Respite Care in San Antonio, TX
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in San Antonio for free and hire a caregiver directly, with no agency mark-up.

Respite Care in San Antonio, TX: the local picture
Most older adults in San Antonio live with someone: 72% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.
About 81,185 San Antonio residents aged 65 or older report a disability (42%) (40% in Bexar County). Many of them rely on a spouse or adult child day to day.
Medicare lists 198 hospices serving San Antonio ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
San Antonio compared with Bexar County and Texas
| Census figure | San Antonio | Bexar County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 42% | 40% | 35% |
| Residents 65+ in households who live alone | 28% | 27% | 25% |
| Residents 65 or older | 13% | 13% | 13% |
| Residents 85 or older | 1.5% | 1.4% | 1.4% |
| 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+ | 65+ with a disability |
|---|---|---|---|
| Balcones Heights, TX | 2.4 mi | 339 | 60% |
| Alamo Heights, TX | 3.7 mi | 1,315 | 32% |
| Castle Hills, TX | 4.3 mi | 745 | 34% |
| Terrell Hills, TX | 4.8 mi | 878 | 31% |
| Leon Valley, TX | 5.8 mi | 1,993 | 37% |
| Lackland AFB, TX | 7.7 mi | 0 | — |
Hospices serving San Antonio
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Serenity Hospice And Palliative Care Of Texas | San Antonio, TX | 0.9 mi | (210) 852-4009 |
| Completecare Home Health And Hospice | San Antonio, TX | 2.5 mi | (210) 520-7977 |
| Gentiva Hospice | San Antonio, TX | 2.5 mi | (210) 738-8141 |
| A Bliss Hospice Care | San Antonio, TX | 2.5 mi | (210) 822-0577 |
| American Medical Hospice & Palliative Care | San Antonio, TX | 2.7 mi | (210) 812-5709 |
Nursing homes near San Antonio (ask about short stays)
| 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 |
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 respite caregiver can help with
- Taking over the usual routine while you are away
- Meals, medication reminders and personal care
- Company and activities
- Overnight cover for a weekend or a trip
What respite 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.
What to know before hiring a respite caregiver
Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.
Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Respite Care in San Antonio: common questions
Which hospices serve San Antonio?
Medicare lists 198 hospices for San Antonio ZIP codes, including Serenity Hospice And Palliative Care Of Texas, Completecare Home Health And Hospice, Gentiva Hospice.
How much does respite 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).
Does Medicaid or Medicare pay for respite care?
Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve San Antonio. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.
More senior care near San Antonio
Respite Care in nearby cities
- Respite Care in Balcones Heights, TX
- Respite Care in Alamo Heights, TX
- Respite Care in Castle Hills, TX
- Respite Care in Terrell Hills, TX
- Respite Care in Leon Valley, TX
- Respite Care in Lackland AFB, TX
- Respite Care in Kirby, TX
- Respite Care in Shavano Park, TX
- Respite Care in Windcrest, TX
- Respite Care in Hollywood Park, TX
- Respite Care in Helotes, TX
- Respite Care in Live Oak, TX
- Respite Care in Converse, TX
- Respite Care in Universal City, TX
- Respite Care in Selma, TX
- Respite Care in Cross Mountain, TX
Other 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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