Home Health Aides in Alamo Heights, TX: Hire In-Home Help

Local figures

Home Health Aides in Alamo Heights, TX: the local picture

81

Medicare-certified home health agencies list Alamo Heights ZIP codes in their service area

$11.65

median hourly wage of home care aides in Texas (BLS, May 2025)

1,315

residents 65 or older (18% of Alamo Heights)

32%

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

81 Medicare-certified home health agencies list Alamo Heights ZIP codes in their service area; the highest-rated are below, and 6 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Texas earn a median $11.65 an hour (BLS, May 2025), with the middle half between $10.97 and $13.23.

Alamo Heights has about 1,315 residents aged 65 or older, 32% of whom report a disability.

Alamo Heights compared with Bexar County and Texas

Census figure	Alamo Heights	Bexar County	Texas
Residents 65+ with a disability	32%	40%	35%
Residents 65 or older	18%	13%	13%
Residents 85 or older	2.7%	1.4%	1.4%
Residents 65+ in households who live alone	40%	27%	25%
Residents 65+ below the poverty line (approx.)	4.3%	13%	12%
Residents 5+ who speak a language other than English at home	14%	37%	35%
Median income, households headed by someone 65+	$99,464	$56,300	—

Older residents in towns around Alamo Heights

Town	Distance	Residents 65+	65+ with a disability
Terrell Hills, TX	1.3 mi	878	31%
San Antonio, TX	3.7 mi	198,597	42%
Castle Hills, TX	4.2 mi	745	34%
Balcones Heights, TX	4.9 mi	339	60%
Kirby, TX	5.2 mi	1,643	36%
Windcrest, TX	5.7 mi	1,792	39%

Medicare-certified home health agencies serving Alamo Heights

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Healthcare Solutions, Inc.	San Antonio, TX	6.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Elara Caring	San Antonio, TX	6.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Comprehensive Home Health Inc	San Antonio, TX	6.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(210) 614-0200
Amedisys Home Health	San Antonio, TX	3.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606
Alpine Care Home Health	San Antonio, TX	6.3 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	6.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
S. A. Nurses Home Health Agency	San Antonio, TX	6.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 798-2199
Accentcare Home Health Of Texas	San Antonio, TX	6.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(210) 349-7355

Straight-line miles from the center of Alamo Heights. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Alamo Heights

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 12% of the $8,289 monthly median income of Alamo Heights 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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

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

Questions

Home Health Aides in Alamo Heights: common questions

Which home health agencies serve Alamo Heights?

Medicare lists 81 certified agencies whose service area includes Alamo Heights ZIP codes. The highest-rated on Medicare’s quality stars include Texas Healthcare Solutions, Inc. (5 of 5), Elara Caring (5 of 5), Comprehensive Home Health Inc (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Alamo Heights?

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 12% of the $8,289 monthly median income of Alamo Heights 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).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Alamo Heights

More senior care near Alamo Heights

Home Health Aides in nearby cities

Other care in Alamo Heights

More for Alamo Heights 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.

Home Health Aides in Alamo Heights, TX