Serving San Antonio and Surrounding Areas
Personalized Guidance for Finding the Right Assisted Living
Helping families find assisted living options that fit their loved one's needs, preferences, lifestyle, and budget.
From identifying appropriate options to coordinating facility tours, I'm here to guide you through the process.
20+ years of healthcare experience • Free for families
Our Placement Services
Personalized guidance to help your family navigate senior living options with greater clarity and confidence.
Personalized Needs Assessment
I take time to understand your loved one’s care needs, preferences, lifestyle, location, budget, and current living situation.
Residential Assisted Living Matching
I identify residential assisted living facilities that align with your loved one’s needs and your family’s priorities.
Tour Coordination
I coordinate facility introductions and tours so you can explore your options firsthand and ask the questions that matter most.
Family Support
From your initial search through your decision, I provide personalized guidance and support along the way.
Looking for a Smaller, More Personal Setting?
Scenic Hills Senior Placement specializes in helping families explore smaller residential assisted living facilities and personal care homes throughout the San Antonio area.
These settings can offer a more intimate, home-like environment with fewer residents and a more personal atmosphere.
I personally visit the facilities I work with and build relationships with their owners and staff, allowing me to better understand each setting and help families explore options that may fit their loved one’s needs and preferences.
About Me
I’m Julie Cosa, founder of Scenic Hills Senior Placement. As a registered nurse and advanced practice registered nurse with more than two decades of healthcare experience, I’ve spent much of my career helping people navigate important and challenging moments.
My connection to caring for older adults began long before my own career in healthcare. My mother was a nurse whose career centered around caring for older adults. Growing up, I saw firsthand the compassion, patience, and dignity she brought to her work—and the lasting impact that care had on families.
Years later, I experienced the other side of caregiving when my mother was diagnosed with cancer. I had the privilege of caring for her in my own home and being by her side through the final chapter of her life. That experience gave me a deeply personal understanding of how difficult it can be when a loved one can no longer safely remain at home.
I founded Scenic Hills Senior Placement because I believe families deserve thoughtful, personalized guidance during that transition.
My role is not to make the decision for your family. It is to listen, understand your loved one’s needs and your family’s priorities, help identify appropriate residential options, and guide you through the process so you don’t have to navigate it alone.
Julie Cosa, MSN, APRN, RN
Founder, Scenic Hills Senior Placement
Julie and her mother at her nursing graduation, 2006
Why Work With Me
Families choose me because I personally tour every home I recommend and build real relationships with the owners and staff — so the guidance I give you is grounded in firsthand knowledge, not just a directory listing.
Healthcare-Informed Perspective
Personalized Attention
As a registered nurse and advanced practice registered nurse with more than 20 years in healthcare, I understand the practical and emotional questions that arise when older adults move to residential care. My background helps me guide families through the placement process with clarity.
Every family and every situation is unique. I take time to listen and understand what matters most — preferences, lifestyle, location, budget, and individual needs — so the options I present feel relevant rather than generic.
More Than a List
Compassionate Support
Instead of handing you a long list of facilities, I help you understand the real differences, narrow the choices, arrange tours, and walk alongside you with clear, practical guidance. The final decision always stays with you.
Choosing a new living environment for someone you love brings questions and emotions. I’m here to make the process feel more manageable, offering steady support and clear next steps from the first conversation through your decision.
Frequently Asked Questions
What is a senior placement service?
Does your service cost anything to families?
Scenic Hills Senior Placement helps individuals and families navigate the process of finding the right senior living facility. We take the time to understand your loved one’s needs, preferences, lifestyle, location, and budget, then help identify facilities that may be a good fit.
No. Our placement services are completely free to families. Scenic Hills Senior Placement is compensated by participating senior living facilities when a referral results in a placement. There is never a fee charged to the family for our placement services.
How does the placement process work?
How do you decide which facilities to recommend?
We begin with a conversation to learn about your loved one and what you are looking for. From there, we identify appropriate facilities, help you compare your options, and can assist with arranging tours. Once you choose a facility, we remain available to help make the transition as smooth as possible.
Recommendations are based on your loved one’s individual circumstances and preferences, including care needs, location, budget, lifestyle, facility environment, and availability. Our goal is to help you find an option that is a good fit—not simply provide you with a list of facilities.
Do you work with every residential assisted living facility in the area?
Do I have to choose a facility that you recommend?
No. Scenic Hills Senior Placement works with a network of participating residential assisted living facilities and personal care homes, and our network may not include every facility in your area that could meet your needs or preferences. We are transparent about the facilities with which we have participating relationships so you can make informed decisions.
Absolutely not. You are always free to choose the facility you feel is the best fit for your loved one, whether or not it is a facility we recommend or work with.
Can I stop using your service at any time?
Can you help if my loved one is being discharged from a hospital or rehabilitation facility?
Yes. You may stop using Scenic Hills Senior Placement at any time without cause or penalty.
Yes. We can help families navigate their senior living options when a loved one is preparing to leave a hospital or rehabilitation setting. We can help identify facilities to explore based on the individual’s needs, preferences, and circumstances.
What if I don't know what type of senior living or level of care my loved one needs?
That is completely understandable. Many families are unsure where to begin. We can help you understand the differences between common senior living options and identify facilities for you to explore. We do not provide medical assessments, diagnoses, or clinical treatment, and any determination of clinical eligibility or level of care should be made by the appropriate healthcare professionals and residential assisted living facilities.
Can you help arrange facility tours?
Yes. Once we identify facilities that may be a good fit, we can help coordinate tours so you can visit, ask questions, and experience each facility for yourself before making a decision.
What makes Scenic Hills Senior Placement different?
What happens if my loved one's needs change after moving into a facility?
Choosing the right residential setting is about more than finding an available room. I provide personalized guidance, bring a healthcare-informed perspective from more than two decades in nursing, and personally tour the facilities I work with so I can offer families firsthand insight into their options.
Your loved one’s needs may change over time, and we understand that senior living is not always a one-time decision. We are happy to remain a resource to families as they navigate questions or changes along the way. Any decisions regarding changes in care or clinical needs should be made with the resident, family, healthcare providers, and residential assisted living facility.
A Note About Our Services
Scenic Hills Senior Placement does not provide medical care, diagnosis, or clinical treatment. Our role is to provide personalized placement guidance and help individuals and families navigate the transition to residential senior living.
Our services are provided at no cost to families. We are compensated by participating senior living facilities when a referral results in a placement. Families are not obligated to choose a participating facility and may discontinue our services at any time without cause or penalty.
Let's Find the Right Fit
Whether you’re just beginning to explore your options or ready to take the next step, I’m here to help make the process easier. Tell me a little about what you’re looking for, and we’ll start there.