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Light housekeeping & companion care caregiver needed in San Antonio, TX
$20.00/hr offeredPosted Oct 22, 2026
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San Antonio, Texas · Bexar County
Caregiver Jobs in San Antonio, TX
San Antonio is home to about 1.48 million people, 198,597 of them aged 65 or over (Census ACS 2020–2024). When San Antonio families post private or in-home care work, it shows in the list above with the posting's town and mileage from you.
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Finding in-home caregiver jobs in San Antonio
Census ACS 2020–2024 estimates give 1,479,835 residents in the City of San Antonio, with a median age of 34.9. Some 13.4% are 65 or older, 16.0% of the civilian non-institutional population reports a disability, and 6.5% of households consist of one woman aged 65-plus. Among residents five and older, 40.4% use a non-English language in the home (36.4% Spanish), and 7.7% of occupied homes have no vehicle. Those figures shape the work: a widowed parent who wants company and a cooked lunch, a son who needs someone to drive his father to medical appointments, or a family looking for a Spanish-speaking companion for a grandmother.
This page is anchored on central ZIP codes 78201, 78205, 78209, 78212 and 78215, but the city is large, so set your travel radius by the trips you can really make. If you rely on the bus, VIA lists transit centers across the city, among them Medical Center (5330 Medical Drive), North Star (7538 San Pedro Ave.), Kel-Lac, Madla, Ingram and Brooks. In your profile, name the parts of town you can reach, whether you drive, the shifts you can cover, and the languages you speak. If you have looked after a relative, or worked for a CDS employer or a personal assistance agency, describe that plainly. For other Texas listings, open the Texas caregiver jobs page.
Live postings
Families looking for private caregivers near San Antonio, TX
Real postings from families on CaregiverConnect, matched to San Antonio by distance.
Showing 1 of 1 open posting within 50 straight-line miles of San Antonio, nearest first. Family names and care-recipient details are shown after you sign in. Postings are removed from this page as soon as a family hires or closes them.
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Types of caregiver jobs
Types of caregiver jobs in San Antonio
Private postings may ask for non-medical help such as company and conversation, meals, bathing and dressing, light housework, errands, rides to appointments, a night on call, or a short respite block for a daughter who works. Under Texas Medicaid's Consumer Directed Services option, the person receiving care can be the employer and hire family, neighbors or friends, so you may also see families recruiting their own attendant. If you have no certificate, describe the care you have actually given.
Senior caregiving · Personal care · Companion care · Dementia care · Respite care · Live-in · Overnight · Part-time and full-time
Pay
Caregiver pay in San Antonio: how much caregivers make
Public figures first, then what they mean for private work. Statistics describe employed aides across the San Antonio–New Braunfels, TX metro (Bexar County); private rates on CaregiverConnect are agreed between each caregiver and family and are not tracked by any agency.
| Measure | Hourly | Source and coverage |
|---|---|---|
| Home health and personal care aides, San Antonio–New Braunfels, TX metro (Bexar County) | $12.48 median ($12.66 mean) | BLS OEWS, May 2025; 31,420 jobs; concentration 1.01× national |
| Texas statewide aide median (BLS, 329,590 aides) | $11.65 | BLS OEWS, May 2025 |
| Texas minimum wage | $7.25 | effective July 24, 2009 |
| Nursing assistants, San Antonio–New Braunfels, TX metro (Bexar County) | $17.69 median | BLS OEWS, May 2025 (certified roles, for comparison) |
Who is the employer. A family that hires you directly is your employer. The Texas minimum wage is $7.25 an hour (effective July 24, 2009); the federal minimum of $7.25 and federal overtime rules apply to directly employed caregivers unless the work is exempt companionship under the FLSA. Source: US Department of Labor, direct care workers; the state source is listed at the end of this page.
BLS groups Bexar with Atascosa, Bandera, Comal, Guadalupe, Kendall, Medina and Wilson counties in its San Antonio–New Braunfels wage area. There, the May 2025 survey found 31,420 aides at a $12.48 hourly median (mean $12.66), above the $11.65 Texas median; a location quotient of 1.01 says aide jobs are about as common here as in the country overall. Nursing assistants locally earned a $17.69 median. The Texas Workforce Commission says Texas adopts the federal minimum of $7.25. Its state act exempts domestic workers, but federal law has covered household domestic service since 1974, so the federal $7.25 applies to directly hired caregivers unless an FLSA exemption fits the job. Agree the rate, hours and overtime terms in writing before your first shift.
