Certified Nursing Assistants (CNAs) for Home Care in Selma, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Selma for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Selma, TX: the local picture
The nearest Medicare-certified nursing homes to Selma are Trucare Living Centers - Selma in Selma (0.7 mi), Advanced Rehabilitation & Healthcare Of Live Oak in Live Oak (2.4 mi), Avir At Schertz in Schertz (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).
Selma has about 16 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Selma compared with Guadalupe County and Texas
| Census figure | Selma | Guadalupe County | Texas |
|---|---|---|---|
| Residents 85 or older | 0.1% | 1.2% | 1.4% |
| Residents 65+ with a disability | 23% | 35% | 35% |
| Residents 65 or older | 9.2% | 15% | 13% |
| Residents 65+ in households who live alone | 19% | 22% | 25% |
| Residents 65+ below the poverty line (approx.) | 1.7% | 9.3% | 12% |
| Households with no vehicle | 0.0% | 3.2% | 5.4% |
| Median income, households headed by someone 65+ | $86,500 | $62,106 | — |
Older residents in towns around Selma
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Universal City, TX | 2.4 mi | 2,914 | 123 |
| Live Oak, TX | 2.6 mi | 2,233 | 377 |
| Garden Ridge, TX | 3.7 mi | 980 | 82 |
| Schertz, TX | 4.2 mi | 5,992 | 493 |
| Converse, TX | 5.2 mi | 3,295 | 346 |
| Cibolo, TX | 6.0 mi | 3,694 | 275 |
Nursing homes near Selma
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Trucare Living Centers - Selma | Selma, TX | 0.7 mi | 2 of 5 | 128 | (210) 886-8393 |
| Advanced Rehabilitation & Healthcare Of Live Oak | Live Oak, TX | 2.4 mi | 3 of 5 | 123 | (210) 600-3700 |
| Avir At Schertz | Schertz, TX | 2.5 mi | 2 of 5 | 96 | (210) 658-6338 |
| Silver Tree Nursing And Rehabilitation Center | Schertz, TX | 3.7 mi | 2 of 5 | 120 | (210) 566-9100 |
| San Antonio Wellness & Rehabilitation | San Antonio, TX | 3.8 mi | 2 of 5 | 154 | (210) 653-1219 |
| Avir At Converse | Converse, TX | 3.9 mi | 1 of 5 | 100 | (210) 650-0551 |
Home health agencies serving Selma
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 16 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 16 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Beyondfaith Homecare & Rehab San Antonio | San Antonio, TX | 9.7 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 900-3640 |
| Methodist Healthcare At Home | San Antonio, TX | 9.7 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 248-3081 |
Straight-line miles from the center of Selma. 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 Selma
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 14% of the $7,208 monthly median income of Selma 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 Selma: common questions
What nursing homes are near Selma?
The closest Medicare-certified nursing homes are Trucare Living Centers - Selma in Selma (0.7 mi, 2 of 5 overall); Advanced Rehabilitation & Healthcare Of Live Oak in Live Oak (2.4 mi, 3 of 5 overall); Avir At Schertz in Schertz (2.5 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Selma?
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 14% of the $7,208 monthly median income of Selma 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 Selma
Nursing Assistants in nearby cities
- Nursing Assistants in Universal City, TX
- Nursing Assistants in Live Oak, TX
- Nursing Assistants in Garden Ridge, TX
- Nursing Assistants in Schertz, TX
- Nursing Assistants in Converse, TX
- Nursing Assistants in Cibolo, TX
- Nursing Assistants in Windcrest, TX
- Nursing Assistants in Kirby, TX
- Nursing Assistants in Hollywood Park, TX
- Nursing Assistants in Terrell Hills, TX
- Nursing Assistants in Alamo Heights, TX
- Nursing Assistants in Timberwood Park, TX
- Nursing Assistants in Castle Hills, TX
- Nursing Assistants in New Braunfels, TX
- Nursing Assistants in Shavano Park, TX
- Nursing Assistants in Bulverde, TX
Other care in Selma
- Companion Care in Selma
- Dementia Care in Selma
- Respite Care in Selma
- Live-In Caregivers in Selma
- Post-Surgery Care in Selma
- Senior Transportation in Selma
- Home Health Aides in Selma
- Personal Care in Selma
- Overnight Caregivers in Selma
- 24-Hour Home Care in Selma
- Mobility Assistance in Selma
- Parkinson’s Care in Selma
- Stroke Recovery Support in Selma
- Disability Care for Adults in Selma
- Hospice Support in Selma
- Senior Meal Preparation in Selma
- Senior Housekeeping in Selma
- Medication Reminders in Selma
- Veterans’ Home Care in Selma
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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