San Antonio, Texas · Bexar County

Find In-Home Caregivers in San Antonio, TX

Arranging in-home care in San Antonio for a parent, a spouse or yourself? Post what you need for free, look over the caregivers listed above with their own rates, and message the ones who fit. CaregiverConnect is a marketplace, not an agency: you choose the caregiver and agree terms directly.

  • Free to join, browse and post
  • Hire directly, no agency mark-up
  • You stay in control of screening
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Start here

How to find an in-home caregiver in San Antonio

San Antonio is in Bexar County, Texas. The Census Bureau's 2020–2024 survey counts 198,597 residents aged 65 or older (13% of the town; 13% in Bexar County), 22,615 of them 85 or older. About 54,577 live alone (28% of older residents in households; 27% in Bexar County), and 42% of residents 65 and over report a disability (40% in Bexar County).

7.7% of San Antonio households have no vehicle (6.4% in Bexar County); if rides to appointments matter, ask caregivers whether they drive and whether their insurance covers passengers. The nearest hospital with an emergency department in Medicare's file is Children's Hospital Of San Antonio in San Antonio, about 2.8 mi away in a straight line. 40% of residents speak a language other than English at home, most often Spanish; many caregivers list the languages they speak.

Available now

Private in-home caregivers near San Antonio, TX

Independent caregivers with profiles on CaregiverConnect whose home base is within 50 miles. You agree on duties, schedule and pay directly with the person you hire.

Photo of Chris C.

Chris C.

San Antonio, TX · about 10 mi from San Antonio · 10+ yrs experience

Hello! I’m a Licensed Vocational Nurse (LVN) with 17 years of healthcare experience. Throughout my career, I’ve developed a genuine passion for helping others maintain…

HousekeepingErrandsMeal prepPersonal careSpanishoccasional

1 of 1 available caregiver within 50 miles of San Antonio, Verified caregivers first, then nearest. Full profiles, references and messaging are available with a free family account. Only real caregivers are listed; sample and test profiles never appear. Caregivers can ask to be shown without a name or photo (privacy policy).

Are you a caregiver in San Antonio?

Open postings and a free profile.

Caregiver jobs in San Antonio
What you can post

Types of in-home care families in San Antonio arrange

All non-medical. For nursing tasks (injections, wound care, catheters) you need a licensed home health agency, not a private caregiver.

Senior care at home · Personal care · Companion care · Dementia care · Respite care · Overnight and live-in · Post-surgery recovery · Part-time and flexible

Choosing well

Evaluating caregivers in San Antonio

When you hire directly rather than through an agency, the checking is yours. Meet in person, ask for two references from families or employers and call them, look at a photo ID, and ask for consent to a background check. If a caregiver says they are a certified nursing assistant, look them up on the state nurse aide registry. Start with a paid trial shift before agreeing a regular schedule.

Questions families here ask at interview

  • What kind of care have you given, and for how long?
  • Can you help with bathing and transfers, or only companionship and errands?
  • Do you drive, and could you take my parent to appointments in San Antonio?
  • Which days and hours can you commit to each week?
  • Who covers your shifts if you are sick?
Schedules and cost

What in-home care costs in San Antonio: hourly rates and schedules

Most requests are a few hours on weekday mornings or afternoons, a run of overnights after a hospital stay, or weekend respite for a family member. At $11.65 an hour, the Texas median aide wage, 20 hours a week comes to about $1,010 a month in wages, 23% of the $4,353 monthly median income of San Antonio households headed by someone 65 or older. Caregivers on this site set their own rates.

Reference pointHourlySource
Employed aides, Texas (statewide)$11.65 medianBLS OEWS, May 2025
Texas minimum wage$7.25effective by October 2026 (U.S. Department of Labor state table)

Who is the employer. When you hire a caregiver directly, you are the employer. The Texas minimum wage is $7.25 an hour (effective by October 2026 (U.S. Department of Labor state table)); 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 reports caregiver wages for states and metro areas, not towns. In Texas the middle half of employed home health and personal care aides earned $10.97 to $13.23 an hour in May 2025.

