In-Home Support for Adults With Disabilities in Leon Valley, TX
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Leon Valley for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Leon Valley, TX: the local picture
About 990 Leon Valley residents aged 18 to 64 report a disability (14%; 13% in Bexar County).
491 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
14% of Leon Valley households have no vehicle (6.4% in Bexar County); say in your posting if you need a caregiver who drives.
Leon Valley compared with Bexar County and Texas
| Census figure | Leon Valley | Bexar County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 14% | 13% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 7.1% | 4.7% | 3.4% |
| Households with no vehicle | 14% | 6.4% | 5.4% |
| Residents 5+ who speak a language other than English at home | 46% | 37% | 35% |
| Residents 65+ with a disability | 37% | 40% | 35% |
| Residents 65+ below the poverty line (approx.) | 14% | 13% | 12% |
| Median income, households headed by someone 65+ | $52,632 | $56,300 | — |
Older residents in towns around Leon Valley
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Balcones Heights, TX | 3.9 mi | 339 | 21% |
| San Antonio, TX | 5.8 mi | 198,597 | 14% |
| Castle Hills, TX | 6.1 mi | 745 | 12% |
| Helotes, TX | 7.0 mi | 1,789 | 13% |
| Shavano Park, TX | 7.1 mi | 965 | 5.2% |
| Lackland AFB, TX | 7.5 mi | 0 | 4.0% |
Home health agencies serving Leon Valley
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 2.8 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Comprehensive Home Health Inc | San Antonio, TX | 2.8 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (210) 614-0200 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 2.8 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Alpine Care Home Health | San Antonio, TX | 2.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 832-8031 |
| American Medical Home Health Services - San Antonio LLC | San Antonio, TX | 3.7 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 735-6225 |
Straight-line miles from the center of Leon Valley. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Leon Valley
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,386 monthly median income of Leon Valley households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Leon Valley: common questions
How much does disability care for adults cost in Leon Valley?
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,386 monthly median income of Leon Valley households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.
More senior care near Leon Valley
Disability Care for Adults in nearby cities
- Disability Care for Adults in Balcones Heights, TX
- Disability Care for Adults in San Antonio, TX
- Disability Care for Adults in Castle Hills, TX
- Disability Care for Adults in Helotes, TX
- Disability Care for Adults in Shavano Park, TX
- Disability Care for Adults in Lackland AFB, TX
- Disability Care for Adults in Alamo Heights, TX
- Disability Care for Adults in Terrell Hills, TX
- Disability Care for Adults in Hollywood Park, TX
- Disability Care for Adults in Cross Mountain, TX
- Disability Care for Adults in Kirby, TX
- Disability Care for Adults in Windcrest, TX
- Disability Care for Adults in Scenic Oaks, TX
- Disability Care for Adults in Timberwood Park, TX
- Disability Care for Adults in Live Oak, TX
- Disability Care for Adults in Castroville, TX
Other care in Leon Valley
- Companion Care in Leon Valley
- Dementia Care in Leon Valley
- Respite Care in Leon Valley
- Live-In Caregivers in Leon Valley
- Post-Surgery Care in Leon Valley
- Senior Transportation in Leon Valley
- Home Health Aides in Leon Valley
- Nursing Assistants in Leon Valley
- Personal Care in Leon Valley
- Overnight Caregivers in Leon Valley
- 24-Hour Home Care in Leon Valley
- Mobility Assistance in Leon Valley
- Parkinson’s Care in Leon Valley
- Stroke Recovery Support in Leon Valley
- Hospice Support in Leon Valley
- Senior Meal Preparation in Leon Valley
- Senior Housekeeping in Leon Valley
- Medication Reminders in Leon Valley
- Veterans’ Home Care in Leon Valley
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.
Find disability care for adults in Leon Valley
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