Your family in San Antonio North deserves in home care San Antonio North families can count on. Preferred Care at Home provides caregivers throughout San Antonio, TX, helping older adults remain in their own homes with support built around daily routines.
We’ve been helping families with in home care since 1984. Our local office is owned by Jake Paulson, right here in San Antonio North.
We use a 7-step caregiver screening process and are committed to matching caregivers based on compatibility, not just availability. Our team takes a holistic approach to senior home care and works to deliver reliable, personal care for our clients. Family members can get real-time access to schedules, caregiver notes, and updates, so they can be confident their loved one is well cared for.
Real feedback says more than any brochure. On A Place for Mom, one reviewer summed it up simply: "Preferred for a reason," citing great communication and great staff.
That is the standard our office staff and care givers work to meet for clients across San Antonio Texas. Adult children often tell us their mom’s caregiver became like one of their close friends within weeks.
Caregivers go the extra mile with daily tasks, often doing an amazing job families remember, whether hired as agency staff or as private caregivers. More than one has called their caregiver a true blessing, simply saying, "God bless this team." Families often describe the experience as exceptional care and compassionate care.
When bathing, dressing, or personal hygiene becomes difficult, personal care helps your loved one stay comfortable and dignified at home. For older adults who want to age in place on their own terms, that independence can be achieved with in-home senior care.
Our experienced and trained caregivers, including CNA and HHA professionals, assist with everyday tasks like grooming, mobility, toileting, and medication reminders. We build each care plan around what your family member actually needs, and adjust it as those needs change.
Loneliness is one of the most common struggles for elderly people living alone. Companion care pairs your loved one with a caregiver who offers genuine social interaction, conversation, and emotional support in the comfort of home.
In San Antonio North, that can mean a walk through Eisenhower Park or a trip to the shops at The Rim. Sometimes it is simply someone to share a meal with. Companionship helps seniors build meaningful relationships and stay connected to local activities instead of facing daily tasks alone.
When grocery shopping, meal preparation, and light housekeeping become overwhelming, home starts to feel like a burden. Homemaker care handles those daily tasks so your family member can focus on well being instead of chores.
Our caregivers prepare meals, manage laundry, organize the home, and run errands throughout the San Antonio North area. For families in neighborhoods like Stone Oak, Castle Hills, and Alamo Heights, this means your parent’s home stays safe and livable.
Family caregivers carry an enormous load. Caregiver burnout happens when one person handles all the driving, meals, check-ins, and appointment reminders alone. Respite care gives you a break while a trained caregiver steps in.
Wait lists for subsidized Bexar County programs can run long. Private respite care through our office can begin quickly, even if you only need extra help a few hours a week to recharge.
For families facing serious or terminal illness, 24-hour live-in care offers a steady presence and peace of mind. One caregiver stays around the clock to respond to changing needs, provide comfort, and ensure your loved one is never alone.
We match each live-in caregiver by personality and experience. That consistency matters when someone you love needs ongoing support and a familiar face every day.
Memory loss changes everything about daily life. Dementia care provides specialized in home care for San Antonio North families managing Alzheimer’s, cognitive decline, or related conditions. Our caregivers are trained to support safety, routine, and engagement.
We focus on keeping your loved one in their own home, surrounded by familiar rooms and neighborhood sounds. That familiarity often helps more than a facility can, letting your loved one live safely without leaving home.
A hospital discharge can be confusing. You get prescriptions to fill, follow-up appointments to schedule, and instructions to remember. Our Smooth-Transition Care program sends a trained coach to guide you through every step.
For elderly people in San Antonio North, this means fewer missed appointments, clearer medication reminders, and someone who coordinates with your primary care offices. The goal is simple: continue living at home and stay healthy.
Step 01
You call (210) 436-8713 and speak directly with our local team about your family’s specific needs.
Step 02
We visit your home to understand your loved one’s needs, routines, and preferences.
Step 03
We create a personalized care plan built around your family’s specific situation.
Step 04
We match your loved one with a caregiver based on personality, experience, and background.
Step 05
Your caregiver starts, and you get Transparency Room access for schedules, notes, and updates.
Bexar County’s rapid growth and spread-out layout create specific hurdles for the San Antonio North community and families managing elder care for parents at home. Compassionate home care can ease many of these hurdles when families know where to turn.
Challenge
What It Looks Like
How We Help
Rapid growth and traffic
More appointments, longer drives, and errand routes wear family members down as Bexar County surges past 2.1 million residents.
More appointments, longer drives, and errand routes wear family members down as Bexar County surges past 2.1 million residents.
We provide transportation to medical appointments and local activities, so family members can step back from daily driving.
We provide transportation to medical appointments and local activities, so family members can step back from daily driving.
Aging in owner-occupied homes
Aging in owner-occupied homes
Older adults in Stone Oak, Castle Hills, or Alamo Heights manage large homes alone while bathing, meals, and mobility quietly decline.
Older adults in Stone Oak, Castle Hills, or Alamo Heights manage large homes alone while bathing, meals, and mobility quietly decline.
Personal care, homemaker care, and safe mobility help so your loved one can remain safe in their own home.
Personal care, homemaker care, and safe mobility help so your loved one can remain safe in their own home.
Bexar County program wait lists
Bexar County program wait lists
Subsidized in home services through the Bexar Area Agency on Aging often have long waiting lists, leaving families without support when they need it now.
Subsidized in home services through the Bexar Area Agency on Aging often have long waiting lists, leaving families without support when they need it now.
Private in home care can start within days, with flexible scheduling from a few hours a week to 24-hour coverage.
Private in home care can start within days, with flexible scheduling from a few hours a week to 24-hour coverage.
