Top-Rated Home Care Agencies in San Antonio

Families comparing in-home support in San Antonio, TX can start with CMS Care Compare star ratings, street addresses, and a focused set of questions about dementia-specific training. The agencies named below are real home health agencies serving San Antonio. Listing them here does not mean any agency, clinic, or health system endorses this page or this service.

Which CMS Care Compare-rated home health agencies serve San Antonio?

CMS Care Compare lists eight home health agencies serving San Antonio in the data used for this page, with published star ratings from 1.5 to 4.5 and two agencies that have no reported star rating.

Use the table as a starting roster only. Confirm hours, service area, and current ratings directly with each agency before you hire.

Which San Antonio agencies have the highest CMS star ratings?

S. A. Nurses Home Health Agency has the highest CMS Care Compare rating on this list at 4.5 stars, and Prime Home Health, LLC and CHRISTUS VNA Homecare San Antonio are each listed at 4 stars.

Home Nursing and Therapy Services is listed at 3 stars. Alomega Home Health Care LLC is listed at 2 stars, and Associates Home Health Agency is listed at 1.5 stars. The Medical Team, Inc. and Anew Healthcare Inc. do not have a published star rating in this list.

A higher rating is one comparison point. It is not a personal endorsement, a medical recommendation, or proof of dementia-specific training.

How should families use CMS star ratings when comparing agencies?

Families should treat CMS Care Compare star ratings as one public quality signal, then verify services, staffing, and dementia training in a live conversation and, when possible, an in-person visit.

A 4 or 4.5 rating can help you shortlist agencies such as S. A. Nurses Home Health Agency, Prime Home Health, LLC, and CHRISTUS VNA Homecare San Antonio. A lower rating, such as 1.5 or 2 stars, is a reason to ask more questions and compare other providers, not a reason to assume anything about a specific patient. Agencies with no reported rating still need the same screening on training, supervision, and backup coverage.

Home health is often used after a hospital stay. If that is your situation, also review hospital discharge care so skilled visits and everyday help at home are planned together.

What questions should you ask about dementia-specific training?

You should ask every San Antonio home health agency whether its aides and nurses receive dementia-specific training, how that training is refreshed, and who supervises visits when memory, communication, or behavior needs change.

Star ratings do not answer those questions. Bring a written list and ask for plain-language answers before you sign. These prompts keep the conversation practical and do not replace medical advice from the person's own clinician:

• Do your caregivers complete dementia-specific training before they work alone with a client, and how many hours is that training?
• How often is that training repeated, and who documents it?
• Can you assign a consistent caregiver so the person sees familiar faces most days?
• How do you support someone who is confused about time, place, or personal care, without using force?
• What is your process if the person wanders, becomes distressed in the evening, or refuses a bath or medication reminder?
• Do licensed nurses and therapists coordinate with family and the person's doctor, or are visits limited to a short skilled-care window?
• If we need more than intermittent nursing, can you explain how your team works alongside memory care at home?
• Who do we call after hours, and what happens if the assigned caregiver calls out?

Listen for specific examples, not slogans. If an agency cannot describe training, supervision, or backup staffing, keep comparing other names on this list.

What other in-home services do San Antonio families consider?

San Antonio families often combine Medicare-certified home health with non-medical help such as personal care, companion care, respite care, or 24-hour live-in care when a relative needs more than periodic skilled visits.

Home health agencies typically focus on intermittent nursing and therapy. Daily bathing, meals, safety check-ins, and overnight presence may require a separate plan. Ask each agency what it does and does not provide so you do not assume 24-hour coverage from a home health episode of care.

Where can you learn more about Alzheimer's disease and Texas long-term care programs?

Families who want public, non-diagnostic information on Alzheimer's disease and related dementias can review the CDC overview of Alzheimer's disease and related dementias.

Texas also operates STAR+PLUS as a Medicaid managed care program related to long-term services and supports. For a general picture of how that program is structured, see this Texas Medicaid STAR+PLUS overview. Confirm eligibility, covered services, and application steps with official state sources before you rely on any program for payment.

None of the agencies named on this page is described here as recommending a specific diagnosis, treatment, or insurance path.

Frequently Asked Questions

Which San Antonio home health agency has the highest CMS Care Compare rating on this list?

S. A. Nurses Home Health Agency is listed at 4.5 stars, the highest rating among the San Antonio agencies included here. Prime Home Health, LLC and CHRISTUS VNA Homecare San Antonio are next at 4 stars each.

Where is S. A. Nurses Home Health Agency located?

The listed address is 4414 CENTERVIEW DRIVE SUITE 210, SAN ANTONIO, TX 78228. Call the agency to confirm that it still serves your neighborhood before you schedule an assessment.

Does a 4-star or 4.5-star rating mean the agency is trained in dementia care?

No. A CMS star rating is a public quality score. It does not, by itself, prove dementia-specific training. Ask about hours of training, supervision, consistent staffing, and after-hours backup, including how the team would work with memory care at home if needs go beyond skilled visits.

Which agencies on this list do not have a published star rating?

The Medical Team, Inc., at 45 N E LOOP 410 SUITE 800, SAN ANTONIO, TX 78216, and Anew Healthcare Inc, at 4606 CENTERVIEW DR #221B, SAN ANTONIO, TX 78228, do not have a star rating in the Care Compare details used for this page. Screen them with the same training and staffing questions you would ask a rated agency.

How should I read a 1.5-star or 2-star rating in San Antonio?

Associates Home Health Agency is listed at 1.5 stars at 1550 NE LOOP 410 SUITE 205, SAN ANTONIO, TX 78209. Alomega Home Health Care LLC is listed at 2 stars at 4241 PIEDRAS DR E STE 251, SAN ANTONIO, TX 78228. Treat a lower rating as a prompt to compare other agencies and to ask detailed questions, not as a statement about any individual client.

Can Texas Medicaid help with long-term care at home?

Texas has STAR+PLUS, a Medicaid managed care program related to long-term services. Use a STAR+PLUS program overview to understand the program in general terms, then confirm current rules with official state channels. Do not assume home health and non-medical personal care are covered the same way.

Is home health the same as companion care or live-in help?

No. The agencies on this page are home health agencies. Companion sitting, bathing and dressing help, respite for family caregivers, and overnight live-in support are different service types. Many families in San Antonio build a mix that includes skilled home health plus personal care or companion support rather than relying on one agency for every hour of the day.