Quiet crewsHealthcare roofing · San Antonio, TX

Medical office and senior living roofing, quiet enough for patients.

Repairs and replacements for medical office buildings, clinics, surgery centers, assisted living and memory care, planned around patients, residents and care schedules.

  • 24/7Leak line,
    live person
  • LowOdor, heat-welded
    systems
  • 4 hrOn site for
    active leaks

The short answer

Who roofs medical offices and senior living buildings in San Antonio?

CRSA is a San Antonio commercial roofing contractor for medical office buildings, clinics, surgery centers, assisted living, memory care and skilled nursing facilities. We repair, coat and replace TPO, PVC, metal and shingle roofs across Bexar and surrounding counties with low-odor systems, quiet schedules around patients and residents, and a live 24/7 leak line.

Reviewed by our project team, healthcare projects

Facilities we roof (building types)

  • Medical office buildings
  • Outpatient clinics
  • Surgery centers
  • Assisted living
  • Memory care
  • Skilled nursing
  • Imaging centers

Why care facility managers call us

Patients and residents are under the roof the whole time. These habits keep the work invisible to them.

  • 24/7live leak line
  • Freeroof assessments
  • 5 yrworkmanship warranty
  • Air intakes protected

    Intakes mapped on day one; adhesive work scheduled when units can be shut down or filtered.

  • Quiet hours kept

    No loud work during rest periods, early mornings or evenings near resident rooms.

  • Infection control aware

    Dust control and barriers where tear-off is above care spaces, planned with your team.

  • Residents and families informed

    Notices for staff, residents and families, and a single contact for the administrator.

  • Fast leak response

    A live person 24/7 and a crew on site within 4 hours for leaks over care areas.

  • Survey-ready paperwork

    Logs, permits and photo reports for state surveys and environment-of-care files.

Roof systems for care facilities

Pick a system to see how it fits a building where people rest and recover.

  1. TPO membrane, heat-welded seams
  2. Cover board
  3. Polyiso insulation, about R-25
  4. Vapor retarder
  5. Steel or concrete deck

Our usual pick for medical office roofs

TPO membrane

TPO roofing details

Service life
20–30 yrs
Installed cost
$9.50–$14 / sq ft
  • Service life
  • Upfront value
  • Quiet, low-odor install
  • Low maintenance

Why it fits: Welded with hot air, no flame and very little odor, with a white surface that cuts cooling loads.

Watch out: Keep it away from grease exhaust; use PVC near kitchens.

  1. PVC membrane, heat-welded seams
  2. High-density cover board
  3. Tapered polyiso insulation
  4. Vapor retarder
  5. Deck

Near kitchens and lab exhaust

PVC membrane

PVC roofing details

Service life
25–30 yrs
Installed cost
$10.50–$16 / sq ft
  • Service life
  • Upfront value
  • Quiet, low-odor install
  • Low maintenance

Why it fits: Resists grease from senior living kitchens and residue from lab exhaust.

Watch out: Higher cost; usually used in zones.

  1. Architectural or Class 4 shingles
  2. Ice-and-water at valleys and walls
  3. Synthetic underlayment
  4. Plywood or OSB deck

For residential-style senior living

Class 4 shingles

Commercial shingle roofing details

Service life
20–30 yrs
Installed cost
$5–$9 / sq ft
  • Service life
  • Upfront value
  • Quiet, low-odor install
  • Low maintenance

Why it fits: Keeps the home-like look of assisted living buildings, with Class 4 options for hail.

Watch out: Shorter life; plan replacement cycles in the capital plan.

  1. Standing-seam metal panels
  2. Clips and high-temp underlayment
  3. Insulation and thermal spacers
  4. Structural deck or purlins

For canopies and visible roofs

Standing-seam metal

Standing-seam metal roofing details

Service life
40–60 yrs
Installed cost
$12–$20 / sq ft
  • Service life
  • Upfront value
  • Quiet, low-odor install
  • Low maintenance

Why it fits: Long life and little maintenance on porte-cocheres and sloped wings.

Watch out: Needs slope; higher upfront cost.

  1. Silicone top coat
  2. Base coat, reinforced seams
  3. Cleaned, primed existing roof
  4. Existing insulation (dry)
  5. Existing deck

Quietest way to extend a flat roof

Silicone restoration

Silicone roof coating details

Service life
10–15 yrs added
Installed cost
$3–$7.50 / sq ft
  • Service life
  • Upfront value
  • Quiet, low-odor install
  • Low maintenance

Why it fits: No tear-off over care spaces, almost no noise, low-odor silicone.

Watch out: Only on dry roofs; confirmed with a moisture scan.

How we work around patients and residents

Every care facility project follows the same six steps, written with your administrator and maintenance director.

  1. 1

    Map roof to rooms

    We mark exam rooms, procedure rooms, resident rooms and every air intake under the roof.

  2. 2

    Agree the rules

    Quiet hours, dust controls and intake shutdowns agreed with your team.

