The 10 Best Home Care Agencies for Seniors in San Antonio, TX for 2025

"They gather information and work hard to find a match. We are happy and our Father is delighted. The response time for calls is fast I recommend them for your elder relatives. The staff are uniformed, polite and happy. It is very difficult to g..."

Since 1984, the founders of Preferred Care at Home have had the privilege of assisting clients improve their quality of life while still recognizing and maintaining their dignity and independence. Preferred Care at Home has continued this tradition by only referring the most reliable, compassionate, experienced and affordable caregivers to client’s homes or care facilities. We understand that long-term care can be costly, which is why we have focused on building a reputation of offering access to quality services at affordable prices. Ask about the wide range of non-medical services available from 1 to 24 hours per day, and about qualified live-in caregivers who can provide 24-hour peace of mind for you or your loved one. Preferred Care provides home care services in San Antonio and surrounding areas. Call us today!

Our mission is to provide superior quality home health care services that patients recommend to their friends and family; physicians prefer for their patients; employees are proud to be a part of and community partners think of first.

"We're using Seniors Helping Seniors of the Hill Country. I think it's been a month and a half now. They help my mom with bathing, dressing, and light cleaning. So far, the caregivers are great. They're fabulous. They're caring and they do all kinds o..."

Right at Home provides personalized in-home care and support for seniors and adults with disabilities. Our caregivers are trained to help with everyday tasks that have become challenging. This may include meal preparation, laundry, light housekeeping, personal hygiene, medication reminders, mobility assistance, transportation and other tasks. We offer services for those with special care situations such as Alzheimer's disease, Parkinson’s disease and other dementias; diabetes; stroke recovery; and hospice care. Whether you are looking for a few hours a week or immediate, 24-hour care, we are here to help. Call us today to learn more about the services we can provide you or a loved one.Custom Care PlanWe know everyone’s needs are different, so we create custom, client-centered care plans based on our unique five-step approach to care. We take time to get to know you by discussing your health history, physical and cognitive abilities, daily routines, and personal lifestyle and preferences. This conversation is important to us because we want to help you determine the level and types of care you need and match you with the best caregiver to help you continue to live successfully at home, or wherever you call home.Caregiver Training and Care Supervision When you choose Right at Home, you can rest assured that our caregivers will deliver the care you or your loved one needs. Every caregiver goes through an extensive interview process, including background checks. We provide initial caregiver training through our Right at Home University before they can provide care, and we provide ongoing training to support best care practices. All of our caregivers are employed by Right at Home and are bonded and insured.

With over 20 yrs of experience providing direct care to individuals with chronic illnesses and disabilities, we believe that home is where the best care is provided. We are committed to providing the highest quality of in-home care services in the DFW, Houston, San Antonio and Austin areas. Our daily goals are to enhance safety, prevent falls and high hospital bills, prevent bed sores, decrease depression, and help individuals with mental/physical disabilities maintain their independence while in the comfort of their own homes. All of our caregivers are Certified Nursing Assistants and we have an abundance in every region ready to enhance the lives of those in need. We have an authentic 5 star review rating on google for our quality of care and we can assign caregivers the same day and can provide care anywhere between 4 hours up to 24 hours per day.

