Home Health Aides in San Antonio, TX: Hire In-Home Help

Local figures

Home Health Aides in San Antonio, TX: the local picture

129

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

$11.65

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

198,597

residents 65 or older (13% of San Antonio)

42%

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

129 Medicare-certified home health agencies list San Antonio ZIP codes in their service area; the highest-rated are below, and 7 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.

San Antonio has about 198,597 residents aged 65 or older, 42% of whom report a disability.

San Antonio compared with Bexar County and Texas

Census figure	San Antonio	Bexar County	Texas
Residents 65+ with a disability	42%	40%	35%
Residents 65 or older	13%	13%	13%
Residents 85 or older	1.5%	1.4%	1.4%
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+	65+ with a disability
Balcones Heights, TX	2.4 mi	339	60%
Alamo Heights, TX	3.7 mi	1,315	32%
Castle Hills, TX	4.3 mi	745	34%
Terrell Hills, TX	4.8 mi	878	31%
Leon Valley, TX	5.8 mi	1,993	37%
Lackland AFB, TX	7.7 mi	0	—

Medicare-certified 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
S. A. Nurses Home Health Agency	San Antonio, TX	2.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 798-2199
Alpine Care 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) 832-8031
Amedisys Home Health	San Antonio, TX	5.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606

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 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 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 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 San Antonio: common questions

Which home health agencies serve San Antonio?

Medicare lists 129 certified agencies whose service area includes San Antonio ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring (5 of 5), Comprehensive Home Health Inc (5 of 5), Texas Healthcare Solutions, Inc. (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides 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).

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 San Antonio

More senior care near San Antonio

Home Health Aides 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.

Home Health Aides in San Antonio, TX