensure seniors reside in a safe environment. Learning about Texas assisted living regulations will help you understand how assisted living communities in Wilson County protect seniors.

Learn about Texas Assisted Living regulations

Frequently Asked Questions

There are 140 assisted living facilities near Wilson County, Texas. See the full list.

The best assisted living facilities near you in Wilson County, Texas are The Waterford at Westover Hills, Arden Courts A ProMedica Memory Care Community in San Antonio and Brookdale Nacogdoches. These assisted living communities received the highest rankings based on verified family reviews.

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More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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