24-Hour Home Care in San Antonio, TX: Round-the-Clock Care

Local figures

24-Hour Home Care in San Antonio, TX: the local picture

9.3%

of residents 65+ have difficulty dressing or bathing (8.8% in Bexar County)

22,615

residents 85 or older (1.5% of all residents)

42%

of residents 65+ report a disability (40% in Bexar County)

$52,234

median yearly income of households headed by someone 65+

18,023 San Antonio residents 65 or older have difficulty dressing or bathing (9.3%; 8.8% in Bexar County), and 54,377 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 22,615 residents are 85 or older (1.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are The Sarah Roberts French Home in San Antonio (1.1 mi) and St. Francis Nursing Home in San Antonio (1.5 mi).

San Antonio compared with Bexar County and Texas

Census figure	San Antonio	Bexar County	Texas
Residents 65+ with difficulty dressing or bathing	9.3%	8.8%	8.0%
Residents 65+ with serious difficulty walking	28%	27%	23%
Residents 65+ with serious difficulty remembering	11%	10%	8.5%
Residents 85 or older	1.5%	1.4%	1.4%
Residents 65+ in households who live alone	28%	27%	25%
Residents 65+ below the poverty line (approx.)	15%	13%	12%
Median income, households headed by someone 65+	$52,234	$56,300	—

Older residents in towns around San Antonio

Town	Distance	Residents 65+	Self-care difficulty (65+)
Balcones Heights, TX	2.4 mi	339	2.7%
Alamo Heights, TX	3.7 mi	1,315	3.8%
Castle Hills, TX	4.3 mi	745	7.2%
Terrell Hills, TX	4.8 mi	878	2.5%
Leon Valley, TX	5.8 mi	1,993	11%
Lackland AFB, TX	7.7 mi	0	—

Home health agencies serving San Antonio

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	San Antonio, TX	3.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Comprehensive Home Health Inc	San Antonio, TX	3.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(210) 614-0200
Texas Healthcare Solutions, Inc.	San Antonio, TX	3.9 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Connally Memorial Home Health	Floresville, TX	28 mi	5 of 5	nursing, physical therapy, occupational therapy, home health aides	(830) 393-1540
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	2.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225

Nursing homes near San Antonio (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Sarah Roberts French Home	San Antonio, TX	1.1 mi	2 of 5	60	(210) 736-4238
St. Francis Nursing Home	San Antonio, TX	1.5 mi	4 of 5	107	(210) 736-3177
Meridian Care Monte Vista	San Antonio, TX	1.7 mi	1 of 5	106	(210) 735-9233
Morningside Manor	San Antonio, TX	1.7 mi	4 of 5	147	(210) 731-1000

Straight-line miles from the center of San Antonio. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in San Antonio

24-hour care is 168 paid hours a week. At $11.65 an hour (the Texas median aide wage) that is about $8,481 a month in wages before any overtime, 195% of the $4,353 monthly median income of San Antonio households headed by someone 65+. Rates are agreed with each caregiver. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in San Antonio: common questions

How much does 24-hour home care cost in San Antonio?

24-hour care is 168 paid hours a week. At $11.65 an hour (the Texas median aide wage) that is about $8,481 a month in wages before any overtime, 195% of the $4,353 monthly median income of San Antonio households headed by someone 65+. Rates are agreed with each caregiver. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near San Antonio

More senior care near San Antonio

24-Hour Home Care in nearby cities

Other care in San Antonio

More for San Antonio families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in San Antonio, TX