Named one of the best places to retire, the vibrant city of San Antonio offers seniors a high quality of life at an affordable price. Not only does it have a lot of history and culture, but it also consistently ranks as one of the friendliest places in the entire country. San Antonio has all the perks of a big city with a charming small-town feel.

Local attractions include the city’s famous River Walk, which provides plenty of dining, shopping and entertainment options, and the Majestic and Empire Theaters, the home of Broadway in San Antonio. The city enjoys year-round warm weather with temperatures ranging from the low 40s in the wintertime to the high 90s during the summer.

San Antonio has a population of more than 1.5 million, with 11.8% of its residents being over the age of 65. There are a number of home care resources, and the average cost of both in-home care and home health aid is $4,185 per month, according to the Genworth Cost of Care Survey 2019. These figures are slightly below the national averages, which are $4,290 and $4,385, respectively.

At Caring.com, we’ve compiled a comprehensive directory of every home care provider in the San Antonio area – complete with types of care provided, services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled a list of resources to help seniors and their families access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in San Antonio, TX

2019, 2020, 2021

Right at Home San Antonio

8700 Crownhill Boulevard, Ste 304, San Antonio, TX, 78209

The caregivers take care of all her needs. They feed her. The caregivers help clean up the place. They also help bathe her. Right at Home is very personable.
The caregivers take care of all her needs. They feed her. The caregivers help clean up the place. They also help bathe her. Right at Home is very personable.

2018, 2019, 2020, 2021

Home Instead – New Braunfels, TX

910 Gruene Rd, Building 5A, New Braunfels, TX, 78130

We’ve been very pleased with the service. We’re using Home Instead for more like companionship. We’re not using any of the other, like housekeeping, cooking, because we don’t need it. This is so that … (read more)
We’ve been very pleased with the service. We’re using Home Instead for more like companionship. We’re not using any of the other, like housekeeping, cooking, because we don’t need it. This is so that … (read more)

2021

Hearts at Home Senior Care – San Antonio

11230 West Ave, Suite 2104, San Antonio, TX, 78213

If it wasn’t for Carmen being here he would get lonely. She is a big help. Carmen is reliable and she is very pleasant.
If it wasn’t for Carmen being here he would get lonely. She is a big help. Carmen is reliable and she is very pleasant.

HomeCare.com

7925 Jones Branch Dr., Suite LL 140, Mclean, VA, 22102


2018

Synergy HomeCare of Greater San Antonio

10715 Gulfdale St, Suite 255 , San Antonio, TX, 78216

It keeps me busier because when they aren’t here, I have to cover. They guaranteed me converge, but I haven’t had it the whole time.
It keeps me busier because when they aren’t here, I have to cover. They guaranteed me converge, but I haven’t had it the whole time.

Home Instead – San Antonio, TX

4466 Lockhill Selma Rd, Suite 101, San Antonio, TX, 78249

Right now we have Home Instead for my mother-in-law. They offer help with meals, they provide companionship, and they help with walking exercise. The caregivers are very good. Anything that we ask the … (read more)
Right now we have Home Instead for my mother-in-law. They offer help with meals, they provide companionship, and they help with walking exercise. The caregivers are very good. Anything that we ask the … (read more)

Always Best Care San Antonio

14855 Blanco Rd, San Antonio, TX, 78212

Always Best Care San Antonio is very good. The staff is very good. They provide light housekeeping. They come on time, and they’re very efficient. They help me with laundry and anything I want.
Always Best Care San Antonio is very good. The staff is very good. They provide light housekeeping. They come on time, and they’re very efficient. They help me with laundry and anything I want.

ADMT Solutions Home Health Care

8645 Fredericksburg Rd, San Antonio, TX, 78240

ADMT Solutions Home Health Care is an in-home care provider serving San Antonio, Kerrville, New Braunfels, and many surrounding areas. ADMT Home Health offers non-medical services in the home, such as … (read more)
ADMT Solutions Home Health Care is an in-home care provider serving San Antonio, Kerrville, New Braunfels, and many surrounding areas. ADMT Home Health offers non-medical services in the home, such as … (read more)

My Nurse Family Home Care

2501 Avenue J, Suite 115, Arlington, TX, 76013

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 … (read more)
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 … (read more)

Senior Buddies

24137 Boerne Stage Rd, San Antonio, TX, 78255

Senior Buddies is doing a good job overall. The things I’ve noticed about them is that they’re very organized, and probably the most organized among the agencies I have worked with so far. I like the … (read more)
Senior Buddies is doing a good job overall. The things I’ve noticed about them is that they’re very organized, and probably the most organized among the agencies I have worked with so far. I like the … (read more)

Cardinal Senior Care

3355 Cherry Ridge, Ste 104, San Antonio, TX, 78230

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 uniform … (read more)
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 uniform … (read more)

Senior Helpers Texas Hill Country

2075 FM 2673 Suite E, Canyon Lake, TX, 78133

Our Story <p></p> At Senior Helpers Texas Hill Country, we believe that getting the best care for your loved ones should not be complicated. In 2019, Scott and Megan Archer opened Senior Helpers T … (read more)
Our Story <p></p> At Senior Helpers Texas Hill Country, we believe that getting the best care for your loved ones should not be complicated. In 2019, Scott and Megan Archer opened Senior Helpers T … (read more)

