(210) 632-1701Local, expert guidance for San Antonio families. Complimentary for you.
When a parent can't safely live alone anymore, you shouldn't have to figure it out by yourself. Book a complimentary Family Care Consultation with Beth Nixon: a 20-minute call about your loved one's needs, then a personalized shortlist of San Antonio communities, and tours together.

Meet Beth (30 sec)
Tell us a little about your loved one so Beth can prepare.
A short form and a 20-minute call with Beth.
San Antonio communities matched to needs, timeline and budget.
Visit and compare together, then choose with confidence.
Maintenance-free living, dining and social activities for active older adults.
Help with medication, bathing, dressing and mobility, while encouraging independence.
Secure communities with specially trained staff for Alzheimer's and other dementias.
Individualized attention in a smaller, home-like setting.
Around-the-clock medical care for complex or post-hospital needs.
Beth Pfeiffer Nixon is a native San Antonian with more than 25 years in the San Antonio senior living industry. Before founding Graceful Guidance in 2022, she served as Director of Sales and Marketing at Franklin Park Senior Living and as a Senior Placement Specialist at Bee At Home Senior Care. She holds a bachelor's degree in Business Administration from Baker University and is a Certified Assisted Living Manager (CALM) and Certified Dementia Practitioner (CDP).
Beth started Graceful Guidance because, in her words, "a lot of people need help on this journey." She is passionate about helping families find care options for older adults, and she provides her services at no cost to families.
Beth is also deeply involved in San Antonio's care community. She is President of the Alamo Chapter of the Case Management Society of America and of the National Placement & Referral Alliance, serves on the boards of the Bexar Senior Advisory Council and the San Antonio chapter of the Texas Organization of Residential Care Homes, and has volunteered with the Alzheimer's Association for more than 20 years. She has been honored as a Texas Assisted Living Association (TALA) Hero.

Yes. Families pay nothing for Beth's placement services.
Most families use some mix of private funds, long-term care insurance, or VA Aid & Attendance benefits. Beth can talk through what fits your situation.
Personal guidance to San Antonio's best independent and retirement living communities. Complimentary for you.
Dining options to explore with Beth.
Fitness and wellness amenities.
A social calendar and travel opportunities.
Choosing early means more options and less stress. Beth compares amenities, pricing and contracts so you can choose a resort-style lifestyle with confidence. No home maintenance, just more time for what you love.
Who it's for: Independent living communities are private-pay lifestyle communities for active adults. If you're looking for income-based housing, we're happy to share resources.
Plan My Community ToursA complimentary, 20-minute Family Care Consultation with Beth.