Your loved one in North San Antonio deserves more than quiet afternoons and missed errands. Preferred Care at Home pairs seniors with companion caregivers who bring routine, conversation, and real connection back into daily life. We understand that asking for help is not easy, and we want to help you find the right fit for your family.
According to the U.S. Census Bureau, about 13.4% of San Antonio’s population is age 65 or older, and the city has grown by more than 9% since the last census. More families across North San Antonio are searching for companion care they can trust to keep a loved one safe and engaged at home. We have been helping seniors stay comfortable and cared for at home since 1984.
Jake Paulson own and operate Preferred Care at Home of San Antonio North. When you call, you reach local owners, not a corporate call center. Our caregivers are screened through our 7-step process and matched to your loved one by personality, not just availability.
Additionally, family members get real-time access to schedules, caregiver notes, and updates through our Transparency Room portal.
Companion care is built around conversation, connection, and genuine companionship. We provide companionship that helps clients maintain their independence and dignity, while assisting with the small things that fill a lonely day.
Loneliness is more than a feeling. The U.S. Surgeon General links poor social connection to about a 50% increased risk of dementia. Our companion care caregivers provide friendly companionship, conversation, and social interaction that help seniors maintain their daily routines.
Visits can include a walk through Phil Hardberger Park, an afternoon at Stone Oak Park, or a stroll through the Shops at La Cantera. Your companion builds a consistent routine with your loved one, not just a schedule.
When an elderly parent can no longer drive, medical appointments and grocery shopping pile up fast. North San Antonio’s spread-out layout and highway traffic mean adult children often cannot leave work to help. Companion caregivers provide reliable transportation to appointments and errands across the San Antonio area, including grocery shopping, prescription pickup, and keeping daily routines on track.
Skipping meals or eating less because cooking feels like too much effort is a common sign that occasional help is needed. Companion caregivers handle meal preparation, light housekeeping, and light cleaning so your loved one can focus on overall health instead of daily tasks. This is not a cleaning service.
It’s a steady hand that keeps a home safe and comfortable. Many families in North San Antonio start with a few hours a week and adjust as needs change.
Too often, with age comes loneliness. The feeling that no one cares creeps in, especially after losing a spouse or when family members live far away. Companion caregivers provide emotional support, medication reminders, and the steady presence that helps seniors maintain their daily routines.
Nearly 3 in 10 Americans age 65 and older live alone, according to the U.S. Census Bureau. Companion care in San Antonio fills a gap that phone calls cannot.
AARP found that 84% of working caregivers said caregiving had a moderate or high impact on daily stress, and 27% reduced their work hours. Caregiver burnout builds slowly, and it compounds when one family member becomes the only source of support. Respite care gives family caregivers a break for a few hours, a full day, or a recurring schedule, so you can rest and recharge.
Step 01
You call (210) 436-8713 and speak directly with Jake Paulson, your local owner.
Step 02
We visit your loved one’s home to understand their needs, routines, and personality.
Step 03
We build a personalized care plan around your loved one’s unique needs and your family’s schedule.
Step 04
We match your loved one with a caregiver by personality, life experience, and background.
Step 05
Care starts, and we stay in touch through our Transparency Room portal and regular check-ins.
North San Antonio’s suburban growth and spread-out layout create specific challenges for families caring for elderly loved ones.
Adult children living out of state often notice these changes only during a visit or a phone call that feels a little different than usual. Watch for these signs in North San Antonio families we work with every day.
Challenge
What It Looks Like
How We Help
Rapid suburban growth
San Antonio’s population has grown by more than 9% since 2020, with more seniors moving to the area. Demand for care providers is rising.
San Antonio’s population has grown by more than 9% since 2020, with more seniors moving to the area. Demand for care providers is rising.
We serve families across North San Antonio with caregivers who live and work locally.
We serve families across North San Antonio with caregivers who live and work locally.
Aging in owner-occupied homes
Aging in owner-occupied homes
Seniors in Stone Oak, Alamo Heights, and Timberwood Park manage large homes alone while bathing, meals, and mobility quietly decline.
Seniors in Stone Oak, Alamo Heights, and Timberwood Park manage large homes alone while bathing, meals, and mobility quietly decline.
Companion care, meal preparation, and light housekeeping help your loved one remain safe at home.
Companion care, meal preparation, and light housekeeping help your loved one remain safe at home.
Isolation in single-person households
Isolation in single-person households
Nearly 3 in 10 adults over 65 live alone. Days feel empty, and the feeling that no one cares creeps in slowly.
Nearly 3 in 10 adults over 65 live alone. Days feel empty, and the feeling that no one cares creeps in slowly.
Companion caregivers provide social interaction, conversation, and consistent presence every visit.
