Care that comes to the home in San Antonio and Bexar, Comal and Guadalupe counties falls into three kinds, and Medicare publishes detailed records on two of them. This section holds those records for 81 home health agencies and 139 hospices, 59 and 98 of which have published scores.
What kinds of in-home care are there in San Antonio, and who pays?
Home health is medical care in visits, hospice is comfort care near the end of life, and non-medical home care is hourly help with daily living. They are licensed and paid for differently.
| Home health | Hospice | Non-medical home care | |
|---|---|---|---|
| What it is | Nursing and therapy visits ordered by a doctor | Comfort care for a terminal illness | Help with bathing, meals, company and supervision |
| What it is not | Not shifts or round-the-clock help | Not treatment aimed at a cure | Not nursing or medical care |
| Who usually pays | Medicare | Medicare | The family, long-term care insurance or a Medicaid waiver |
| Records here | 81 agencies | 139 hospices | Ask an advisor |
Which San Antonio home health agencies does Medicare rate 4 stars or higher?
21 of the 59 rated agencies in San Antonio and Bexar, Comal and Guadalupe counties hold 4 stars or more for quality of patient care. The highest rated are:
- Elara Caring, San Antonio — 5 of 5 stars, patient survey 4 of 5
- Texas Healthcare Solutions, Inc., San Antonio — 5 of 5 stars, patient survey 2 of 5
- Comprehensive Home Health Inc, San Antonio — 5 of 5 stars
- Capitol Home Health, San Antonio — 4.5 of 5 stars, patient survey 5 of 5
- Adoration Home Health, San Antonio — 4.5 of 5 stars, patient survey 4 of 5
- Amedisys Home Health, San Antonio — 4.5 of 5 stars, patient survey 4 of 5
- Methodist Healthcare at Home, San Antonio — 4.5 of 5 stars, patient survey 4 of 5
- Soar Home Care LLC, New Braunfels — 4.5 of 5 stars, patient survey 4 of 5
- Accentcare Home Health of Texas, San Antonio — 4.5 of 5 stars, patient survey 3 of 5
- Beyondfaith Homecare & Rehab San Antonio, San Antonio — 4.5 of 5 stars, patient survey 3 of 5
See all 81 home health agencies
Which San Antonio hospices score a full 10 on Medicare's Hospice Care Index?
38 of the 98 scored hospices in San Antonio and Bexar, Comal and Guadalupe counties meet all ten of the index's visit and discharge indicators. They include:
- Guadalupe Regional Hospice, Seguin — index 10 of 10, family survey 5 of 5, about 57 patients a day
- Hope Hospice, New Braunfels — index 10 of 10, family survey 4 of 5, about 304 patients a day
- Amedisys Hospice of San Antonio, San Antonio — index 10 of 10, family survey 4 of 5, about 143 patients a day
- Suncrest Hospice San Antonio LLC, San Antonio — index 10 of 10, family survey 4 of 5, about 118 patients a day
- Elara Caring, New Braunfels — index 10 of 10, family survey 4 of 5, about 107 patients a day
- Heart of Texas Hospice, Spring Branch — index 10 of 10, family survey 4 of 5, about 103 patients a day
- Summit Home Health and Hospice, San Antonio — index 10 of 10, family survey 4 of 5, about 62 patients a day
- Vitas Healthcare of Texas LP, San Antonio — index 10 of 10, family survey 3 of 5, about 423 patients a day
- Aspen Hospice and Palliative Care, San Antonio — index 10 of 10, family survey 3 of 5, about 347 patients a day
- Trinity Hospice, San Antonio — index 10 of 10, family survey 3 of 5, about 334 patients a day
Last verified: November 2026, against Medicare provider data released 2026-09-21.
Common questions
How many home health agencies are in San Antonio?
81 Medicare-certified home health agencies are based in San Antonio and Bexar, Comal and Guadalupe counties, and 59 have a published quality star rating.
How many hospices are in San Antonio?
139 Medicare-certified hospices are based in San Antonio and Bexar, Comal and Guadalupe counties, and 98 have a published Hospice Care Index score.
Does Medicare pay for a caregiver at home?
Not on its own. Medicare pays for skilled home health visits and for hospice. Hourly help with bathing, meals and supervision is paid privately, by long-term care insurance, or by Medicaid.
