In-Home Personal Care in San Antonio, TX

Local figures

Personal Care in San Antonio, TX: the local picture

9.3%

of residents 65+ have difficulty dressing or bathing (8.8% in Bexar County)

28%

of residents 65+ have serious difficulty walking or climbing stairs (27% in Bexar County)

22,615

residents 85 or older (1.5% of all residents)

129

Medicare-certified home health agencies list San Antonio ZIP codes in their service area

About 18,023 San Antonio residents aged 65 or older have difficulty dressing or bathing (9.3%; 8.8% in Bexar County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.

54,377 have serious difficulty walking or climbing stairs (28%), so many personal care visits also mean help getting to the bathroom or shower safely.

22,615 of the 198,597 older residents are 85 or older; needs for hands-on help rise with age.

San Antonio compared with Bexar County and Texas

Census figure	San Antonio	Bexar County	Texas
Residents 65+ with difficulty dressing or bathing	9.3%	8.8%	8.0%
Residents 65+ with serious difficulty walking	28%	27%	23%
Residents 85 or older	1.5%	1.4%	1.4%
Residents 65+ with a disability	42%	40%	35%
Residents 65+ in households who live alone	28%	27%	25%
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+	Self-care difficulty (65+)
Balcones Heights, TX	2.4 mi	339	2.7%
Alamo Heights, TX	3.7 mi	1,315	3.8%
Castle Hills, TX	4.3 mi	745	7.2%
Terrell Hills, TX	4.8 mi	878	2.5%
Leon Valley, TX	5.8 mi	1,993	11%
Lackland AFB, TX	7.7 mi	0	—

Home health agencies with aides 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
S. A. Nurses Home Health Agency	San Antonio, TX	2.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 798-2199
Alpine Care Home Health	San Antonio, TX	3.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 832-8031

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 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

Cost

What personal care 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.

Before you hire

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.

Questions

Personal Care in San Antonio: common questions

How much does personal care 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).

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 near San Antonio

More senior care near San Antonio

Personal Care 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.