Best Home Care in San Antonio, Texas
94 agencies found
MyLivingChoice lists 94 home care agencies in San Antonio. Families rate them 4 out of 5 on average, across 1,826 public reviews.
- 94agencies
- 4average rating, 60 rated
- 1,826family reviews read
Senior Buddies In Home Care
San Antonio, Texas
4.9(112)
Home care · no referral needed
FirstLight Home Care of Central and North San Antonio
San Antonio, Texas
5(40)
Home care · no referral needed
Preferred Care at Home of San Antonio North
San Antonio, Texas
5(26)
Home care · no referral needed
Visiting Angels San Antonio
San Antonio, Texas
4.9(39)
Home care · no referral needed
Capitol Home Health
San Antonio, Texas
4.9(263)
Medicare home health · 4.0★
Home Nursing & Therapy Services
San Antonio, Texas
4.9(197)
Medicare home health · 3.0★
Griswold Home Care for San Antonio
San Antonio, Texas
4.8(87)
Home care · no referral needed
San Antonio Home Health
San Antonio, Texas
4.9(20)
Medicare home health · 4.0★Home care · no referral needed
Sisters Care
San Antonio, Texas
4.9(19)
Home care · no referral needed
Ascending Hands Home Care
San Antonio, Texas
5(12)
Home care · no referral needed
Comfort Keepers
San Antonio, Texas
4.6(65)
Home care · no referral needed
TheKey - Senior Home Care
San Antonio, Texas
4.6(61)
Home care · no referral needed
Best-rated home care in San Antonio
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
4.9 (263 reviews)· Home Health
- 2
Home Nursing & Therapy Services
4.9 (197 reviews)· Home Health
- 3
4.9 (112 reviews)· At-Home Care
Senior Buddies is a family-owned in-home care agency in San Antonio that has consistently earned high praise from families for fast setup, responsive owner communication, and caregivers who are described as kind and…
- 4
FirstLight Home Care of Central and North San Antonio
5 (40 reviews)· At-Home Care
Families describe FirstLight Home Care of Central and North San Antonio as a dependable, compassionate in-home care agency, with reviewers frequently praising specific caregivers by name for their dedication during…
- 5
Preferred Care at Home of San Antonio North
5 (26 reviews)· At-Home Care
Families describe Preferred Care at Home of San Antonio North as a responsive, locally run in-home care agency where owner Jake Paulson personally checks in and quickly resolves issues. Reviewers consistently praise the…
- 6
4.9 (39 reviews)· At-Home Care
Families describe Visiting Angels San Antonio as a locally owned in-home care agency that pairs seniors with the same caregiver over time, building real relationships rather than just providing task-based help. Reviewers…
- 7
Griswold Home Care for San Antonio
4.8 (87 reviews)· At-Home Care
Griswold Home Care for San Antonio provides in-home personal care, companionship, and support for aging or recovering clients across the San Antonio area. Reviewers consistently praise the individual caregivers assigned…
- 8
4.8 (67 reviews)· Home Health
- 9
5 (16 reviews)· Home Health
- 10
4.9 (20 reviews)· At-Home Care, Home Health
San Antonio Home Health is an at-home care agency in San Antonio, Texas, with a perfect 5-star rating across 19 Google reviews. Families highlight the compassion and skill of the nursing, therapy, and hospice teams,…
What families say about home care in San Antonio
Counted across the review summaries of 21 San Antonio communities: the share whose families mention each theme.
Praised most
- Caring, attentive staff 86%
- Communication with families 48%
- Medical and nursing care 38%
- Memory care 29%
- Management 14%
Concerns raised
- Cost and billing 52%
- Communication with families 48%
- Staff attitude 24%
- Food and dining 5%
“Comfort Keepers is very kind and understanding. They have the best caregivers. They always call to just say hello and ask if you need anything.”
“Thank you for sending such remarkable caregivers to care for my dear husband. Somar, Shakiva, Jennifer, Karen, Somalia and Dreama provided outstanding care and sincere compassion. I definitely will refer First Light to anyone who needs excellent home care. Thanks and gratitude to each of you. Shirley Duncan”
“Jen has been an amazing caretaker for my mother. She has been a rock when we need her the most. She’s reliable, calm, caring and compassionate all the qualities you want and need when caring for your loved ones.”
Home Care near San Antonio
Cities within about 35 miles with senior living inventory, and how families rate it.
| City | Communities | RatingAverage rating | Distance |
|---|---|---|---|
| Schertz15.3 mi | 5 | 3.7 / 5 | 15.3 mi |
| Boerne27 mi | 13 | 4.4 / 5 | 27 mi |
| New Braunfels29.3 mi | 20 | 4.4 / 5 | 29.3 mi |
| Seguin34.6 mi | 7 | 4.3 / 5 | 34.6 mi |
All of Texas: Home Care in Texas. Closer to home? Compare home care near you, sorted by distance.
About these figures
Computed on October 23, 2026 from the 94 agencies listed in San Antonio, 1,826 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change.
Reading on this
Guides from MyLivingChoice that families in San Antonio ask about.
- Home Care in Texas: Agencies, Medicare Home Health Ratings, and What It Costs
- How to Pay for Home Care: Medicare, Medicaid, VA Benefits, Insurance, and What Actually Works
- 20 Questions to Ask a Home Care Agency Before You Sign
Not in San Antonio? Home care near me finds communities around wherever you are.
Home Care in San Antonio: Common Questions
How many home care agencies are in San Antonio, Texas?
MyLivingChoice lists 94 home care agencies in San Antonio, Texas, each with photos, care details, and reviews from families.
Which home care agencies in San Antonio are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include FirstLight Home Care of Central and North San Antonio (5★, 40 ratings), Preferred Care at Home of San Antonio North (5★, 26 ratings), Touchstone Health (5★, 16 ratings).
What types of senior care are available in San Antonio?
Beyond home care, San Antonio has assisted living (97 communities), home health (76 communities), skilled nursing / long term care (59 communities), memory care (38 communities), independent living (22 communities). Every option is listed with photos, reviews, and contact details.
How do families rate home care in San Antonio?
Families rate San Antonio home care agencies 4 out of 5 on average, across 1,826 public Google reviews of local communities.
What do families praise, and complain about, in San Antonio home care agencies?
Across the review summaries of 21 San Antonio agencies, the most common praise is caring, attentive staff (mentioned for 86%), communication with families (mentioned for 48%), medical and nursing care (mentioned for 38%). The most common concerns are cost and billing (52%), communication with families (48%), staff attitude (24%).