Caring for an aging parent can be deeply rewarding, but it can also be exhausting. As their needs grow, balancing work, family, and daily care can start to feel like too much.
There’s no shame in asking for support from elder care services in San Antonio. These compassionate professionals respect your parent’s dignity while giving you needed relief.
Moreover, if your elderly loved one or you are feeling some aches and pains, check out the top chiropractors in the area for some much-needed relief.
How much does elder care cost in San Antonio?
Elder care costs in San Antonio vary based on the level of support required, such as $795 monthly for adult day programs and over $8,400 for specialized memory care.
| Service Type | Cost |
| Adult Day Care | $795 per month |
| Assisted Living | $3,066 – $5,121 per month |
| In-Home Care (Non-medical) | $18 – $24 per hour ($4,290/month) |
| Memory Care | $3,475 – $8,400+ per month |
| Nursing Home Care | $125 (semi-private) – $170 (private) per day |
1. Amada Senior Care

Website: https://www.amadaseniorcare.com/
Address: 1350 N Loop 1604 E, Suite 106
Contact: (210) 960-4304
Hours: Monday – Friday: 9:00 AM – 5:00 PM
One of the hardest parts of finding senior care is figuring out how to pay for it. Amada Senior Care helps families navigate that process by assisting with long-term care insurance claims and Veterans Aid and Attendance benefits.
They work closely with families and advocate for the financial support they may qualify for. They also put real care into matching caregivers based on personality and shared interests.
A neighbor recently told me how quickly her father connected with his caregiver, which gave their whole family a sense of relief.
When living at home is no longer the safest option, Amada also offers free placement services to help families find the right assisted living community.
However, it’s worth noting that their services are non-medical, so they don’t handle clinical tasks like wound dressing.
Customer Reviews:
We are extremely happy
We are extremely happy with Melissa. She has been doing a great job as Cindy’s caregiver. She has been able to develop a very nice relationship with Cindy. Through Melissa’s efforts, I am seeing things out of Cindy that i haven’t seen in quite a while. Melissa’s experience dealing with dementia care is definitely paying dividends for Cindy.
- Richard Page | Google Review
I’m very satisfied with my caregivers
I’m very satisfied with my caregivers showing up on time and knowing what to do by following my care plan. Denise is great and Natali is too. Madeline was very pleasant when she called to introduce herself. I appreciate Amanda’s help managing my long term insurance claim and Lori for being present during the nurse assessment today.
- Paul Heath | Google Review
2. Always Best Care Senior Services – Home Care Services in San Antonio

Website: http://www.alwaysbestcare.com/
Address: 1846 N Loop 1604 W Ste 205
Contact: (855) 592-4841 | (210) 772-2277
Hours: Monday – Sunday: 8:00 AM – 5:00 PM
Planning ahead feels a lot easier when one agency can support different stages of aging. Always Best Care Senior Services stands out because it offers both in-home care and free assisted living placement.
They also use remote monitoring and fall detection tools, which can help seniors stay safer even when a caregiver isn’t there in person.
On top of that, their transition support is especially helpful after a hospital stay, since it helps seniors return home more safely and may lower the chance of readmission.
That kind of support can ease a lot of stress for adult children balancing work and family life. They also carefully screen and bond every caregiver, which adds another layer of trust.
While they excel at providing flexible companionship and expert dementia support, they operate exclusively as a non-medical provider. You will need to hire a separate clinical team if your parent requires skilled nursing duties like administering injections.
Customer Reviews:
ABC was a tremendous help
ABC was a tremendous help when my dad required additional care beyond Assisted Living. Wendy came out within minutes to assess my dad’s needs. The ABC caregivers went above and beyond, including staying with my dad when he had to be hospitalized. I’ve referred ABC to several families, all of which have shared our positive experience. Thank you, Pat and Wendy, for providing a service that makes a difficult time in the life of our loved ones so much easier to accept. Keep up the good work! Forever grateful!
- Melanie Brandt | Google Review
They have a heart to care
Pat, Wendy, & their team are the BEST! I had a friend in need of their services and they were timely, attentive, and incredibly caring. They went above and beyond to make sure the best care was provided. They have a heart to care for those in need and it shines through everything they do! I HIGLY recommend using Always Best Care Senior Services! Best in town!
- Katelyn McCarthy | Google Review
3. Caring Senior Service

