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, 2022

Right at Home San Antonio

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

I don’t have to worry about my mom. I like that they are readily available with staff.
I don’t have to worry about my mom. I like that they are readily available with staff.

2018, 2019, 2020, 2021, 2022

Home Instead – New Braunfels, TX

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

Wonderful, caring, professional caregivers were with my mother around the clock, seven days a week while recovering from a broken hip. Communication between the caregivers to each other was on point!! … (read more)
Wonderful, caring, professional caregivers were with my mother around the clock, seven days a week while recovering from a broken hip. Communication between the caregivers to each other was on point!! … (read more)

2018

SYNERGY HomeCare of San Antonio

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

I would like the caregivers to be sent at the time we need them. I would like to have more accommodations for the schedule of the patients.
I would like the caregivers to be sent at the time we need them. I would like to have more accommodations for the schedule of the patients.

2021, 2022

Hearts at Home Senior Care – San Antonio

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

They came to him in his home and they made sure that he was doing well. The caregiver is so sweet and kind to my dad.
They came to him in his home and they made sure that he was doing well. The caregiver is so sweet and kind to my dad.

HomeCare.com

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

Caregivers don’t show up and you are not told. Calls to their customer assistance line are forwarded to a answering service and it hours to hear from homecare.com,if at all. They then tell you they wi … (read more)
Caregivers don’t show up and you are not told. Calls to their customer assistance line are forwarded to a answering service and it hours to hear from homecare.com,if at all. They then tell you they wi … (read more)

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

I signed up two agencies, one for weekdays and one for weekends. I dropped the weekend agency who is listed on this site because of lateness of caregivers and one caregiver left her shift and did not … (read more)
I signed up two agencies, one for weekdays and one for weekends. I dropped the weekend agency who is listed on this site because of lateness of caregivers and one caregiver left her shift and did not … (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)

DreamProviders LLC

6502 Bandera Road Ste 111, San Antonio, TX, 78238

DreamProviders helps Seniors to get the services they need in the comfort of their own homes. If you want to work with extraordinary home care providers who take the time to understand your needs? We … (read more)
DreamProviders helps Seniors to get the services they need in the comfort of their own homes. If you want to work with extraordinary home care providers who take the time to understand your needs? We … (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)

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)

Girling Community Care – San Antonio, TX

5282 Medical Dr #420 , San Antonio, TX, 78229

Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the nation’s largest home care company, we have the experience … (read more)
Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the nation’s largest home care company, we have the experience … (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

2021

Family Tree In-Home Care San Antonio

901 NE Interstate 410 Loop Ste 300, PO BOX 1120, Suite 300, San Antonio, TX, 78209

She has impacted my life by comforting me in my experience of recovering from the loss of my wife. When I first started the service, three of the caretakers were not acceptable. I told them we did n … (read more)
She has impacted my life by comforting me in my experience of recovering from the loss of my wife. When I first started the service, three of the caretakers were not acceptable. I told them we did n … (read more)

2019

SYNERGY HomeCare of South Austin

11111 S Interstate Hwy 35, Austin, TX, 78747

They have been helpful and courteous providing what I need. I like that work with me and are helpful.
They have been helpful and courteous providing what I need. I like that work with me and are helpful.

Visiting Angels of NE San Antonio

12602 Toepperwein Rd , Live Oak, TX, 78233

With her, I’ve had the most happy days. I’m very happy with my caregiver, her name is Danielle.
With her, I’ve had the most happy days. I’m very happy with my caregiver, her name is Danielle.

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)

ADMT Solutions Home Health Care

8645 Fredericksburg Rd, San Antonio, TX, 78240

It was extra help. They helped him with cooking when I was gone because he couldn’t get out of bed. My husband got problems with his legs and he couldn’t walk. I had to go to Puerto Rico for an emerg … (read more)
It was extra help. They helped him with cooking when I was gone because he couldn’t get out of bed. My husband got problems with his legs and he couldn’t walk. I had to go to Puerto Rico for an emerg … (read more)

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)

Caring Solutions San Antonio

103 Biltmore Street, San Antonio, TX, 78213

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 op … (read more)
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 op … (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.

Checklist for determining the need for home care


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.

Talking with Family and Others about a loved one's needs