

Featured on:
Featured on:
Why we’re the most trusted home care service in San Antonio, TX:
We’ve been caring for San Antonio, TX since 1997, providing over 775K hours of in-home care for hundreds of local families. Most clients begin receiving care within 48 hours, and many remain with us for 2 years or longer—a reflection of the trust and connection we build.
Here’s why so many families choose us:
Skilled & Trusted Caregivers
We handpick every Care Pro for their skills, compassion, and professionalism—each one thoroughly vetted, trained, and ready to deliver exceptional care.
Flexible & Consistent Care
Need help during the day? Overnight care? Weekend coverage? We offer flexible options, on-time visits, and reliable care from Care Pros you know and trust.
Matches Made to Last
Because strong relationships lead to better care, we take time to find a Care Pro who’s the right fit—not just for the job, but for the person.
Proven Expertise
Behind every Care Pro is a team of experienced home care advisors, gerontologists, and specialists working to ensure you receive care that’s thoughtful, informed, and personal.
Customized Care Plans
Care isn’t one-size-fits-all. We partner with you to create a personalized care plan that grows and adapts as your needs change.
Unmatched Experience
Founded in 1994, Home Instead has helped older adults around the world age safely and with dignity at home, using a time-tested approach built on connection and compassion.
Connected Care
With our user-friendly care platform, you can get real-time updates, track care tasks, and manage care from anywhere—making home care less stressful and more connected.
Read our local Google reviews
Shannon T.
"Very hands-on and responsive management; caring and professional caregivers; recommend them highly"
Jasmin H.
"Home Instead was absolutely amazing to my grandpy and was so accommodating and understanding of all his needs. His caregiver Chris was absolutely wonderful and brought great comfort and care in the final months of my grandpa's life. Thank you for your love and care to our whole world-my grandpy."
Jenny G.
"Home Instead Senior Care is an exceptional option for our elderly community and their families. As a caregiver at Home Instead, I am given the opportunity to touch many lives, while experiencing joy in helping others walk this life journey milestone. Once one reaches this point in life, it can be extremely overwhelming for families and their elderly loved ones. Our Home Instead Senior Care staff is here to give the relief desperately needed from the moment we receive the phone call, inquiring about our services. We work as a team, fulfilling our purpose in meeting the needs of all treasured individuals led to us. We want to be there! Have you ever gone to an establishment and felt like the person assisting you does not want to be there? We know what we want, when we know what we don't want. No one wants to feel like an inconvenience. This is why I choose to be a caregiver for Home Instead Senior Care. The teamwork and genuine care each staff member offers, anchors me in a place I want to be at to serve my purpose."
The care you need for the life you want.
From making a meal to helping a loved one with memory loss, our services and our approach to home care in San Antonio, TX help older adults in the area age comfortably and confidently at home.
Personal Care
From a bit of help to a lot of support, our Care Pros deliver personalized, non-medical senior care that helps older adults stay safe and enjoy a better quality of life at home.
Memory Care
When someone you love is living with memory loss, cognitive changes, or dementia, our Care Pros offer compassionate, trusted memory support in the familiarity of your loved one’s own home.
Arthritis Care
Stiff joints shouldn’t steal daily joys. Our Care Pros offer gentle support with movement and everyday tasks, so older adults can stay comfortable, independent, and active on their terms.
Diabetes Care
Managing diabetes takes daily care. Our Care Pros support healthy routines, like meals, activity, and monitoring, so older adults can feel their best and live safely at home.
Trusted help for those everyday needs.
We know it’s the little things that often make life easier. That’s why our approach to senior care includes help with daily tasks and routines, like cooking meals, shopping, and even folding laundry.
Light Housekeeping & Meal Prep
We help with household tasks like laundry, vacuuming, and meal preparation to ensure a clean, safe, and nurturing environment.
Transportation & Errands
We offer safe rides to just about anywhere around town. Have an appointment at University Hospital, or need groceries from H-E-B? We help seniors stay active and connected.
Helpful FAQs
If you’ve been wondering whether your parent or loved one needs more help at home, you’re not alone—and it’s not always an easy question to answer. Sometimes the signs are subtle. Other times, change happens suddenly after an illness, injury, or loss. Either way, noticing the need for support isn’t about taking away independence—it’s about protecting it with the right support.
