Overnight Caregivers in San Antonio, TX: Night Care at Home

Local figures

Overnight Caregivers in San Antonio, TX: the local picture

11%

of residents 65+ have serious difficulty remembering, concentrating or deciding (10% in Bexar County)

28%

of residents 65+ in households live alone (27% in Bexar County)

22,615

residents 85 or older (1.5% of all residents)

2.8 mi

to the nearest hospital with an emergency department (San Antonio)

About 21,706 San Antonio residents 65 or older have serious difficulty remembering, concentrating or making decisions (11%; 10% in Bexar County). Confusion at night is a common reason families arrange overnight care.

54,577 older residents live alone (28% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Children's Hospital Of San Antonio in San Antonio, about 2.8 mi away in a straight line; keep its number and the person’s medication list by the bed.

San Antonio compared with Bexar County and Texas

Census figure	San Antonio	Bexar County	Texas
Residents 65+ with serious difficulty remembering	11%	10%	8.5%
Residents 65+ in households who live alone	28%	27%	25%
Residents 85 or older	1.5%	1.4%	1.4%
Residents 65+ with difficulty dressing or bathing	9.3%	8.8%	8.0%
Residents 65+ with a disability	42%	40%	35%
Residents 65+ below the poverty line (approx.)	15%	13%	12%
Median income, households headed by someone 65+	$52,234	$56,300	—

Older residents in towns around San Antonio

Town	Distance	Residents 65+	Memory difficulty (65+)
Balcones Heights, TX	2.4 mi	339	6.2%
Alamo Heights, TX	3.7 mi	1,315	4.6%
Castle Hills, TX	4.3 mi	745	12%
Terrell Hills, TX	4.8 mi	878	5.7%
Leon Valley, TX	5.8 mi	1,993	11%
Lackland AFB, TX	7.7 mi	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 overnight caregiver can help with

Help to the bathroom at night and back to bed
Turning and settling someone who cannot move easily
Watching for wandering or confusion
Medication reminders at bedtime and in the morning

Cost

What overnight care costs in San Antonio

At $11.65 an hour (the Texas median aide wage), a 10-hour overnight shift three nights a week comes to about $1,515 a month, and every night about $3,534 (81% of the $4,353 monthly median income of San Antonio households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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 overnight caregiver

Overnight help is usually arranged when the person gets up in the night or the family caregiver is no longer getting enough sleep. Decide first whether you need an awake caregiver, who stays up through the shift, or one who may sleep in the home and is woken when needed; the two are paid differently.

Questions worth asking: Do you stay awake through the shift, or sleep and wake when called? Have you cared for someone with dementia at night? What would you do if my parent fell during the night? More in our overnight caregivers guide.

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

Questions

Overnight Caregivers in San Antonio: common questions

How much does overnight care cost in San Antonio?

At $11.65 an hour (the Texas median aide wage), a 10-hour overnight shift three nights a week comes to about $1,515 a month, and every night about $3,534 (81% of the $4,353 monthly median income of San Antonio households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Overnight, live-in or 24-hour care: what is the difference?

Overnight care is a single night shift. A live-in caregiver lives 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.

More near San Antonio

More senior care near San Antonio

Overnight 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.

Overnight Caregivers in San Antonio, TX