Website: https://caringseniorservice.com/
Address: 201 E Park Ave Ste 100
Contact: (210) 226-6393
Hours: Monday – Friday: 9:00 AM – 5:00 PM
Paying for ongoing care can feel uncertain, especially when some agencies charge more at night, on weekends, or during holidays. Caring Senior Service helps ease that stress with a flat hourly rate that stays the same regardless of the day.
They also follow their GreatCare Method, which focuses on personalized care and active support from management.
To keep families informed, they use a tablet-based platform called Tendio. It makes it easier for caregivers and family members to stay connected and share updates. I used a similar system while arranging care for my aunt, and seeing daily updates in real time was incredibly reassuring.
Another thing is, their leadership team brings years of experience in creating care plans for chronic conditions.
Just keep in mind that their flat hourly rate does vary depending on your specific location within the service area. They also don’t offer clinical medical monitoring.
Customer Reviews:
I appreciate their flexibility and genuine care
I highly recommend Caring Senior Services for your love ones companionship and daily needs. I rank Communication and Reliability high on my priority list and this agency receives a high mark. I appreciate their flexibility and genuine care for their clients. Thank you for being such a vital member of our family.
- Bridget Majors | Google Review
Staff was outstanding
The services provided by the Caring Senior Service staff was outstanding. They were kind , courteous and professional at all times. In addition, they were flexible to meet changing medical scheduling. I highly recommend them for any care giver.
- Raymond Wright | Google Review
4. Home Instead, Home Care Services of San Antonio, Texas

Website: https://www.homeinstead.com/
Address: 4466 Lockhill Selma Rd #101
Contact: (888) 343-0182
Hours: Available 24/7
Trusting someone else with a vulnerable parent’s daily care is never easy. Home Instead stands out for its personal, relationship-based approach, giving seniors one-on-one support that feels attentive rather than rushed.
Because of its large network of caregivers, services can often begin within just a couple of days. Plus, they offer flexible levels of care, from companionship to around-the-clock supervision.
They also provide respite care, which gives family caregivers a chance to rest and recharge. Their person-centered approach can be especially valuable for seniors living with chronic conditions such as Parkinson’s disease.
However, because each office operates as a franchise, the exact rates and available hours vary significantly across the region. Their core service is also non-medical by default, requiring separate nurse-directed plans for wound care.
Customer Reviews:
They care for your loved one like family
My wife has had the assistance from Home Instead for over four years now due to serious ski accident. Taylor has been an incredible manager. The communication is easy through an app or they’ll always advise me by phone. Caregivers have been really tentative and caring and making sure they help in anyway. Carol is wonderful too. She comes by and does the assessments. By far, this is more like a family than it is just a corporation. They care for your loved one like family.
- Keith Forster | Google Review
VERY BEST in San Antonio
Home Instead caregivers are hands down the VERY BEST in San Antonio. They are ALL very professional, personable and punctual to work with. My Dad’s favorite care giver is Gini Bauer. She is AWESOME!! Thank Home Instead for great care of my 90 year Da.
- Julia Corte | Google Review
5. Promise Senior Solutions

Website: http://www.promiseseniorsolutions.com/
Address: 4606 Centerview Dr #255
Contact: (210) 736-4677 | [email protected]
Hours: Available 24/7
A large national agency can sometimes feel distant during a deeply personal family transition. Promise Senior Solutions offers a more local and hands-on approach.
Michael and Sherry own and operate the agency themselves, which helps create flexible care that can adjust to a senior’s daily routine. All caregivers are also dementia-certified, giving families extra confidence in the care provided.
On top of that, they put real thought into caregiver matching by focusing on shared hobbies and personality fit. They even offer escorted transportation, which can be especially helpful for seniors managing appointments or home accessibility updates.
Families can start with a free in-home consultation to receive a personalized care plan with no pressure. They assist with household tasks, light laundry, and bed-bound support.
That said, they’re a non-medical provider, which is a drawback for families needing hands-on clinical support. Services like injections or IV management require separate medical staff, adding extra coordination and cost.
Customer Reviews:
We had the most wonderful caregiver
We had the most wonderful caregivers for my father. They were smart, diligent and reliable. The idea of having people in the home 8+ hours per day was not easy for my mother but she loved and appreciated the caregivers so much that she adjusted well and ended up loving them. When we had to call the 24 hour phone line, we always talked with a very helpful person (not a computer). Words cannot truly express how grateful we are for Promise Senior Solutions’ excellent care.
- Victoria Richardson | Google Review
They have provided great in-home service
Promise Senior Solutions has provided great in-home service. Herlinda is always on time and does a wonderful job of taking care of my elderly mother. I would definitely recommend anyone looking for home health care to check out Promise Senior Solutions,
- Valerie Georgia | Google Review