Confusion about care types
Confusion about care types
Families assume Medicare covers routine home care or confuse it with home health care services. Medicare does not cover long-term custodial care.
Families assume Medicare covers routine home care or confuse it with home health care services. Medicare does not cover long-term custodial care.
We explain what in home care covers, what it costs, and how it fits alongside other healthcare needs your family may have.
We explain what in home care covers, what it costs, and how it fits alongside other healthcare needs your family may have.
Inconsistent caregivers at other agencies
Inconsistent caregivers at other agencies
Missed shifts, no-shows, and caregiver swaps without notice are common complaints in San Antonio home care reviews.
Missed shifts, no-shows, and caregiver swaps without notice are common complaints in San Antonio home care reviews.
Our 7-step screening, personality matching, and local owner oversight keep your caregiver consistent and accountable.
Our 7-step screening, personality matching, and local owner oversight keep your caregiver consistent and accountable.
Caregiver burnout in the family
Caregiver burnout in the family
One adult child handles all the cooking, cleaning, driving, and check-ins until exhaustion makes it impossible to continue.
One adult child handles all the cooking, cleaning, driving, and check-ins until exhaustion makes it impossible to continue.
Respite care and companion care give family caregivers real relief before burnout forces a rushed, higher-cost decision.
Respite care and companion care give family caregivers real relief before burnout forces a rushed, higher-cost decision.
We understand the needs of San Antonio North seniors and families throughout the surrounding Bexar and Comal County neighborhoods. Whether you call it San Antonio North or north San Antonio, families searching for care in San Antonio TX will find our team ready to help.
We Serve:
Driven by Passion, Committed to Compassion
Jake Paulson owns and operates this office himself, and he knows what good care looks like from the inside. That knowledge shapes how this office runs day to day. His standard is simple: the caregiver who comes to your home should be someone you’d trust with your own family.
Jake’s background informs how care plans are built, how caregivers are screened, and what families can expect when they call. This is a non-medical home care office. The care we refer centers on personal assistance, companionship, and the everyday support that makes staying home possible, but having spent decades in healthcare settings changes how you approach building that care.
Hear directly from families and caregivers about the impact of compassionate, personalized care.
Costs vary based on hours and service type. San Antonio home care rates commonly run about $24 per hour, according to Caring.com. The statewide Texas benchmark from the CareScout/Genworth Cost of Care Survey runs closer to $28 per hour. Keep in mind that live-in and 24-hour care can come with lower effective per-hour rates than hourly visits. Each case is different, so give us a call to discuss a care plan that works for your budget.
We are locally owned by Jake Paulson, and every caregiver is screened through our 7-step process and matched by personality. When you call our office, you reach the owners directly, not a corporate call center. We match experienced caregivers to your loved one based on personality, life experience, and work background. That is why we consider ourselves a leading provider of quality home care in San Antonio North. Many families tell us it can be hard to sort reputable agencies from unreliable ones. Our licensing and screening are built around services provided with the highest quality care. Families call it high quality care, the best care, and simply quality care from a trusted home care agency.
Most families begin receiving care within days of their first call to our office. We schedule a home consultation promptly after your initial contact. Once we build a care plan, we match a caregiver and begin services quickly. San Antonio North families can often start within days, while some Bexar County subsidized programs have long waiting lists.
Medicare does not cover long-term custodial care unless medical care is also needed. Many families assume Medicare pays for routine help with bathing, meals, and companionship, but it does not. Medicare covers home health care services, like physical therapy ordered by a doctor, but not non-medical in home caregiver support. Preferred Care at Home helps San Antonio North families understand the difference so you can plan accurately.
Home care keeps your loved one in their own home with flexible support, while assisted living means relocating to a facility. CareScout’s 2025 Texas data shows assisted living at a median of about $5,600 a month. Home care often costs less, depending on hours needed. Home care lets seniors stay in familiar surroundings with family, pets, and neighborhood connections. Assisted living may be the right fit when around-the-clock supervision exceeds what home-based care can safely provide.
Watch for trouble with bathing, missed meals, skipped appointments, and increasing dependence on one family member for daily tasks. Signs often appear gradually: resistance to bathing, weight loss from skipped meals, or increasing reliance on you for every errand and appointment. Visible changes in personal hygiene and forgetfulness with medication reminders are common early signals. If one family member is managing everything alone, caregiver burnout becomes a real risk.
Texas requires home care aides to complete state-approved training. Certified nurse aides must also be listed on the Texas Health and Human Services Commission’s Nurse Aide Registry before providing care. Agencies that employ home health aides must also hold proper licensing as a Home and Community Support Services Agency (HCSSA) through HHSC. You can verify an agency’s licensing status through the state’s public registry. We add our own 7-step screening on top of Texas requirements, including background checks, reference checks, skills assessments, and personality evaluation.
We offer flexible scheduling that starts at just a few hours, so you can get the break you need without committing to full-time care. Respite care exists for exactly this reason. Even occasional assistance, a few hours each week for someone else to handle meals, companionship, or transportation, gives family caregivers room to breathe. Bexar County public programs for caregiver relief are often wait-listed. Private respite through our San Antonio North office can begin quickly and adjust as your needs change.
Yes. The Bexar Area Agency on Aging offers benefits counseling, care coordination, caregiver support, and referrals to other services, though many programs have wait lists. It serves seniors throughout Bexar County alongside private home care agencies like ours. For families who need help now, private in home care is a comfortable, approachable solution while you sort out other support options.
Call (210) 436-8713 and talk directly with our local team. We will help your family find the best possible care right now. You don’t need a plan before you call. Many adult children reach out to Preferred Care at Home when caregiver burnout has already set in and daily tasks are falling through the cracks. We start with a conversation, assess your loved one’s needs, and build a care plan your family can adjust over time.