  3. 3

    Notify staff and families

    Notices to staff, residents and families with dates and contacts.

  4. 4

    Protect intakes and ceilings

    Intakes filtered or shut during adhesive work; ceilings protected below any tear-off.

  5. 5

    Work quiet, close daily

    Loud work in agreed windows only, every zone closed by evening.

  6. 6

    Close out for survey files

    Warranty, roof map, photos and a maintenance plan.

A typical day on a care facility roof

Planned aroundyour residents

  • 6 am – 8 amDeliveries and lifts before clinic hours
  • 8 am – 12 pmTear-off and installation away from occupied wings
  • 12 pm – 3 pmQuiet welding during rest periods
  • 3 pm – 6 amRoof closed; leak calls only

Who we coordinate with at your facility

Six roles feel a roof project in a care building. Each gets a named contact.

  • Role 01

    Administrator or executive director

    Scope, schedule and resident notices.

    Named contact on our side
  • Role 02

    Maintenance director

    Intakes, utilities and roof access.

    Named contact on our side
  • Role 03

    Director of nursing

    Quiet hours and care-area protection.

    Named contact on our side
  • Role 04

    Infection prevention

    Dust control and barriers where needed.

    Named contact on our side
  • Role 05

    Residents and families

    Notices and a direct contact.

    Named contact on our side
  • Role 06

    Owner or operator

    Budget and capital plan.

    Named contact on our side

Medical office and senior living roofing costs

Sample 2026 ranges for the San Antonio area. Care facilities add quiet-hour scheduling and protection, shown separately.

  • Leak repair$450 – $3,500per visit, most facility calls
  • Restoration coating$3 – $7.50per sq ft, adds 10–15 years
  • TPO or PVC replacement$9.50 – $16per sq ft, tear-off and R-25
  • Shingle re-roof$5 – $9per sq ft, senior living wings

Care facility line items we show separately

  • Quiet-hour scheduling+5–12%
  • Interior and dust protection+2–5%
  • Intake filtering or shutdown supportQuoted per unit
  • Crane and permits$3k – $12k

Quick budget check

Facility conditions
Budget range Sample 2026 ranges, not a quote.
Get a fixed written price
  • 01

    Plan by wing

    Re-roof one wing per budget year, worst leaks first.

  • 02

    Choose low-odor systems

    Heat-welded membranes avoid most odor complaints.

  • 03

    Keep survey files ready

    Maintenance reports double as environment-of-care documentation.

Numbers that shape a care facility roof

  • 4 hrtypical on-site time for a leak over care areas
  • 25R-value of continuous insulation on most re-roofs
  • 50°Fcooler surface on a white roof in July
  • 2roof layers allowed before a tear-off

Find the air intakes before you open a single can of adhesive. That one step prevents most odor complaints.

Crew rule of thumb · care facilities

Medical districts and communities we cover

Drive times are from downtown San Antonio. The South Texas Medical Center and north-side clinics are on our routes most days.

LOOP 1604LOOP 410I-10I-35281I-3790DowntownMedical CenterStone OakNorth CentralAlamo RanchWestover HillsHelotesBoerneLive Oak & ConverseSchertz & CiboloNew BraunfelsBrooks & SouthsideSeguin

Pick an areaDrive times from downtown San Antonio.

Medical office and senior living roofing questions

Administrators and maintenance directors ask us these first. For hospitals, see our hospital roofing page. Something else? Call a project manager.

01Can you replace a roof over a clinic or senior living building while it stays open?

Yes. Work is phased by wing or zone, loud work stays in agreed windows and every zone closes daily.

02How do you keep roofing odors out of the building?

We map air intakes, use heat-welded or low-odor systems and schedule adhesive work when units can be shut down or filtered.

03Do you follow infection control rules?

Yes. Where tear-off is above care spaces, we use the dust controls and barriers your team requires.

04How much does a medical office roof cost?

In 2026, TPO or PVC replacement runs about $9.50 to $16 per square foot and coatings $3 to $7.50, plus quiet-hour and protection costs.

05Do you roof assisted living and memory care?

Yes, including shingle, metal and flat roofs, with schedules around resident routines.

06Do you work on surgery centers?

Yes, with work scheduled around case schedules and sterile areas protected.

07Do you also roof hospitals?

Yes. Our hospital roofing page covers acute-care campuses, helipads and patient towers.

08Do you offer maintenance programs?

Yes, with reports formatted for survey and environment-of-care files.

Plan your facility’s roof work

Tell us about the building and who is under the roof. A project manager calls back within 2 business hours, or right away for an active leak.

  • Roof walk, moisture scan and report at no charge
  • Repair, coat and replace options with fixed prices
  • A quiet-hours and intake plan
Water coming in now?(210) 384-6843
01 Your facility

What kind of building?

02 The roof

What do you need?

Anything we should plan around? optional

03 How we reach you

Used only to answer your request. Privacy.

Request received.

A project manager will call you within 2 business hours. Need us sooner? (210) 384-6843