Rules
Caregiver requirements in Texas, applied to San Antonio
Texas Health and Human Services licenses home and community support services agencies, which deliver home health, hospice and personal assistance services. Its directory of active licenses (October 22, 2026) shows 499 agencies with San Antonio addresses, 267 of them licensed for personal assistance services. HHSC's Nurse Aide Registry lists aides certified to work in licensed nursing facilities; certification takes 100 training hours (60 classroom, 40 clinical) and a Prometric exam, and HHSC plans to require fingerprints for nurse aide applications from about January 16, 2027. Federal FLSA rules carve out a companionship exemption (no minimum wage or overtime) and a live-in exemption (overtime only); a 2013 Labor Department rule barred agencies from using them, and its July 2, 2025 proposal would reinstate the 1975 version, so read the current text before agreeing terms. Families on CaregiverConnect do their own vetting: the site verifies no credentials and runs no background screening. When you suspect an elderly or disabled client is harmed, neglected or exploited for money, phone the DFPS Texas Abuse Hotline at 1-800-252-5400, staffed around the clock, or 911 when someone is in danger.
Local resources
Training and career resources near San Antonio
Training, aging services and transport in San Antonio; every entry rechecked at its source on October 25, 2026.
- Alamo Colleges, Certified Nurse Aide (Continuing Education)An in-person, 176-contact-hour course of about three months that prepares you for Texas nurse aide certification; listed tuition $3,290, with grants and scholarships mentioned. St. Philip's College says its adult nurse aide program has moved to Continuing Education (210-485-0698).
- HHSC computer-based nurse aide trainingThe state's free online course covers the 60 classroom hours; you then need 40 clinical hours with an approved training program before you can register for the exam.
- Bexar Area Agency on Aging (AACOG)Serves Bexar County residents aged 60 and over and the family caregivers who support them: respite, caregiver support groups and in-home help. Call center (210) 477-3275, weekdays 8 a.m. to 5 p.m.; office at 2700 NE Loop 410, Suite 101. Its Alamo Service Connection helps adults with disabilities of any age.
- City of San Antonio Senior ServicesRuns city senior centers including Bob Ross, Willie M. Cortez, Doris Griffin, Alicia Treviño López, Normoyle, Northeast, South Side Lions, Walker Ranch and West End. Enrolled seniors living within five miles of a center may get free morning pick-up and afternoon drop-off; call 210-207-7172.
- VIAtrans paratransitShared-ride vans for people whose disability prevents use of the regular bus, decided by an application and sometimes a functional assessment (not by age). One-way fare $2.00; book one to four days ahead at (210) 362-5050. Fares for a personal care attendant are in the customer guide.
- University HealthOfficially the Bexar County Hospital District, a governmental entity whose board is appointed by the Bexar County Commissioners Court. Medicare lists its University Hospital campus at 4502 Medical Drive as an acute care hospital with emergency services.
The area
San Antonio in numbers
Household income in the city has a median of $65,056 (ACS 2020–2024), alongside a median gross rent of $1,324, a typical owner-occupied home worth $235,700, 17.1% of people in poverty and 17.6% uninsured. The average commute takes 24.5 minutes and 2.0% of workers ride public transportation. The ACS places 23.1% of employed San Antonians in schools, health care and social assistance.
Aides are hired by many kinds of employer here. Medicare's data lists 58 nursing homes with San Antonio addresses, with 7,164 certified beds between them. Hospitals in its file include Baptist Medical Center at 111 Dallas Street (ZIP 78205), Methodist Hospital on Floyd Curl Drive, CHRISTUS Santa Rosa on State Highway 151, the VA medical center on Merton Minter Boulevard and Brooke Army Medical Center at Fort Sam Houston. Families who manage Medicaid attendant care through STAR+PLUS, which serves adults 65 or older and adults with disabilities, can choose an agency or the CDS employer route, so paid attendant work under the program can reach you through either path. More Texas pages are linked from the Texas overview.
