Adult Disability Care in San Antonio, TX: In-Home Support

Local figures

Disability Care for Adults in San Antonio, TX: the local picture

14%

of residents aged 18 to 64 have a disability (13% in Bexar County)

45,055

residents aged 18 to 64 have difficulty doing errands alone

7.7%

of households have no vehicle (6.4% in Bexar County)

129

Medicare-certified home health agencies list San Antonio ZIP codes in their service area

About 127,504 San Antonio residents aged 18 to 64 report a disability (14%; 13% in Bexar County).

45,055 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.7% of San Antonio households have no vehicle (6.4% in Bexar County); say in your posting if you need a caregiver who drives.

San Antonio compared with Bexar County and Texas

Census figure	San Antonio	Bexar County	Texas
Residents 18 to 64 with a disability	14%	13%	10%
Residents 18 to 64 with difficulty doing errands alone	4.9%	4.7%	3.4%
Households with no vehicle	7.7%	6.4%	5.4%
Residents 5+ who speak a language other than English at home	40%	37%	35%
Residents 65+ with a disability	42%	40%	35%
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+	Disability (18 to 64)
Balcones Heights, TX	2.4 mi	339	21%
Alamo Heights, TX	3.7 mi	1,315	10.0%
Castle Hills, TX	4.3 mi	745	12%
Terrell Hills, TX	4.8 mi	878	7.5%
Leon Valley, TX	5.8 mi	1,993	14%
Lackland AFB, TX	7.7 mi	0	4.0%

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

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 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

Cost

What disability care for adults costs in San Antonio

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 $4,353 monthly median income of San Antonio 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.

Before you hire

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.

Questions

Disability Care for Adults in San Antonio: common questions

How much does disability care for adults cost in San Antonio?

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 $4,353 monthly median income of San Antonio 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 near San Antonio

More senior care near San Antonio

Disability Care for Adults 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.

In-Home Support for Adults With Disabilities in San Antonio, TX