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Best Home Care in San Antonio, TX

Why trust this guide? Our editorial team analyzed 13 home care communities in San Antonio, TX using Texas Health and Human Services (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank home care in TX
Reviewed by
Last updated
Jul 2026
We analyzed
13 homes
Other senior care options in San Antonio:
Avg Walk Score: 58/ 100The average Walk Score across facilities in San Antonio, TX. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 60The average licensed bed capacity across facilities in San Antonio, TX. Individual facilities can vary widely from this average.
National Average: 90
Overview of Remington Transitional Care

As a leading provider of short-term skilled nursing and therapy services, Remington Transitional Care offers a wide range of specialized care options. Whether it’s cardiac care, IV care, stroke care, pulmonary care, tube feeding, respite care, or any other specialized service, residents can trust that they will receive the highest level of care tailored to their distinct needs. The facility also provides comprehensive rehab therapy services such as outpatient therapy, orthopedic care, post-surgical care, diathermy, and more. They aim to help residents regain their independence and achieve optimal recovery using cutting-edge therapies.
The facility also offers modern amenities such as WiFi, transportation services, a salon for personal grooming, recreational activities, a refreshing pool, and a short-term transitional care unit for seamless recovery. Residents can also enjoy cable services, allowing them to stay connected and entertained during their stay. Moreover, the facility accepts various insurance options, including Medicare, Medicaid, private and VA insurance, and more. Residents are also welcome to bring their personal physician, ensuring continuity of care and personalized medical attention.

Contact Remington Transitional Care

Overview of The Village at Incarnate Word

The Village at Incarnate Word is a 60-bed nursing and rehabilitation community in San Antonio, Texas. It is operated by Incarnate Word Retirement Community, Inc., a voluntary nonprofit founded by the Sisters of Charity of the Incarnate Word. The facility offers nursing and rehabilitation, assisted living, independent living, memory care, and respite care. It accepts Medicare, Medicaid, and private pay. The facility holds a 5-star CMS overall rating, placing it among the top performers in the state. Across three inspections since 2023, the facility recorded 13 citations, roughly half the Texas average of 25.9, with zero critical or serious findings and no federal penalties in that period. Total nurse staffing averages 4 hours and 23 minutes per resident per day, 16% above the Texas average, with certified nurse aide staffing 36% above the state benchmark, ranking the facility 49th out of 289 Texas SNFs for total adjusted nursing hours. The occupancy rate is 91%, well above the Texas average of 63.5% and ranks 15th statewide, reflecting consistent local demand. The community has been voted the #1 Best Senior Living in San Antonio for three consecutive years from 2023 to 2025 by San Antonio Express-News Readers’ Choice. Long-stay hospitalization and emergency department rates are among the clearest clinical signals for the facility. Hospitalizations are 1.02 per 1,000 resident days, 52% below the state average, and ED visits are 0.60 per 1,000 resident days, 71% below the state average. The campus includes a Spiritual Life program, an active resident council, and a CCRC structure spanning multiple levels of care. In-home care services are also available. The Village at Incarnate Word fits older adults seeking a nonprofit, faith-affiliated continuum of care in San Antonio, from short-term rehabilitation through long-term skilled nursing and memory care, within a community that maintains strong staffing and a low-acuity compliance record.

Contact The Village at Incarnate Word

Overview of Ascensia Home Health

Based in Kings Highway, San Antonio, TX, Ascensia Home Health is an in-home care provider offering Skilled Nursing, Physical, Occupational, and Speech Therapy, Home Health Aide, and Medical Social Worker services. Providing care since 2005, Ascensia Home Health ensures the best care for seniors in the comfort of their homes. 

Providing comfort and assistance to seniors, Ascensia Home Health ensures a better quality of life. With a professionally trained team of caregivers and nurses, Ascensia delivers assistance that meets every senior’s needs.

Types of Care Available

Home Care

Contact Ascensia Home Health

A Amazing Home Care

A Amazing Home Care, 4112 San Pedro Ave Ste. 114, San Antonio, TX 78212
Overview of A Amazing Home Care

Located in San Pedro Avenue, San Antonio, TX, A Amazing Home Care provides personal home care services to ensure a better and more comfortable quality of life. Delivering quality care and assistance to individuals in need, A Amazing Home Care assures comfort at the premises of home. 

A Amazing Home Care ensures the best care tailored to an individual’s preferences and needs. Promoting a trusting connection between the caregivers and the individuals, A Amazing Home Care maintains a high standard of quality and care. 

Type of Care Available

Home Care

Contact A Amazing Home Care

Family Tree Private Care – San Antonio

901 Ne Interstate 410 Loop Suite 300, San Antonio, TX 78209
Overview of Family Tree Private Care – San Antonio

Family Tree Private Care is an exceptional in-home care provider that offers Care Giving, Private Nursing, and Care Management. With a team comprised of professional caregivers, private nurses, care managers, advisors, and dedicated people, Family Tree ensures a better quality of life within the comfort of home. Providing care for over a decade, Family Tree also provides long-term insurance and round-the-clock nursing support.