At Home Instead San Antonio, TX, we’ve helped hundreds of families recognize those signs and build a care plan that supports independence—not takes it away.
Here in San Antonio, TX, families often reach out to us after noticing signs like:
- Missed medications, meals, or appointments
- Challenges with bathing, dressing, or mobility
- Increased forgetfulness or signs of memory loss
- Withdrawal from social activities
- Stacks of unopened mail or unpaid bills
- Family caregiver stress or burnout
The good news? Help doesn’t have to mean moving out. Our Care Pros help older adults stay safe and supported right in their own homes—from Alamo Heights to Universal City and everywhere in between.
Need help talking about care? Start with our free What’s Next Toolkit, or schedule a free consultation with our local care team. We’re here to guide the conversation with compassion—and no pressure.
If you’re doing your best to support a loved one at home, it’s normal to wonder if bringing in help means giving something up. But in our experience working with thousands of families in the San Antonio, TX area and providing over 775K hours of care, we’ve seen the opposite: in-home care can help you get back what matters most—quality time, peace of mind, and space to breathe.
You might be ready to consider home care if:
- You’re trying to balance care with your own life, work, or family
- You want to avoid future health issues like falls or medication mix-ups
- You need time to just be with your loved one again—not just care for them
Home Instead Care Pros provide support that fits your routine—not the other way around. Whether it's meal prep in Thousand Oaks, getting out for walks in Shavano Park, or help getting to appointments at University or Methodist Hospital, our care is designed to enhance—not replace—your role.
You don’t have to wait for a crisis. Most families who start care with us say they wish they had done it sooner.
It depends on your family’s needs—but if your loved one wants to stay in their own home, in-home care can be the most flexible, personalized, and reassuring option. It allows older adults to age in the place they love most: their own home.
According to AARP, nearly 90% of adults over 65 want to age in place. Our team helps make that possible every day here in San Antonio, TX.
In-home care vs. assisted living
Assisted living can be great for those who want a communal setting and are ready to relocate. But if your loved one wants to stay at home, in-home care offers:
- One-on-one attention in familiar surroundings
- A flexible schedule that fits your lifestyle
- Support with meals, mobility, personal care, and companionship
- Help from Care Pros who get to know your loved one—building trust and routine
In-home care vs. hiring a private caregiver
Hiring an independent caregiver can seem less expensive—but it comes with risk. As the employer, you’d be responsible for payroll, insurance, and coverage when they can’t show up.
With Home Instead, we handle everything:
- Professional hiring, training, and supervision
- Background checks, insurance, and 24/7 backup support
- Personalized matches and no long-term contracts
We’ve delivered over 775K hours of care across San Antonio, TX—and we’re proud to offer a team you can count on.
Still deciding? Many families try in-home care first to see how it feels—with no long-term commitment.
In-home care provides older adults with personalized support to help them live safely, comfortably, and independently—right where they want to be: at home. Whether it’s help with meals, personal hygiene, getting around, or simply having someone to talk to, a professional caregiver can make everyday life easier and more fulfilling.
Here’s how in-home care works when you choose Home Instead of San Antonio, TX:
- We start with a conversation. You’ll meet with a local Home Instead care consultant who will take time to understand your loved one’s needs, daily routines, health challenges, personality, and goals. This free consultation helps us design a customized care plan that reflects your family’s preferences.
- We build your care team. Once we understand your needs, we thoughtfully match your loved one with a professional Care Pro who’s been safety trained, background-checked, insured, and chosen for their compassion. We consider compatibility, interests, and skills to find a great fit for you.
- We provide consistent, flexible support. Care begins based on the schedule and level of support you need—whether that’s a few hours a week or 24-hour care. Services can include personal care (like bathing or dressing), meal prep, medication reminders, transportation, and companionship. We also offer specialized services for conditions like Alzheimer’s and Parkinson’s.
- We stay connected. Our team checks in regularly to ensure the care plan is working and adapts if your needs change. We’re available 24/7 to support your family, provide backup care, if needed, and offer peace of mind that you’re never on your own.
It’s care on your terms. Ready to get started?