No agency tracks private rates. A caregiver you hire directly will usually expect more than the employed-aide median and less than an agency rate; every caregiver on this site lists an hourly rate on their profile, and the hiring guide covers taxes and overtime.

Local help

Caregiver resources for families in San Antonio

  • Children's Hospital Of San AntonioHospital with an emergency department in San Antonio, 2.8 mi away; (210) 704-3342.
  • Baptist Medical CenterHospital with an emergency department in San Antonio, 3.3 mi away; (210) 297-8256.
  • Elara CaringMedicare-certified home health agency serving San Antonio; office in San Antonio, 3.9 mi away; (210) 342-9922. Skilled home health is ordered by a doctor; ask what Medicare covers.
  • Comprehensive Home Health IncMedicare-certified home health agency serving San Antonio; office in San Antonio, 3.9 mi away; (210) 614-0200. Skilled home health is ordered by a doctor; ask what Medicare covers.
  • Texas Healthcare Solutions, Inc.Medicare-certified home health agency serving San Antonio; office in San Antonio, 3.9 mi away; (210) 877-5222. Skilled home health is ordered by a doctor; ask what Medicare covers.
  • Serenity Hospice And Palliative Care Of TexasHospice serving San Antonio ZIP codes; San Antonio, 0.9 mi away; (210) 852-4009.
  • Eldercare LocatorA federal service that connects you with the Area Agency on Aging and other local services for older adults, including adult protective services: 1-800-677-1116.
Safety

Hiring safely in San Antonio

Before the first shift, put the duties, hours, hourly rate, overtime and payment method in writing, and keep signed timesheets. A caregiver you employ directly is usually your household employee, so tax and minimum wage rules apply; the IRS Household Employer's Tax Guide (Publication 926) explains the tax side, and the U.S. Department of Labor's direct care page explains when minimum wage and overtime apply. Never share bank logins or let a new caregiver handle large sums.

A younger woman and an older woman looking at a phone together on a park bench
A younger woman and an older woman looking at a phone together on a park bench. Stock photograph; not a CaregiverConnect user.
How it works

How to hire a private caregiver in San Antonio (no agency)

CaregiverConnect is a marketplace, not an agency: you hire the caregiver directly, which is why there is no agency mark-up on their hourly rate. That also means screening is your responsibility, and we tell you how.

Illustration of a caregiver and an older adult chatting on a sofa in a bright living room
  1. Describe the care you need
  2. Your posting goes live
  3. Review caregivers and applicants
  4. Message and hire
  5. Agree terms and pay directly
Pricing, plainly

What is free and what costs money

Browsing, posting and receiving applications are free. Messaging and confirming a hire are part of Family Premium ($24.99/month, cancel any time). No commission on what you pay the caregiver; see the pricing page.

Questions

Hiring a caregiver in San Antonio: frequently asked questions

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

Caregivers here list their own hourly rates. As a reference point, employed aides in Texas had a $11.65 median wage in May 2025 (BLS), and the minimum wage is $7.25. At $11.65 an hour, 20 hours a week is about $1,010 a month.

Where is the nearest emergency hospital to San Antonio?

Children's Hospital Of San Antonio in San Antonio, about 2.8 mi in a straight line (Medicare hospital file). In an emergency, call 911.

How many older adults in San Antonio live alone?

About 54,577 residents aged 65 or older live alone, 28% of older residents in households (27% in Bexar County) (ACS 2020–2024). For someone living alone, a few hours of check-ins a week is a common first arrangement.

Does Medicare pay for a private caregiver?

No. Medicare does not pay for custodial care such as help with bathing, dressing or companionship when that is the only care needed. Some Medicaid home and community-based programs, long-term care insurance and veterans' benefits do; the Eldercare Locator (1-800-677-1116) can point you to local programs.

Is it free to post a caregiver job?

Yes. Posting a job and browsing caregivers is free. Messaging caregivers and confirming a hire are part of Family Premium. No commission is taken on what you pay the caregiver.

Post your care need in San Antonio

It is free, takes about ten minutes, and caregivers in Bexar County can see it as soon as it is live.

Create your free family account
A woman on a sofa at home reviewing caregiver profiles on a laptop