Founded more than 25 years ago in Omaha, Nebraska, Home Instead provides individualized, compassionate care to aging adults with the goal of helping them live independently for as long as possible. The company has more than 1,200 locations worldwide and employs more than 100,000 Care Professionals. Its team is trained to provide attentive, professional care, including companionship, personal care, medication reminders, transportation, meal prep, and housekeeping assistance. Home Instead Care Pros who specialize in dementia care for seniors living with conditions such as Alzheimer’s or Parkinson’s disease. When a client’s condition begins to decline, Home Instead Care Pros can offer compassionate end-of-life support. Families working with Home Instead are consistently happy with this agency’s service. Many agree that the Care Pros provide pleasant, responsive care and go the extra mile to ensure that Clients feel safe, secure, and independent. What You Need to Know About Home Instead Founded in 1994 in Omaha, Nebraska More than 1,000 locations in over 10 countries around the world Offers in-home personal care, nursing care, dementia care and companionship for seniors Home Instead is known for its kind, well-trained Care Pros and individualized care plans Provides a la carte services including meal preparation and transportation who seniors who don’t require comprehensive in-home support Uses technology to keep clients connected with Care Pros and loved ones and to promote in-home safety What Home Care Services Does Home Instead Provide? Personal Care Services With a dedication to preserving the dignity and independence of clients, Home Instead’s Care Pros provide personal care services that include: Help with mobility, including standing, grooming, walking, and getting in and out of bed Medication reminders Assistance with activities of daily living (ADLs), including bathing, dressing, and toileting Grocery shopping and assistance with other errands Light to moderate housekeeping assistance, including laundry Transportation to and from appointments or visits with loved ones Regular companionship Personalized care plans are provided for every client. These plans include detailed information about the client’s condition and needs, as well as an outline of the services that are to be provided to the client. In some cases, personal care services may be combined with other services, including dementia or nursing care, depending on the clients’ health. Alzheimer’s and Dementia Care Home Instead employs experienced, trained Care Pros who are able to provide person- focused dementia care for seniors who are living with Alzheimer’s disease, Parkinson’s disease, or other forms of dementia. These Care Pros offer personal care services, along with the following: Assistance in establishing a stable daily routine Meal preparation Positive reinforcement Assistance with social skills Transportation to and from appointments, errands, and visits with loved ones Care Pros in this role take time to understand clients’ life histories and to focus on the person they were before dementia. Just as with the company’s personal care services, each dementia care client undergoes a comprehensive assessment and is assigned a care plan. This plan is reviewed regularly and adjusted to meet changing needs. Hospice Support When a senior is nearing the end of their life, hospice support can be there to ensure the comfort of them and their family members. Hospice support Care Pros can help with hygiene, medication administration, and basic housekeeping for seniors, as well as provide nutritious meals and supportive care for family members, enabling loved ones to spend as much time with seniors as possible as they approach their final days or hours. Meal Prep & Home Helper Home Instead offers basic housekeeping and meal preparation services for seniors who require a little extra help around the house. The company’s Meal Prep & Home Helper service can include assistance with tasks such as laundry, dusting, and vacuuming, as well as the preparation of nutritious meals that meet any dietary requirements set forth by clients’ healthcare providers. Transportation Home Instead provides safe transportation to and from clients’ destinations. Aging adults may use this service when they need help running errands such as grocery shopping or picking up a prescription, or when they’d simply like to spend the day shopping or visiting with friends. Transportation services from Home Instead can be arranged at predetermined drop-off and pick-up times, or Care Pros can accompany aging adults on errands and provide assistance and care throughout. Companionship Many aging adults face isolation and loneliness. This is especially true for those who’ve lost a spouse or who don’t have family close by. Home Instead Care Pros strive to build meaningful connections with clients. Companions visit seniors regularly on a schedule that works best for the client. These visits offer seniors a time to enjoy meaningful conversation while engaging in a game of cards, a puzzle, time outdoors, or other activities. What People Are Saying About Home Instead Clients and family members often speak highly of this agency’s dementia Care Pros and the attentive, compassionate care they provide to seniors. One family member provided a five- star review of the company, saying, “They have all been kind, caring, and attentive to my mom’s ever-changing needs that go along with her dementia. They have been with us and for us every step of the way. I would recommend them to anyone.” Other clients point to the meaningful relationships they’ve formed with Care Pros. One client said, “The lady who comes and helps me is wonderful. We get along really well and she is really nice. we also have a lot of fun together,” while another client’s family member provided a raving review of Home Instead, saying, “It was wonderful dealing with the staff. Charlene was extremely helpful and very accommodating to our needs and schedule. She worked very long and hard to make sure that everything was in order and everything would run very smoothly. She is still in contact with us and helping us in any way she can.” How Much Does Home Instead Charge for Home Care? Home care costs vary based on several factors, including the type of services required, how often one needs assistance, and the timing of the services (i.e., overnight vs. daytime care). Where you live also has a significant impact on the cost of home care, as national chains scale their local prices to the cost of living in a given area. When planning for home care costs, keep in mind that the national average cost is about $26 per hour, though prices in your location may be higher or lower. You can contact a Family Advisor to learn more about home care costs and payment options in your area. Who Should Consider Home Instead? Home Instead’s Care Pros are dedicated to preserving the dignity and independence of aging adults who need help managing daily tasks. This company is an excellent care option for those in need of services such as: Personal care: Seniors who need help with ADLs, including medication management, grooming, and mobility, can benefit from the help of Home Instead’s Care Pros. Dementia care: Home Instead Care Pros can provide specialized care for seniors who are living with Alzheimer’s disease or other forms of dementia. Care Pros have been specially trained to provide personal care and enhanced services that increase the quality of life for these seniors. Companionship: Care Pros are dedicated to helping seniors fend off loneliness by building meaningful, fun relationships through their companionship services. Hospice care: When seniors are nearing the end of their life, Home Instead’s Care Pros can provide support to ensure the comfort of seniors and their family members. How to Get Started with Home Instead Contact a Family Advisor for more information about Home Instead’s offerings in your area and to connect with a local home care provider. Our knowledgeable Family Advisors can provide one-on-one guidance to help you find the best home care service for your needs and budget, all at no cost to you. No matter where you are in the process of choosing a home care provider, a Family Advisor can help.

Our in-home care services brighten the lives of seniors, who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier through compassionate support, beautifully vibrant moments, and shared experiences. As your personal caregivers, we relate to the opportunities and challenges of aging. Your days should be filled with ease and joy! That’s why our entire San Antonio Central team is committed to empowering seniors, helping them continue to live independent lives from the comfort of home. As your specific needs change, you can count on Seniors Helping Seniors® San Antonio Central to support you in ways you find most helpful. We’re honored to have forged many friendships in this community through our day-to-day assistance and companionship. We can’t wait to connect with you!

We support individuals and families through life’s most personal and tender moments—with discretion, grace, and unwavering compassion. Our team specializes in dementia and Alzheimer’s care, creating calm, preserving identity, and honoring the person behind the memory loss through structured, intuitive support. We also provide personalized care for veterans, seniors aging in place, adults living with chronic illness or disability, and those recovering from surgery. Whether the need is short-term or ongoing, every care experience is rooted in trust, connection, and respect for the individual.

"I had the pleasure of having Keyla, my LVN, come to my home and take care of me during my knee recovery. She was very thorough, caring, and informative with my treatment and providing answers to my questions. Keyla took all my vitals, checked my inci..."

"The caring staff took 24-hour care of my mother for two months, until she died. I was pleased with their transparency in documenting their time as well as services rendered. The staff made a difficult time bearable...."

"Synergy HomeCare is very good. They provide assistance to my mother in bathing, going to the restroom, fixing her pillows, helping her go to sleep, and those sorts of things. We have multiple caregivers, and they vary in skill level. Some are very go..."

"warm, professional, caring in-home companion and service to our mom, who wishes to remain in her home. All at our local San Antonio Synergy have been warm, caring, and professional, and have provided much needed help to me and my siblings. Especial..."