Certified Nursing Assistants (CNAs) for Home Care in San Antonio, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in San Antonio for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in San Antonio, TX: the local picture
The nearest Medicare-certified nursing homes to San Antonio are The Sarah Roberts French Home in San Antonio (1.1 mi), St. Francis Nursing Home in San Antonio (1.5 mi), Meridian Care Monte Vista in San Antonio (1.7 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).
San Antonio has about 22,615 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
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+ with a disability | 42% | 40% | 35% |
| Residents 65 or older | 13% | 13% | 13% |
| Residents 65+ in households who live alone | 28% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 15% | 13% | 12% |
| Households with no vehicle | 7.7% | 6.4% | 5.4% |
| 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 |
Nursing homes near San Antonio
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| The Sarah Roberts French Home | San Antonio, TX | 1.1 mi | 2 of 5 | 60 | (210) 736-4238 |
| St. Francis Nursing Home | San Antonio, TX | 1.5 mi | 4 of 5 | 107 | (210) 736-3177 |
| Meridian Care Monte Vista | San Antonio, TX | 1.7 mi | 1 of 5 | 106 | (210) 735-9233 |
| Morningside Manor | San Antonio, TX | 1.7 mi | 4 of 5 | 147 | (210) 731-1000 |
| Golden Estates Rehabilitation Center | San Antonio, TX | 1.7 mi | 2 of 5 | 93 | (210) 736-4544 |
| San Pedro Manor | San Antonio, TX | 1.9 mi | 4 of 5 | 150 | (210) 732-5181 |
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 |
| 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 |
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 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 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.
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 San Antonio: common questions
What nursing homes are near San Antonio?
The closest Medicare-certified nursing homes are The Sarah Roberts French Home in San Antonio (1.1 mi, 2 of 5 overall); St. Francis Nursing Home in San Antonio (1.5 mi, 4 of 5 overall); Meridian Care Monte Vista in San Antonio (1.7 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs 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).
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 San Antonio
Nursing Assistants in nearby cities
- Nursing Assistants in Balcones Heights, TX
- Nursing Assistants in Alamo Heights, TX
- Nursing Assistants in Castle Hills, TX
- Nursing Assistants in Terrell Hills, TX
- Nursing Assistants in Leon Valley, TX
- Nursing Assistants in Lackland AFB, TX
- Nursing Assistants in Kirby, TX
- Nursing Assistants in Shavano Park, TX
- Nursing Assistants in Windcrest, TX
- Nursing Assistants in Hollywood Park, TX
- Nursing Assistants in Helotes, TX
- Nursing Assistants in Live Oak, TX
- Nursing Assistants in Converse, TX
- Nursing Assistants in Universal City, TX
- Nursing Assistants in Selma, TX
- Nursing Assistants in Cross Mountain, TX
Other care in San Antonio
- Companion Care in San Antonio
- Dementia Care in San Antonio
- Respite Care in San Antonio
- Live-In Caregivers in San Antonio
- Post-Surgery Care in San Antonio
- Senior Transportation in San Antonio
- Home Health Aides in San Antonio
- Personal Care in San Antonio
- Overnight Caregivers in San Antonio
- 24-Hour Home Care in San Antonio
- Mobility Assistance in San Antonio
- Parkinson’s Care in San Antonio
- Stroke Recovery Support in San Antonio
- Disability Care for Adults in San Antonio
- Hospice Support in San Antonio
- Senior Meal Preparation in San Antonio
- Senior Housekeeping in San Antonio
- Medication Reminders in San Antonio
- Veterans’ Home Care in San Antonio
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.
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