Family Tree combines compassion and professionalism in delivering the utmost care that seniors deserve. Assistance and care recognized in the industry, Family Tree Care fosters a family-like relationship with the team and seniors.

Assisted Living Home Care Memory Care Nursing Care

Contact Family Tree Private Care – San Antonio

Aspen Health Care

85 Ne Interstate 410 Loop, San Antonio, TX 78216
Overview of Aspen Health Care

Situated in Interstate Loop, San Antonio, TX, Aspen Health Care is an exceptional in-home care provider offering Home Health and Hospice Care. With over 25 years of providing care, Aspen Health Care boasts a team of skilled and dedicated healthcare practitioners. Delivering high-quality care supported with clinical excellence and personalized service, Aspen Health Care ensures the comfort of seniors at home. 

Acknowledging the differences of every individual, Aspen Health Care strives to provide care matching their needs and preferences. Live comfortably and safely at home with Aspen Health Care.

Type of Care Available

Home Care Hospice Care Palliative Care

Contact Aspen Health Care

Overview of Sisters Care

Sisters Care provides specialized non-medical home care directly to older adults residing throughout the Uptown Central area of San Antonio, Texas. Rather than utilizing a central campus or care facility layout, this visiting agency brings support directly into a client’s private house, enabling seniors to stay in comfortable, familiar surroundings. Caregivers adapt to individual household routines by offering flexible assistance schedules that range from brief daytime visits to round-the-clock supervision.

The neighborhood surrounding the agency’s regional office holds a walkability score of 62 out of 100, meaning local coordinators and visiting relatives can manage a handful of basic retail tasks on foot. Care plans cover essential day-to-day operations like bathing, grooming, oral hygiene, medication reminders, meal preparation, and light laundry chores.

The organization extends its core services to cover short-term post-operative recovery, temporary family caregiver respite, and supportive palliative or hospice care during serious or advanced illness.

Interested individuals can get in touch with the San Antonio office to verify current service availability and request an hourly rate structure.

Type of Care Available

Assisted Living Home Care Independent Living Memory Care Nursing Care Skilled Nursing

Contact Sisters Care

Overview of BrightStar Care

Delivering top-notch care and assistance, BrightStar Care is a distinguished community in San Antonio, TX, that offers in-home care services. With its commitment to improving older adults’ welfare, the community assists with day-to-day activities and housekeeping to ensure their comfort and convenience. There’s no need to leave your home to enjoy the highest quality of life with the community providing necessary care whenever necessary.

With a compassionate and well-trained team consisting of professional healthcare providers, older adults can rest assured of meeting their healthcare needs in the safety of their homes. Meal preparation and other household chores are cared for to ensure hassle-free living. The community is ideal for those who need assistance in living their golden years comfortably at the safety of their homes.

Type of Care Available

Home Care Memory Care Nursing Care Respite Care Skilled Nursing

Contact BrightStar Care

Overview of Brookdale at Home® Dallas Fort Worth

Brookdale at Home® Dallas Fort Worth coordinates mobile personal care and companion assistance for seniors living in the Garland, Texas region. Operating under the national Brookdale network, this home-based agency dispatches field staff directly into clients’ private residences. This framework offers an alternative to moving into an institutional facility, letting older adults handle physical aging challenges while staying in their familiar neighborhood.

The surrounding community holds a walkability score of 55 out of 100, meaning the area is moderately walkable with some regular errands accessible on foot. All actual care routines take place inside the client’s home rather than a central facility. Care plans are tailored to each family’s needs, offering companion care for social interaction, meal preparation, housekeeping, and errands.

For seniors needing physical assistance, personal care visits add hands-on help with grooming, mobility, and medication reminders. The agency also provides structured respite care, which assigns a temporary caregiver to cover daily routines so primary family caregivers can take a planned break.

Individuals can reach out to the Garland branch to verify service rates and caregiver availability.

Types of Care Available

Home Care Respite Care

Contact Brookdale at Home® Dallas Fort Worth

Overview of Promise Senior Solutions

Promise Senior Solutions is an outstanding community in San Antonio, TX, that offers comprehensive in-home care services. Dementia care, respite care, and end-of-life care are also provided to meet residents’ ever-changing needs. With a kind and highly skilled team assisting with personal needs and handling light housekeeping, older adults can rest assured of living a worry-free lifestyle. Drop-in visits are also provided for those who need assistance with a certain number of time.

The community also provide genuine companionship to ease residents’ loneliness and understand their needs better. For their convenience, transportation services are provided to ensure they do not miss their medical appointments and attend their social events. Spend your golden years with the community’s top-notch care provided for your comfort and wellness.

Type of Care Available

Home Care Memory Care Respite Care

Contact Promise Senior Solutions

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Frequently Asked Questions about Home Care in San Antonio, TX

What is home care?

Home care brings non-medical caregivers into a senior's own home to assist with daily tasks, companionship, and supervision — without requiring a move to a community.

How many home care providers are listed on this page?

This page features 13 home care providers in San Antonio, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right home care provider in San Antonio, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in San Antonio, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting home care providers in San Antonio, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.