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

Right at Home San Antonio

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

They provide daily meal services. They need to improve on their intercommunication concerning their requirements for reporting on their licensing.
They provide daily meal services. They need to improve on their intercommunication concerning their requirements for reporting on their licensing.

2018, 2019, 2020

Home Instead Senior Care – 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)

Hearts at Home Senior Care – San Antonio

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

I also have to take care of my yard and house. So this helps me get more done. I have been with them for three years and they always respond to my needs for my husband.
I also have to take care of my yard and house. So this helps me get more done. I have been with them for three years and they always respond to my needs for my husband.

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 Senior Care – San Antonio, TX

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

My mother is extremely independent at age 97. She lives alone. Home Instead came to the house to interview her. They got her right away. She needs help, but wants to remain as independent as possible. … (read more)
My mother is extremely independent at age 97. She lives alone. Home Instead came to the house to interview her. They got her right away. She needs help, but wants to remain as independent as possible. … (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.

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)

Senior Helpers of Greater San Antonio – San Antonio, TX

4837 Fredericksburg Road Bldg D, San Antonio, TX, 78229

Senior Helpers specializes in providing personal and companion care to individuals who want to maintain their independence in their homes or who need assistance in a facility. Our goal is to provide a … (read more)
Senior Helpers specializes in providing personal and companion care to individuals who want to maintain their independence in their homes or who need assistance in a facility. Our goal is to provide a … (read more)

BrightStar Care Metro San Antonio

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

I’m a patient had revision total knee replacement I have the best Nurse her name is CANDICE OMG she’s the best I’m an early person WELL LET ME TELL YOU SHE TELLS Me NO WORRIES ILL BE THERE BETWE … (read more)
I’m a patient had revision total knee replacement I have the best Nurse her name is CANDICE OMG she’s the best I’m an early person WELL LET ME TELL YOU SHE TELLS Me NO WORRIES ILL BE THERE BETWE … (read more)

2019

SYNERGY HomeCare of South Austin

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

They should be able to be more spontaneous. I like the caregivers that I have.
They should be able to be more spontaneous. I like the caregivers that I have.

Family Tree In-Home Care San Antonio

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

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 difficu … (read more)
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 difficu … (read more)

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)

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)

Visiting Angels of NE San Antonio

12602 Toepperwein Rd , Live Oak, TX, 78233

Just the one on one care they provided was very helpful. I really liked the owner, he was respectful, courteous and knowledgeable. I would absolutely use the company again because of them.
Just the one on one care they provided was very helpful. I really liked the owner, he was respectful, courteous and knowledgeable. I would absolutely use the company again because of them.

Reliant Healthcare Services

811 S Central Expressway, Ste 520, Richardson, TX, 75080

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 … (read more)
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 … (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.


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.