Not all caregivers are the same. We call our caregivers Care Pros—because they’re not just helpers. They’re experienced, compassionate, and bring skill, reliability, and heart to every care visit. The title reflects the dignity of their work and the respect they deserve.
Many families don’t realize there’s a big difference between hiring an independent caregiver and working with a professional care agency like Home Instead of San Antonio, TX. Here’s what sets our Care Pros apart:
- They’re employees, not contractors.Our Care Pros are part of our team—not freelancers—so we handle all employment responsibilities, training, taxes, scheduling, and insurance.
- They’re carefully selected and screened. Each Care Pro undergoes thorough background checks, reference checks, and drug screening. They also receive ongoing skills training, including support for dementia care, chronic conditions, and safety practices.
- You’re protected.We carry workers’ compensation, liability insurance, and bonding—so you’re never at risk if an accident or issue arises.
- They show up—and we back them up.If your primary Care Pro can’t make a visit, we’ll send a qualified backup. And if a concern ever comes up, we’re here to resolve it quickly and professionally.
At Home Instead, it’s about more than just filling a shift. It’s about providing meaningful care, building trust, and helping your loved one age with dignity at home.
With more than 28 years of experience and 775K hours of care delivered right here in San Antonio, TX, we bring global expertise with a local heart.
What makes our care different?
- Personalized care plans: We start with a complimentary in-home consultation to understand your loved one’s routines, preferences, and goals—then create a care plan that fits your schedule, needs, and budget.
- Local care with national support: Home Instead of San Antonio, TX is locally owned and operated, backed by the expertise, resources, and experience of a nationally respected brand with over 3 decades of caregiving experience.
- High-touch, high-tech care: Our care platform blends personal connection with smart technology that helps us coordinate care, track changing needs, and keep families updated—so nothing falls through the cracks.
- Caregivers who feel like family: Our Care Pros are carefully screened and selected for compassion and matched for compatibility. They bring warmth, respect, and consistency to every visit.
- Flexible, non-medical support: From personal care to companionship, support for those with Alzheimer’s or dementia, or 24-hour care, we offer the right level of help to maintain independence at home.
- Peace of mind for families: Every client has a dedicated Care Manager—your single point of contact for questions and updates—plus a 24/7 support team. And with no long-term contracts, care can adapt as your needs change.
If you’re searching for the best home care near you, we’d love to talk. Let’s schedule a free consultation to learn more about your situation and explore how Home Instead of San Antonio, TX can help your family.
The cost of in-home care can vary based on where you live, how much support is needed, and the kind of services your loved one receives. In most cases, home care is billed by the hour, which gives families the flexibility to choose just the right amount of support—whether that’s a few hours a week or 24-hour care. This pay-as-you-need model makes in-home care one of the most flexible and cost-effective options compared to assisted living or nursing facilities.
How do families pay for care?
Many use a mix of:
- Private pay
- Long-term care insurance providers
- Health Savings accounts (HSAs) or retirement funds
Planning for care costs can feel overwhelming, but you don’t have to figure it out alone. When you’re ready, our team in San Antonio, TX can walk through your options and create a custom plan with an estimate that feels right for you. Along the way, we’ll connect you with resources, guidance, and trusted partners to help you explore funding solutions that work for your situation and budget.

Serving San Antonio, TX and the surrounding area.
Since 1997, Home Instead has been part of the community, providing quick access to top-rated home care in San Antonio, TX.
Proudly caring for communities near you:
Bexar County, Greater San Antonio, Alamo Heights, Helotes, Windcrest, Castle Hills, Shavano Park, Leon Valley, Balcones Heights, Converse, Universal City, Kirby, China Grove, Somerset, Elmendorf, Thousand Oaks
…to name a few.
Get started with the most trusted home care in San Antonio, TX.
Searching for reliable, compassionate home care near San Antonio, TX? We’re here to listen and help you through every step of the decision-making process.
Call Home Instead San Antonio, TX at (210) 761-6618 or request a free consultation to begin creating a personalized care plan.


Get to Know a Care Pro
Rochele S., Home Instead San Antonio
“I love spending time with and providing care for older adults. My kindness allows people to share the best stories. I appreciate working for a company that helps clients stay independent and at home, where they’re happiest. I cherish the moments when we lose track of time sharing stories or going for a walk together. One act of kindness can truly change a life.”