April TurnerFinding the right support for an aging parent or a relative recovering from surgery requires careful thought. It’s a big step to finally decide to entrust your loved ones to a caregiver.
That’s why, when it’s time to choose, you want professionals who are both compassionate and reliable.
You need a team capable of handling daily routines, like keeping track of medications and basic cleaning, and mobility support with genuine warmth.
To help you in your search for trusted care, we rigorously assessed the best home health care services in San Antonio. Read our picks for skilled, empathetic daily assistance your loved ones need to live comfortably in their own homes.
How much does home health care cost in San Antonio?
If your aging parent needs standard full-time help, expect to pay around $4,300 to $4,400 monthly in San Antonio, while specialized medical needs will shift these rates.
| Care Level | Estimated Rate |
| Standard Hourly Care | $20 to $34 per hour |
| Monthly Full-Time Support | $4,000 to $5,000 per month |
| Specialized Dementia Care | $32 to $40 per hour |
1. Comfort Keepers
Website: https://www.comfortkeepers.com/offices/texas/san-antonio/
Address: 14310 Northbrook Drive 240
Contact: (210) 972-0900
Schedule: Available 24/7
Comfort Keepers engages seniors through an interactive approach. When my own grandmother needed help after a bad fall, her caregivers stepped in with consistent, around-the-clock companionship that genuinely stabilized her daily life.
Here, they pair routine household support with active participation in hobbies rather than just completing chores for them. With this, older adults are physically and mentally stimulated throughout the day.
They even have specialized programs for veterans and hospital-to-home transition assistance, which add extra layers of practical support. If you have senior relatives already living in assisted living facilities, they can also provide support for them.
It’s worth noting that every staff member here undergoes strict vetting and carries full bonding. However, their services remain strictly non-medical. Families requiring skilled nursing or physical therapy must seek out clinical providers.
Booking continuous care also requires rotating shifts. This setup means your loved one will interact with multiple different caregivers, which can disrupt strict personal routines.
Customer Reviews
A really great company and wonderful people
Caregivers who really care and are willing to go above and beyond. A staff dedicated to providing support in a timely and efficient manner. Owners who are interested in the people they serve and their employees and not just profit at any cost. A really great company and wonderful people.
- Steve Herrington | Google Reviews
Made her last months so much more comfortable and painless
I wholeheartedly recommend Comfort Keepers- during my wife’s 5 months of being sick prior to her passing, they could not have been more compassionate and caring. They made her last months so much more comfortable and painless. Without exception all their home care aides were willing to go the extra mile to give Pamela the best care possible.
- Vance Stacy | Google Reviews
2. Wave Healthcare LLC Corporate Office
Website: https://wavehealthcare.com/
Address: 121 Interpark Blvd, Suite 300
Contact: (210) 593-WAVE(9283) | (866) 935-9283 | (866) 492-7762 (Fax)
Schedule:
- Mon-Fri 8:00 AM – 5:00 PM
- 24/7 Support
Wave Healthcare operates as a specialized Durable Medical Equipment (DME) provider focused entirely on children.
By delivering advanced respiratory technology and essential enteral nutrition therapy, they support families managing complex at-home medical situations.
I like how they have actual pediatric respiratory therapists who can assist parents safely operate life-sustaining machinery.
They also have dedicated case managers to process insurance requirements and coordinate strict physician orders.
This administrative backing lets parents focus on daily care rather than paperwork.
Do note that their care automatically shifts when a patient turns 21. Fortunately, the team helps families smoothly transition young adults to an adult-focused partner organization.
And because their expertise centers strictly on respiratory and nutritional needs, you must secure a different provider for mobility wheelchairs or custom orthotics.
Customer Reviews
We are forever grateful
We have been using Wave for almost 15 years and I am so thankful for all the help they have provided with taking care of my child. Rodney, the owner, was instrumental in helping us get established as new parents of medically complex child and we are forever grateful.
- Threelittlebirdsmom | Google Reviews
Heart and compassion are the core of their customer service
For over a decade, Wave Healthcare has been a steady hand and a partner we’ve come to rely on in providing all the medical supplies we need on a regular basis and, in certain times of crisis. Heart and compassion are the core of their customer service. We recommend their services to both new and existing clients who want better care for pediatric special needs or adult medical necessities. Give them a ring!
- Victoria | Google Reviews
3. Legacy Home Health Agency
Website: https://www.legacyhhc.com/
Address: 6655 First Park Ten Boulevard, Suite 200
Contact: (210) 736-1855 | (210) 736-7120 (Fax)
Schedule:
- Mon-Fri 8:00 AM – 5:00 PM
- Care Services 24/7
Operating in South Texas for over two decades, Legacy Home Health Agency has built a strong regional foundation by delivering a continuous spectrum of support.
For instance, they have basic personal attendant services and specialized hospice care. This enables a smooth transition as medical needs evolve.
I also appreciate that their private duty program adapts easily to daily life. They can step in to manage basic housekeeping and meal prep without requiring strict clinical orders.
