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

"We have had very good caregivers. My husband balked at first until he experienced the kindness of each person they sent. They would sit down and visit with him (he loves the social interaction), they would be sure he got lunch/dinner and was comfortable. As his wife, I was so relieved that they were so attentive to him and always communicated with me if they had a question. We will continue to call them as we need them!!"

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!

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.

"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 fact that their office staff can fill in if someone is not available. They use their office staff to train the new people as well, and that's unique from the other agencies I've used. So far the caregivers themselves are doing a good job as well. They're very sincere in their concern and they care for my mother, so I appreciate that. I gave them specific days and times for 12-hour shifts, and they've been able to fill those fine. We haven't had any problems, and they're very flexible in that regard. I would say they're a good value for the money. Among the agencies I have used they actually charge the least, and they've done better than some of the other ones I've used."

"Ken and Bonnie were wonderful to work with. They were able to provide my mother with care and a very short notice. Their staff was some of the most caring people that I've ever met. Not only were they wonderful to my mother but also to my family. I would highly recommend using them."

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.

"Caregivers are always on time. They are funny, know how to cook and take really good care of my husband and myself. "

"I would not recommend this agency. They lack not only communication but integrity. They talk about the families behind their backs and don't care about their patients. They also try to fraud your insurance. We have been billed multiples time when we were not supposed to because they accidentally made a mistake. Yeah right go take a look back at lawsuits Maxim has against their other organizations. The leadership and the clinical sups there all lack discipline and integrity. "

"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 incision site to make sure I was healing correctly, made sure I wasn’t in any undue pain, gave me advice pertaining to information I needed to give the doctors. She took her time with me without making me feel like I was another number or feel like she was in a hurry and needed to get her job done and leave as quickly as possible. SHE’S WAS AWESOME!"

"I was not happy with how Resource Health Svc Inc Rn their company. It was unorganized. If you called and tried to talk to someone but nobody had answers. I had sleeping problems and I hardly slept at night, and they showed up at 6:00 in the morning and I told them I always woke up at noon. They just showed up at your home without even calling. I had Medicaid and they were supposed to call Medicaid to renew me and they called me to do it. Medicaid informed them that they were the ones who were supposed to do it. "

"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 in everyday and make sure he was okay. We did this and were very pleased with the staff and caregivers there. All the caregivers were very friendly and respectful. The home was clean and professional but still had a homely feel to it. It seemed that the gentleman that was receiving the care was also very satisfied with it, he only had good things to say about his stay. Though his wife didn't stay at the home she would come and visit him for long hours and she said they were very accommodating to her as well. Overall the place seemed well maintained and trustworthy. "

"Nurses Unlimited have been very responsive to my needs. The manager quickly responds and I've been able to reach the staff on their cellphones whenever I needed to. When somebody did not work, they quickly replaced that person. The caregiver herself has been a very good match for my mother. She works very hard to keep my mother interested and engaged. She does not let my mother sleep more than necessary. "