How it works
How to find private caregiver jobs in San Antonio (no agency)
CaregiverConnect is a marketplace, not an agency. Families post what they need, caregivers apply, and the two of you work out the arrangement directly.
- Tell us about your experience
- Set your availability and rate
- Create your account
- Browse, apply or respond
- Agree on the details
Applying to open postings and starting a new conversation are part of Caregiver Premium ($7.99/month, cancel anytime). Replying to a family who contacts you is always free. CaregiverConnect takes no cut of what you earn.
¿Hablas español? El sitio está disponible en español, ruso, tagalo y vietnamita: cambia el idioma en el menú después de crear tu cuenta.
Guides
Useful reading
Private caregiver jobs near you: how to find them without an agency · Caregiver interview preparation: questions families ask and how to answer them · How to write a caregiver profile that families actually contact · STAR+PLUS in Texas: using consumer directed services to pay a family caregiver
Sources (checked 2026-10-25):
- U.S. Census Bureau, ACS 2020–2024 data profiles DP02–DP05, San Antonio city, Texas
- BLS, May 2025 OEWS metropolitan and nonmetropolitan area definitions
- BLS OEWS May 2025, San Antonio–New Braunfels and Texas (31-1120, 31-1131), via data.bls.gov OES query
- Texas Workforce Commission, Texas Minimum Wage Law
- U.S. Department of Labor, state minimum wage laws (Texas)
- U.S. Department of Labor, home care and domestic service under the FLSA
- Texas HHS, Consumer Directed Services option FAQ (revised 02/06/26)
- Texas HHS, STAR+PLUS
- Texas HHS, Home and Community Support Services Agencies and HCSSA directory (active licenses as of 10/22/2026)
- Texas HHS, Nurse Aide Registry
- Texas DFPS, Report Abuse
- Alamo Area Council of Governments, Area Agencies on Aging
- City of San Antonio, Senior Services and Senior Transportation Services
- VIA Metropolitan Transit, VIAtrans paratransit
- University Health, About Us
- Alamo Colleges, Certified Nurse Aide; St. Philip's College Nurse Aide
- CMS Provider Data: hospitals and nursing homes (Bexar County, TX)
Questions
Caregiver jobs in San Antonio: frequently asked questions
What do home care aides earn in San Antonio?
Across the San Antonio–New Braunfels wage area, BLS found a $12.48 hourly median for aides in May 2025, with a $12.66 mean; the statewide median was $11.65. Private rates are agreed between you and the family; the legal floor for covered work is $7.25.
Can a San Antonio family pay a relative or friend through Texas Medicaid?
Sometimes. In the Consumer Directed Services option, offered in STAR+PLUS and several other programs, the person receiving services hires, trains and schedules their own workers, who are often family, neighbors or friends; HHS notes that some programs limit which relatives can be hired. A financial management services agency runs payroll, and the wage must be at least minimum wage.
Do I need a certificate for private caregiving jobs in San Antonio?
Each family sets its own requirements, so read the posting. The Texas nurse aide certificate is tied by HHSC to employment in licensed nursing facilities, and agencies set their own hiring rules. If you hold CPR, first aid or a nurse aide certificate, list it in your profile.
Which San Antonio colleges offer nurse aide training?
Alamo Colleges lists an in-person Certified Nurse Aide course of 176 contact hours over about three months, with tuition of $3,290. You can also take HHSC's free online classroom portion and finish the 40 clinical hours with an approved program.
How can a client who cannot use the bus get to appointments?
VIAtrans carries riders whose disability keeps them off regular VIA buses, after an application. Trips cost $2.00 one way and are booked one to four days ahead on (210) 362-5050. The city's senior transportation page sends requests for medical appointment rides to the Alamo Service Connection, 210-477-3275.
Does speaking Spanish help with caregiving work in San Antonio?
It can. By ACS estimates, Spanish is the household language for 36.4% of San Antonians five or older, and 12.9% report limited English. Put your languages in the first lines of your profile so families see them early.
Ready to find caregiver work in San Antonio?
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