Companion caregivers provide social interaction, conversation, and consistent presence every visit.
Highway traffic and commute pressure
Highway traffic and commute pressure
North San Antonio’s spread-out layout means adult children often cannot leave work for rides, errands, and appointments.
North San Antonio’s spread-out layout means adult children often cannot leave work for rides, errands, and appointments.
Caregivers handle reliable transportation, grocery shopping, and medical appointments across the area.
Caregivers handle reliable transportation, grocery shopping, and medical appointments across the area.
Confusion between companion, personal, and home care
Confusion between companion, personal, and home care
Families often assume Medicare covers routine home care or blend service labels instead of matching care needs to scope and fit.
Families often assume Medicare covers routine home care or blend service labels instead of matching care needs to scope and fit.
We explain exactly what companion care includes, what Medicare does and does not cover, and when personal care is the right step.
We explain exactly what companion care includes, what Medicare does and does not cover, and when personal care is the right step.
Family caregiver burnout building before a crisis
Family caregiver burnout building before a crisis
84% of working caregivers report moderate or high daily stress, and 27% reduce their hours or shift to part-time work.
84% of working caregivers report moderate or high daily stress, and 27% reduce their hours or shift to part-time work.
Respite care and flexible scheduling give family members real relief before burnout forces a rushed decision.
Respite care and flexible scheduling give family members real relief before burnout forces a rushed decision.
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.
We understand the needs of San Antonio seniors and families throughout the surrounding Bexar County neighborhoods. We offer flexible scheduling from one hour to around the clock.
We Serve:
Our office serves San Antonio TX 78258 and the surrounding area directly, with additional coverage across North San Antonio. Don’t see your city? Give us a call.
Companion care in San Antonio commonly runs $20 to $26 per hour, which is below both the Texas and national averages. Your actual cost depends on how many hours you need and what daily tasks are included in your care plan. Preferred Care at Home provides a free consultation with no obligation, and we walk you through pricing before care begins.
No. Medicare does not cover custodial companion care, personal care, or other non-medical daily assistance. Medicare only covers skilled home health services, such as nursing or therapy visits ordered by a doctor after a hospital stay. Families who need help with companionship, meals, or errands typically pay privately, and we walk you through what to expect before care begins.
You reach local owners who answer the phone personally, not a corporate call center or a caregiver marketplace. Every caregiver passes our 7-step screening process and is matched to your loved one by personality. We are licensed in Texas as a Home and Community Support Services Agency, with criminal background checks on every caregiver. Our Transparency Room portal gives family members real-time access to schedules and updates from anywhere.
Most families begin receiving care within days of their first consultation. After your initial call with Jake Paulson, we schedule a home visit to understand your loved one’s unique needs. We provide care as soon as a caregiver match is confirmed, and we build a care plan around what works for your family.
Companion care focuses on social interaction, errands, and light household help. Personal care adds hands-on assistance with bathing, dressing, and mobility. Companion care is the right fit when your loved one needs company, transportation to appointments, grocery shopping help, meal preparation, and light housekeeping. Personal care becomes necessary when physical assistance with daily tasks is needed. Many families start with companion care and add personal care services later.
When family visits cannot cover daily routines, errands, and emotional support consistently, companion care fills that gap. If your loved one is skipping meals, missing appointments, or going most days without real conversation, that’s a sign family help alone is not enough. Companion care provides the steady, scheduled presence that occasional visits cannot replace.
We adjust caregiver assignments and schedules at any time, and we communicate every change before it happens. One of the most common complaints across home care agencies is unannounced caregiver changes and communication gaps. We handle this differently. If a match is not working, tell Jake directly. We reassign and rematch without disruption.
Yes. Companion caregivers provide transportation, run errands, and accompany your loved one to social events throughout the San Antonio area. Caregivers can take your loved one to Phil Hardberger Park, Stone Oak Park, or La Cantera for a walk, shopping, or a meal. Grocery shopping and prescription pickup are included in every companion care visit.
A companion caregiver visits on a set schedule to provide social interaction, help with daily tasks, and make sure your loved one is safe. Living alone does not have to mean living without connection. Your caregiver arrives at the same time, follows the same routine, and becomes a familiar face your loved one looks forward to seeing.
Respite care gives you scheduled relief so you can rest and handle your own responsibilities. AARP found that 84% of working caregivers reported moderate or high daily stress from caregiving. Scheduling regular respite hours through Preferred Care at Home means your loved one is cared for while you recharge.
Yes. The Bexar Area Agency on Aging offers benefits counseling, care coordination, and caregiver support for Bexar County families, though public respite and in-home programs often have wait lists. For families who need help now, private companion care can begin within days.
