The 10 Best Home Care Agencies for Seniors in San Antonio, TX for 2025
Explore In Home Care listings in San Antonio, Texas including 98 authentic reviews covering 92 of San Antonio In Home Care facilities.
On average the cost of In Home Care in San Antonio depends on many factors and your loved one's required level of care. We’ve spent hundreds of hours compiling helpful information below these listings, ranging from San Antonio In Home Care costs statistics, to local laws & regulations in the area, to free & low-cost resources to help older adults in the community thrive, and more.
Home Care Services in San Antonio, Texas
92 Results
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92 Results
5.0
(5 reviews)
"My mother likes the person that Corridor Caregivers sends out to her. She’s always on time. She’s willing to do anything to help my mother. Even when her time is up, she always wants to make sure my mother is okay first before she leaves. The schedul..."
READ MORE5.0
(3 reviews)
"We have had Caring Solutions provide progressive dementia care for my mother for nearly two years. Agency staff and caregivers have high standards, are compassionate and keep lines of communication open. They will work effectively with in-home PT, OT..."
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5.0
(2 reviews)
"After my fall I wasn't able to get around my house as much and was waiting for my daughter to be able to take off work to help me fulltime. My nurse from this company helped me out ALOT.! Kept my home clean and meals served hot everyday. I had receiv..."
READ MORE4.7
(4 reviews)
"We have someone coming in from Carelinx, and we have been very happy with them. As my dad is doing much better, she is mostly taking care of mom. She does cook for both of them, but most of the personal care is for my mom. We have a very positive exp..."
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5.0
(1 reviews)
""To those who are given much ... much is expected." The care given to someone you love in need of these services meets the highest of expectations. I believe this company was founded on giving their best in the healthcare industry to the ones who ..."
READ MORE5.0
(1 reviews)
"Nurses Unlimited is a full service home health agency providing all levels of care to families in Texas since 1983. Our home health divi..."
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5.0
(1 reviews)
"We used J-N-J Home Care Service for 2 days. They provided home care when we needed it. They were helping to bathe my husband. Because at the time, he couldn't get out of bed. She'd get the bed clean and help me with his needs. Just taking care of him..."
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5.0
(1 reviews)
"I needed help caring for my mother who just had surgery. I called Dream Providers on a Sunday and the owner, Monica, called me back that day. She is professional and and kind. I explained my needs and was hoping I could have someone to help my mother..."
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5.0
(1 reviews)
"We are using FirstLight Home Care - San Antonio, TX. They are very responsive. That was the very first call I received and I'm satisfied with the CNA that provides the care for my wife. The billing is fine. They're open to my schedule and we're skipp..."
READ MORE4.6
(3 reviews)
"My mom was needing assistance because I couldn't continue caring for her. I called Home Helpers and we met with her. I like the way Abigail presented and we thought that this is who we really want. Part of the it was because I'm a retired military a..."
READ MORE4.3
(6 reviews)
"I was recently involved in an accident and had a sever injury to my right leg. While I was in recovery I was needing assistance getting around and doing my normal every day routine. To decrease the burned on my family I decided to hire AA Care Servic..."
READ MORE4.2
(5 reviews)
"AA Care is setup where they can accept insurance payments. That's one of the big factors as to why we picked them. We are pleased so we stayed with them for over a year now. The caregivers are doing a very thorough job. They work well to provide the..."
READ MORE4.3
(3 reviews)
"I cannot express enough how wonderful this company is. They were there when I needed them, with compassion and caring. The staff was just wonderful, my father felt very at home with them. They were there with me through his passing and made his final..."
READ MORE4.0
(2 reviews)
"I was very pleased with the service I received from caring senior services. The caregivers were wonderful they were compassionate while also remaining professional. I had no clue how to go about finding a provider for my father, I was so hesitant on ..."
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4.0
(1 reviews)
"My experience with this home has been very good. We had a family friend stay there. The family had just moved to a different state but kept their sick grandfather at this place until he was well enough to move in with them and they told us to check i..."
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4.0
(1 reviews)
"They always had someone available if the caretaker was out sick or had a Dr's. appointment. My parents were assisted during the daytime from July 2015 until Nov 2017 when their physical and mental conditions deteriorated to where we had to admi..."
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4.0
(1 reviews)
"Helping Hands Of San Antonio Home Care is very good about helping me, and I'm happy. The help me with personal care, food, water, cleaning my environment and things like that, and grocery shopping. They've been with me for a while. I had a problem in..."
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3.0
(1 reviews)
"My father recives in=home care. Inconsistent care, but good when it is on. My main complaints are: Caregiver does not trim my father's nails or makes him change his clothes and allows him to sleep most of the day with little to no stimulation. But wh..."
