Home care · ZIP 78254

The 100 nearest home care agencies to ZIP 78254

Agencies the state shows as licensed, registered or certified on Texas’s list with an office in your county or within about 15 miles. Many agencies travel farther, so call to ask.

Many of these agencies also provide licensed home health care.

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Agencies near ZIP 78254

Nearest first by straight-line distance between ZIP centers, not ranked. Listing here is not an endorsement.

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About this list

Texas lists its license as active.
Medicare doesn't rate home care agencies.
About Texas's list: Many of these agencies also provide licensed home health care.

How to choose

Check the state still lists the agency as licensed or registered — the source link on each listing goes to the state's own record.
Call two or three agencies and ask the same questions, so you can compare answers.
Ask for the price in writing. Rates vary a lot and we don't publish them.
Medicare doesn't pay for home care on its own. Long-term care insurance, Medicaid waivers or VA benefits sometimes do.

Questions to ask a home care agency

Do you run criminal background checks on every caregiver?
What training do caregivers get, and who supervises them?
Are caregivers your employees, and are you insured and bonded?
Is there a minimum number of hours per visit or per week?
What is your hourly rate, and what changes it (nights, weekends, two people)?
What happens if our regular caregiver is sick or doesn't show up?

Independent and free

PlanScout is not paid by any agency and nothing here is paid placement. States publish no ratings for home care agencies, so we show none.

How to choose

Check the state still lists the agency as licensed or registered — the source link on each listing goes to the state's own record.
Call two or three agencies and ask the same questions, so you can compare answers.
Ask for the price in writing. Rates vary a lot and we don't publish them.
Medicare doesn't pay for home care on its own. Long-term care insurance, Medicaid waivers or VA benefits sometimes do.

Questions to ask a home care agency

Do you run criminal background checks on every caregiver?
What training do caregivers get, and who supervises them?
Are caregivers your employees, and are you insured and bonded?
Is there a minimum number of hours per visit or per week?
What is your hourly rate, and what changes it (nights, weekends, two people)?
What happens if our regular caregiver is sick or doesn't show up?

Independent and free

PlanScout is not paid by any agency and nothing here is paid placement. States publish no ratings for home care agencies, so we show none.

What home care is

Non-medical help at home: bathing, dressing, meals, light housework, errands and companionship. Families usually pay for it themselves.

Not the same as home health

Skilled nursing or therapy a doctor orders is home health, which Medicare can cover. Find home health agencies →

What a state license means

The state says the agency met its rules to operate. It is not a rating — states publish no quality scores or prices for home care.

Showing the nearest 100. Search a nearby ZIP code to see others.

42 more agencies nearby are on the state’s list with an expired, pending or closed status. Show them, labelled

Local pay and Medicare payment figures for ZIP 78254

What aides are paid near you

Typical hourly wage for home health and personal care aides near you: $12.48 an hour
San Antonio-New Braunfels, TX metro area, May 2025
Middle half of aides earn $11.02 to $13.31 an hour

This is what aides are paid, from the U.S. Bureau of Labor Statistics. It is not what an agency charges. Agencies charge more than the wage to cover payroll taxes, insurance, training, scheduling and their own costs, so ask any agency for its rates.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025; retrieved 2026-10-08.

Other care worker wages

Nursing assistants: $17.69 an hour
Licensed practical nurses: $29.94 an hour

Median hourly wages in the same area and period.

Source: Texas Health and Human Services Commission, HCSSA license with Personal Assistance Services list (active licenses as of 10/08/2026), retrieved 2026-10-09. States publish no ratings or prices for home care agencies, so we show none. PlanScout is independent and not paid by any agency.