Certified Nursing Assistants (CNAs) for Home Care in Castle Hills, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Castle Hills for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Castle Hills, TX: the local picture
The nearest Medicare-certified nursing homes to Castle Hills are Castle Hills Rehabilitation And Care Center in San Antonio (1.1 mi), The Lev At San Antonio in San Antonio (2.2 mi), The Heights At Medical Center in San Antonio (2.5 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in Texas earn a median $11.65 an hour (BLS, May 2025, home health and personal care aides). Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Castle Hills has about 93 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Castle Hills compared with Bexar County and Texas
| Census figure | Castle Hills | Bexar County | Texas |
|---|---|---|---|
| Residents 85 or older | 2.4% | 1.4% | 1.4% |
| Residents 65+ with a disability | 34% | 40% | 35% |
| Residents 65 or older | 19% | 13% | 13% |
| Residents 65+ in households who live alone | 27% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 4.6% | 13% | 12% |
| Households with no vehicle | 3.2% | 6.4% | 5.4% |
| Median income, households headed by someone 65+ | $64,750 | $56,300 | — |
Older residents in towns around Castle Hills
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Balcones Heights, TX | 3.0 mi | 339 | 3 |
| Alamo Heights, TX | 4.2 mi | 1,315 | 203 |
| San Antonio, TX | 4.3 mi | 198,597 | 22,615 |
| Shavano Park, TX | 4.7 mi | 965 | 229 |
| Terrell Hills, TX | 5.4 mi | 878 | 92 |
| Hollywood Park, TX | 5.5 mi | 596 | 63 |
Nursing homes near Castle Hills
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Castle Hills Rehabilitation And Care Center | San Antonio, TX | 1.1 mi | 1 of 5 | 143 | (210) 344-4553 |
| The Lev At San Antonio | San Antonio, TX | 2.2 mi | 1 of 5 | 106 | (210) 341-6121 |
| The Heights At Medical Center | San Antonio, TX | 2.5 mi | 1 of 5 | 134 | (210) 614-4888 |
| Golden Estates Rehabilitation Center | San Antonio, TX | 3.0 mi | 2 of 5 | 93 | (210) 736-4544 |
| Broadway Nursing & Rehabilitation | San Antonio, TX | 3.3 mi | 1 of 5 | 237 | (210) 828-0606 |
| The Atrium Rehabilitation Center | San Antonio, TX | 3.3 mi | 4 of 5 | 87 | (210) 614-9974 |
Home health agencies serving Castle Hills
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Amedisys Home Health | San Antonio, TX | 1.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 558-9606 |
| Prime Home Health, LLC | San Antonio, TX | 2.3 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 251-4973 |
Straight-line miles from the center of Castle Hills. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in Castle Hills
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 19% of the $5,396 monthly median income of Castle Hills 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.
What to know before hiring a nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in Castle Hills: common questions
What nursing homes are near Castle Hills?
The closest Medicare-certified nursing homes are Castle Hills Rehabilitation And Care Center in San Antonio (1.1 mi, 1 of 5 overall); The Lev At San Antonio in San Antonio (2.2 mi, 1 of 5 overall); The Heights At Medical Center in San Antonio (2.5 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Castle Hills?
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 19% of the $5,396 monthly median income of Castle Hills 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).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Castle Hills
Nursing Assistants in nearby cities
- Nursing Assistants in Balcones Heights, TX
- Nursing Assistants in Alamo Heights, TX
- Nursing Assistants in San Antonio, TX
- Nursing Assistants in Shavano Park, TX
- Nursing Assistants in Terrell Hills, TX
- Nursing Assistants in Hollywood Park, TX
- Nursing Assistants in Leon Valley, TX
- Nursing Assistants in Windcrest, TX
- Nursing Assistants in Kirby, TX
- Nursing Assistants in Helotes, TX
- Nursing Assistants in Live Oak, TX
- Nursing Assistants in Lackland AFB, TX
- Nursing Assistants in Cross Mountain, TX
- Nursing Assistants in Timberwood Park, TX
- Nursing Assistants in Universal City, TX
- Nursing Assistants in Converse, TX
Other care in Castle Hills
- Companion Care in Castle Hills
- Dementia Care in Castle Hills
- Respite Care in Castle Hills
- Live-In Caregivers in Castle Hills
- Post-Surgery Care in Castle Hills
- Senior Transportation in Castle Hills
- Home Health Aides in Castle Hills
- Personal Care in Castle Hills
- Overnight Caregivers in Castle Hills
- 24-Hour Home Care in Castle Hills
- Mobility Assistance in Castle Hills
- Parkinson’s Care in Castle Hills
- Stroke Recovery Support in Castle Hills
- Disability Care for Adults in Castle Hills
- Hospice Support in Castle Hills
- Senior Meal Preparation in Castle Hills
- Senior Housekeeping in Castle Hills
- Medication Reminders in Castle Hills
- Veterans’ Home Care in Castle Hills
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.
Find CNAs in Castle Hills
Posting is free and takes about ten minutes. Caregivers near Castle Hills can see it as soon as it is live.
Create your free family accountLooking for caregiving work instead? Create a free caregiver profile.