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1.0
(2 reviews)
"Maxim Healthcare Services has more than 20 years of providing solutions that improve health and quality of life for those in need of in-home..."
READ MOREWhat you can do with Caring
On this page:
- Home Care Services in San Antonio, Texas
- Paying for Home Care in San Antonio, TX
- Financial Assistance for Home Care in San Antonio, TX
- Free & Low-Cost Home Care Resources in San Antonio, TX
- Determining Your Loved One’s Need for In-Home Care
- Guidelines for Talking About In-Home Care
- Frequently Asked Questions
Paying for Home Care in San Antonio, TX
The Cost of Home Care in San Antonio, TX
In San Antonio, home care agencies charge around $4,767 per month for nonmedical care, according to the 2024 Genworth Cost of Care Survey. This cost runs about $950 below the nationwide median and about $427 above the Texas norm. However, local rates compare favorably to rates in many nearby cities. In Laredo, monthly costs trend about $475 higher than in San Antonio, and in Austin, seniors pay around $1,330 more.
San Antonio
$4,767
Texas
$4,290
United States
$5,720
Laredo
$5,243
Houston
$4,671
Waco
$4,576
Austin
$6,101
The Cost of Home Care vs. Other Senior Care Options in San Antonio, TX
San Antonio seniors typically pay around $4,767 per month for in-home care. This cost offers about $760 in monthly savings over home health care, which encompasses skilled nursing services. However, seniors save money by opting for adult day health care, which provides personal care in a nonresidential community environment for around $758 monthly.
Home Care
$4,767
Home Health Care
$5,529
Adult Day Health Care
$758
Assisted Living Facility
$5,125
Nursing Home Care (semi-private room)
$5,323
Financial Assistance for Home Care in San Antonio, TX
Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.
- Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
- Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
- Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
- Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living.Contact the Department of Veterans Affairs to learn more.
- Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.
Free & Low-Cost Home Care Resources in San Antonio, TX
Seniors in San Antonio can find numerous programs to help them save money, improve their homes and remain independent as they age in place. These programs are offered through government entities and nonprofit agencies and include everything from home-delivered meals to property tax exemptions.
Resource | Contact | Service |
---|---|---|
Bexar Area Agency on Aging | (866) 231-4922 | BAAA provides various services to seniors throughout San Antonio and Bexar County, including care coordination for those aged 60 or older, plus nutrition and transportation services. It also offers caregiver support for those caring for senior relatives. |
Alamo Area Council of Governments’ Weatherization Assistance | (210) 362-5282 | AACOG’s Weatherization Assistance program helps low-income seniors and other individuals struggling with high energy costs by installing energy conservation measures. Assistance may include installing additional insulation, weather-stripping and caulking. It may also encompass window glass repair and replacement of HVAC, space heaters, window air conditioners and gas water heaters that aren’t operating efficiently. |
Texas Comptroller | (210) 342-2300 | Homeowners aged 65 or older qualify for several property tax exemptions in San Antonio. Senior residents may apply for a $40,000 homestead exemption for school district taxes available to all homeowners, plus an additional $10,000 specifically for seniors and disabled individuals. They may also claim a $3,000 exemption for a county special tax on flood control and farm-to-market roads. |
Meals on Wheel San Antonio | (210) 735-5115 | Through a public/private partnership, MOW San Antonio provides home-delivered meals to homebound seniors. Volunteers deliver meals for breakfast, lunch and the weekend, including hot lunches and breakfast food items and/or specialty-made frozen meals. MOW also delivers pet food the third weekend of every month through its AniMeals add-on program. |
Blueprint Ministries | (210) 533-2761 | Blueprint Ministries repairs and renovates homes for seniors on low incomes, people with disabilities and veterans in San Antonio at no cost. Applicants must live within the service areas, live in the home being repaired and meet income eligibility. |
Determining Your Loved One’s Need for In-Home Care
Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.


Guidelines for Talking About In-Home Care
If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.


Frequently Asked Questions
Reviews of Care Providers Nearby
Home Care
Rosa Lee C
5.0
Review of Family Tree In-Home Care San Antonio
They do my laundry. She is responsible and cares. The workers are responsible and do what they have come to help me with.
Home Care
Anonymous_1740572549
5.0
Review of Family Tree In-Home Care San Antonio
They do what I want them to do. They provided the care I need.
Home Care
Lorraine R_6
5.0
Review of Family Tree In-Home Care San Antonio
I can leave the home, where otherwise I can't leave the home. The current lady that we have is so helpful and so kind.