Live-In Caregivers in San Antonio, TX: 24-Hour Home Care

Local figures

Live-In Caregivers in San Antonio, TX: the local picture

22,615

residents 85 or older (1.5% of all residents)

92,852

households headed by someone 65+ own their home (75%)

57%

of San Antonio homes have 3 or more bedrooms (64% in Bexar County)

$7.25

Texas minimum wage per hour

About 22,615 San Antonio residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 57% of homes in San Antonio have three or more bedrooms (64% in Bexar County), while 20% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of San Antonio households headed by someone 65 or older, 92,852 own their home and 31,436 rent; among householders 85 and older it is 10,276 owners and 3,704 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

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+ in households who live alone	28%	27%	25%
Residents 65+ with a disability	42%	40%	35%
Residents 65+ below the poverty line (approx.)	15%	13%	12%
Residents 65 or older	13%	13%	13%
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

Emergency hospitals near San Antonio

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Children's Hospital Of San Antonio	San Antonio, TX	2.8 mi	not rated	(210) 704-3342
Baptist Medical Center	San Antonio, TX	3.3 mi	3 of 5	(210) 297-8256
Brooke Army Medical Center (Ft Sam Houston)	Fort Sam Houston, TX	3.3 mi	not rated	(210) 916-4141

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 live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in San Antonio

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $11.65 an hour (the Texas median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,524 a month (58% of the $4,353 monthly median income of San Antonio households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month (195% of the $4,353 monthly median income of San Antonio households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in San Antonio: common questions

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 from the center of San Antonio (Medicare hospital file). Its listed phone number is (210) 704-3342. In an emergency, call 911.

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

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $11.65 an hour (the Texas median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,524 a month (58% of the $4,353 monthly median income of San Antonio households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month (195% of the $4,353 monthly median income of San Antonio households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in San Antonio?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in San Antonio it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near San Antonio

More senior care near San Antonio

Live-In Caregivers 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.

Live-In Caregivers in San Antonio, TX