Dementia Care in San Antonio, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in San Antonio, TX: the local picture

22,615

residents 85 or older (1.5% of all residents)

198,597

residents 65 or older (13% of San Antonio)

42%

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

6+

Medicare-certified nursing homes within 25 miles

San Antonio has about 22,615 residents aged 85 or older among 198,597 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

42% of residents 65 and older report a disability (40% in Bexar County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

28% of older San Antonio residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

San Antonio compared with Bexar County and Texas

Census figure	San Antonio	Bexar County	Texas
Residents 85 or older	1.5%	1.4%	1.4%
Residents 65 or older	13%	13%	13%
Residents 65+ with a disability	42%	40%	35%
Residents 65+ in households who live alone	28%	27%	25%
Residents 65+ below the poverty line (approx.)	15%	13%	12%
Residents 5+ who speak a language other than English at home	40%	37%	35%
Median income, households headed by someone 65+	$52,234	$56,300	—

Older residents in towns around San Antonio

Town	Distance	Residents 65+	Residents 85+
Balcones Heights, TX	2.4 mi	339	3
Alamo Heights, TX	3.7 mi	1,315	203
Castle Hills, TX	4.3 mi	745	93
Terrell Hills, TX	4.8 mi	878	92
Leon Valley, TX	5.8 mi	1,993	224
Lackland AFB, TX	7.7 mi	0	0

Nursing homes near San Antonio

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
Golden Estates Rehabilitation Center	San Antonio, TX	1.7 mi	2 of 5	93	(210) 736-4544
San Pedro Manor	San Antonio, TX	1.9 mi	4 of 5	150	(210) 732-5181

Hospices serving San Antonio

Hospice	Office	Distance	Phone
Serenity Hospice And Palliative Care Of Texas	San Antonio, TX	0.9 mi	(210) 852-4009
Completecare Home Health And Hospice	San Antonio, TX	2.5 mi	(210) 520-7977
Gentiva Hospice	San Antonio, TX	2.5 mi	(210) 738-8141
A Bliss Hospice Care	San Antonio, TX	2.5 mi	(210) 822-0577

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 dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in San Antonio: common questions

What nursing homes are near San Antonio?

The closest Medicare-certified nursing homes are The Sarah Roberts French Home in San Antonio (1.1 mi, 2 of 5 overall); St. Francis Nursing Home in San Antonio (1.5 mi, 4 of 5 overall); Meridian Care Monte Vista in San Antonio (1.7 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care 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).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near San Antonio

More senior care near San Antonio

Dementia 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.

In-Home Dementia and Alzheimer's Care in San Antonio, TX