In-Home Personal Care in Balcones Heights, TX
Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in Balcones Heights for free and hire a caregiver directly, with no agency mark-up.

Personal Care in Balcones Heights, TX: the local picture
About 9 Balcones Heights residents aged 65 or older have difficulty dressing or bathing (2.7%; 8.8% in Bexar County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
153 have serious difficulty walking or climbing stairs (45%), so many personal care visits also mean help getting to the bathroom or shower safely.
3 of the 339 older residents are 85 or older; needs for hands-on help rise with age.
Balcones Heights compared with Bexar County and Texas
| Census figure | Balcones Heights | Bexar County | Texas |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 2.7% | 8.8% | 8.0% |
| Residents 65+ with serious difficulty walking | 45% | 27% | 23% |
| Residents 85 or older | 0.1% | 1.4% | 1.4% |
| Residents 65+ with a disability | 60% | 40% | 35% |
| Residents 65+ in households who live alone | 61% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 33% | 13% | 12% |
Older residents in towns around Balcones Heights
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| San Antonio, TX | 2.4 mi | 198,597 | 9.3% |
| Castle Hills, TX | 3.0 mi | 745 | 7.2% |
| Leon Valley, TX | 3.9 mi | 1,993 | 11% |
| Alamo Heights, TX | 4.9 mi | 1,315 | 3.8% |
| Terrell Hills, TX | 6.2 mi | 878 | 2.5% |
| Shavano Park, TX | 6.5 mi | 965 | 9.8% |
Home health agencies with aides serving Balcones Heights
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 1.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 1.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Alpine Care Home Health | San Antonio, TX | 1.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 832-8031 |
| American Medical Home Health Services - San Antonio LLC | San Antonio, TX | 2.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 735-6225 |
| S. A. Nurses Home Health Agency | San Antonio, TX | 2.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 798-2199 |
| Prime Home Health, LLC | San Antonio, TX | 3.5 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 Balcones Heights. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a personal care aide can help with
- Bathing or showering, with a shower chair if needed
- Dressing and undressing
- Toileting and incontinence care
- Grooming: hair, shaving and oral care
What personal care costs in Balcones Heights
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. 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 personal care aide
The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.
Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Personal Care in Balcones Heights: common questions
How much does personal care cost in Balcones Heights?
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. 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).
What is the difference between personal care and companion care?
Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.
More senior care near Balcones Heights
Personal Care in nearby cities
- Personal Care in San Antonio, TX
- Personal Care in Castle Hills, TX
- Personal Care in Leon Valley, TX
- Personal Care in Alamo Heights, TX
- Personal Care in Terrell Hills, TX
- Personal Care in Shavano Park, TX
- Personal Care in Lackland AFB, TX
- Personal Care in Hollywood Park, TX
- Personal Care in Helotes, TX
- Personal Care in Kirby, TX
- Personal Care in Windcrest, TX
- Personal Care in Cross Mountain, TX
- Personal Care in Live Oak, TX
- Personal Care in Converse, TX
- Personal Care in Timberwood Park, TX
- Personal Care in Universal City, TX
Other care in Balcones Heights
- Companion Care in Balcones Heights
- Dementia Care in Balcones Heights
- Respite Care in Balcones Heights
- Live-In Caregivers in Balcones Heights
- Post-Surgery Care in Balcones Heights
- Senior Transportation in Balcones Heights
- Home Health Aides in Balcones Heights
- Nursing Assistants in Balcones Heights
- Overnight Caregivers in Balcones Heights
- 24-Hour Home Care in Balcones Heights
- Mobility Assistance in Balcones Heights
- Parkinson’s Care in Balcones Heights
- Stroke Recovery Support in Balcones Heights
- Disability Care for Adults in Balcones Heights
- Hospice Support in Balcones Heights
- Senior Meal Preparation in Balcones Heights
- Senior Housekeeping in Balcones Heights
- Medication Reminders in Balcones Heights
- Veterans’ Home Care in Balcones Heights
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 personal care in Balcones Heights
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