Moreover, they have on-staff medical social workers who provide emotional counseling while connecting families with community resources to help the recovery process.
Since standard Medicare usually does not cover non-medical visits, these flexible private duty services typically require out-of-pocket payments.
While their local focus benefits San Antonio residents, families planning to relocate outside of South Texas will need to establish care with a completely new agency.
Customer Reviews
Excellent in providing me with the help for my mother of 89 years old
Selina came in to give a year evaluation and I asked for some more services for my mother. It’s been a long hard job and she did excellent in providing me with the help for my mother of 89 years old. Mother is fonda get sone help . Thank God and to legacy to making things happen and soniaand the gal in hr department. Thank you legacy for yalls wonderful help.
- j flo | Google Reviews
Thank you for your continued support and dedication
We have used other providers recently and were very dissatisfied. I was able to connect with Andrea Guzman at Lagacy and after a brief impromptu meeting we were able to establish a clear and progressive plan of care for my spouse. Ms. Guzman has been very professional and understanding and has gone beyond to provide the necessary support for us. A job well done and deserved recognition, thank you for your continued support and dedication.
- Marcelino Ramirez | Google Reviews
4. Griswold Home Care for San Antonio
Website: https://www.griswoldcare.com/san-antonio/
Address: 1314 East Sonterra Boulevard, Suite 2101
Contact: (210) 496-9993
Schedule: Available 24/7
Griswold Home Care for San Antonio supports seniors aging in place by managing daily household chores alongside attentive grooming assistance.
Co-owned by George McGuire, a retired United States (U.S.) Army lieutenant colonel, the agency draws on his military background to actively help families secure complex Veterans Affairs (VA) benefits.
Staff members also receive specific training to spot adult failure to thrive by closely monitoring daily nutrition and hydration. Beyond individual care, the team hosts local support groups for families facing early-stage dementia.
Speaking of dementia, their caregivers are truly compassionate. They even reintroduce themselves daily and utilize targeted activities to gently stimulate short-term memory.
I must mention that they strictly operate as a non-medical provider. Their caregivers cannot administer medications or change bandages, and can only offer verbal reminders for pills.
Standard Medicare plans typically exclude these personal custodial services, so families usually rely on private funds or specific long-term care insurance.
Customer Reviews
Highly recommend this company to anyone who needs home healthcare
Wonderful service. The ladies are all so nice and helpful. Allowed me to go home directly from hospitalization and be in my own home which for me is worth everything. I would highly recommend this company to anyone who needs home healthcare. My recovery is progressing much faster being in my home and having these amazing ladies helping me with anything I need. I cannot thank them enough. They are nothing short of a blessing to me.
- Bea Con | Google Reviews
You can not go wrong with this company
Griswold is a terrific organization. They have helped my wife and I get through our Alzheimer’s Journey for the last several years. Not only do they provide great care they also support families in other ways including leading support groups, education and providing great resources. We really appreciate all that they have done for us. You can not go wrong with this company. I also wanted to mention they will help folks with their VA benefits. There are some good programs that my friends have taken advantage of.
- Michael Wagnon | Google Reviews
5. Avenues Home Care | San Antonio
Website: https://avenueshomecare.com/in-home-care-san-antonio/
Address: 909 NE Interstate 410 Loop #100
Contact: (210) 236-5582 | [email protected]
Schedule: Available 24/7
Avenues Home Care stands out for integrating fall prevention strategies directly into their daily routines.
I experienced their services firsthand when I returned home after a minor outpatient surgery. I appreciate how my assigned caregiver stepped in immediately to monitor my physical recovery and keep the house organized.
Another thing I appreciate is that their professional caregivers are thoroughly vetted. They’re also specifically trained to provide dedicated daily living support for adults with intellectual and developmental disabilities.
However, keep in mind that if you need round-the-clock supervision, this agency uses rotating shifts. This means you’ll be interacting with multiple caregivers rather than a dedicated individual.
Additionally, because driving is optional for the staff, you must request a matched caregiver if you need transport for errands or appointments.
On the upside, the administrative staff is helpful. They even assist families in securing complex military benefits for veterans to ease the financial burden.
Customer Reviews
Extremely friendly and flexible
We used Avenues Home Care to assist with the needs of my mom while she was still with us. Avenues was super friendly, helpful and flexible. The care givers were friendly and loving with Mom and she loved having them over each day. Sam coordinated Mom’s care givers and schedule and was extremely friendly and flexible. Thank you for great service you provide!
- Caleb Schaefer | Google Reviews
I highly recommend AA Care Services
After going through several horrible health care providers, I finally found AA Care Services. They took care of my father for over three years with quality people up and down the ladder. There were rough spots, but nothing that Helen (the owner) couldn’t explain or make right. The communication was always good and my father wound up becoming friends with Nicole and Cheryl; we did too. I highly recommend AA Care Services.
- Mitch Meyer | Google Reviews