Homewatch CareGivers of Stone Oak

19210 Huebner Rd. Suite 101, San Antonio, TX, 78258

Homewatch CareGivers of Stone Oak provides safe, reliable, and personal care for families to keep loved ones in their homes where they can live in comfort with dignity and respect. Guided by Mike’s vi … (read more)
Homewatch CareGivers of Stone Oak provides safe, reliable, and personal care for families to keep loved ones in their homes where they can live in comfort with dignity and respect. Guided by Mike’s vi … (read more)

Cornerstone Caregiving

13750 San Pedro Ave Ste 215 , San Antonio, TX, 78232

We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in The River City or in surrounding areas like Downtown, Midtown, or Alamo Heights … (read more)
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in The River City or in surrounding areas like Downtown, Midtown, or Alamo Heights … (read more)

BrightStar Care Metro San Antonio

7710 West Interstate 10 San Antonio, San Antonio, TX, 78230

Kitcha, Was an amazing person to help me with what I needed for the Covid test! I would recommend her and go back any time B
Kitcha, Was an amazing person to help me with what I needed for the Covid test! I would recommend her and go back any time B

2019

SYNERGY HomeCare of South Austin

11111 South I-H 35 Frontage Road, Suite 103, Austin, TX, 78747

I wish I could have them every day, but I can’t afford it because of the condition we’re in. It’d be nice if they could do just a little more for us. Right now they can make sure that the patients a … (read more)
I wish I could have them every day, but I can’t afford it because of the condition we’re in. It’d be nice if they could do just a little more for us. Right now they can make sure that the patients a … (read more)

2021

Family Tree In-Home Care San Antonio

901 NE Interstate 410 Loop, Suite 300, San Antonio, TX, 78209

The client was wandering since her dementia was getting bad, they watched over her and helped with hygiene. They handled everything well, I didn’t have to do anything. It was so hands off for me.
The client was wandering since her dementia was getting bad, they watched over her and helped with hygiene. They handled everything well, I didn’t have to do anything. It was so hands off for me.

Visiting Angels – San Antonio

358 West Sunset Road , San Antonio, TX, 78209

What can I say to you, to make you believe that you just HAVE TO CALL THIS COMPANY. Visiting Angels (the one off Broadway in Alamo Hts. is an absolute God Send. My mom was in a facility, she was co … (read more)
What can I say to you, to make you believe that you just HAVE TO CALL THIS COMPANY. Visiting Angels (the one off Broadway in Alamo Hts. is an absolute God Send. My mom was in a facility, she was co … (read more)

Visiting Angels of NE San Antonio

12602 Toepperwein Rd , Live Oak, TX, 78233

It’s still new, so we are kind of holding out on that. Their providers are very timely. They show up and they leave as the schedule indicates.
It’s still new, so we are kind of holding out on that. Their providers are very timely. They show up and they leave as the schedule indicates.

Comfort Connection

2019 Clovis Barker, San Marcos, TX, 78666

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 … (read more)
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 … (read more)

San Antonio Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in San Antonio:

Rebuilding Together San Antonio

Address: P.O. Box 691881 San Antonio, TX 78269
Phone Number: (210) 421-1111

Rebuilding Together San Antonio is a non-profit organization that provides seniors with free home rehabilitation services funded by local businesses. Volunteers donate their time and talents to carrying out critical general repairs, accessibility modifications and energy-efficient upgrades. All of these allow homeowners, who may otherwise struggle to maintain their property, to continue living in a warm, safe, secure environment. Special consideration is given to military veterans and their families. 

Meals on Wheels San Antonio

Address: 4306 NW Loop 410 San Antonio, TX 78229
Phone Number: (210) 735-5115

Meals on Wheels San Antonio is an independent, not-for-profit, donation-sustained service. Volunteers deliver hot, nutritious meals to housebound individuals and those who have difficulties preparing their own food. The company also runs several other programs designed to enhance the wellbeing of seniors. These include Friendly Visitors for making connections, Comfy Casas to ensure healthy living conditions and Grace Place designed specifically to provide support for those living with Alzheimer’s and their families. 

Bexar Area Agency on Aging 

Address: 8700 Tesoro Drive Ste 160 San Antonio, TX 78217
Phone Number: (210) 477-3275

Bexar Area Agency on Aging is run by the Alamo Area Council of Governments. It offers a range of services for supporting the elderly, allowing them to age in place with dignity, security, and enhanced quality of life. BAAA offers information about public benefits and entitlements for residents and coordinates local resources to ensure they receive any additional help as needed. 

Jefferson Outreach

Address: 2201 St. Cloud San Antonio, TX 78228
Phone Number: (210) 734-5016

Jefferson Outreach is a local non-profit organization helping those over 60 maintain healthy, secure and independent lifestyles. It provides no-cost supportive services to individuals and their caregivers, such as transporting them to appointments and local senior centers, as well as conducting weekly safety checks via telephone, assistance with groceries and help with basic necessities.

Senior Centers

Address: 106 S. St. Mary’s, 7th Floor San Antonio, TX 78205
Phone Number: (210) 207-8198

Run by the City of San Antonio’s Department of Human Services, a multitude of district senior centers and nutrition sites enable those who are aged 60+ to access comprehensive wellness services. These include various opportunities for socializing, daily hot and nutritious meals, health-boosting and educational classes, access to books, computers and online courses. Local senior centers also offer basic health screenings, therapy sessions and transportation services.

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.