Medicare Home Health Agencies in San Antonio, TX: Ratings for All 81

There are 81 Medicare-certified home health agencies based in San Antonio and Bexar, Comal and Guadalupe counties. Medicare publishes a quality star rating for 59 of them, averaging 3.2 out of 5 against a Texas average of 3 and a national average of 3. 21 are rated 4 stars or higher and 15 are rated 2 stars or lower. Every figure here comes from Medicare's own provider data, not from the agencies.

Which home health agencies in San Antonio have the highest Medicare ratings?

The table lists every agency, highest quality rating first. Agencies with a linked name have a full record page: each quality measure against the Texas and U.S. averages, patient survey answers, hospital-use results, services, and the ZIP codes they serve.

How are San Antonio home health agencies spread across Medicare's star ratings?

Of the 59 rated agencies in San Antonio and Bexar, Comal and Guadalupe counties, 21 hold 4 stars or more. The other 22 have no star rating, usually because they are new or see few Medicare patients.

What is home health care, and what is it not?

Home health care is skilled medical care at home, ordered by a doctor and delivered in visits by nurses and therapists. It is not the same thing as a caregiver who helps with daily living.

Does Medicare pay for home health care in Texas?

Yes, when the conditions are met. Original Medicare pays for covered home health visits with no copay if a doctor certifies that you are homebound and need part-time skilled nursing or therapy, and the agency is Medicare-certified. It does not pay for 24-hour care, meal delivery, or help with bathing and dressing when that is the only care you need.

Medicare Advantage plans cover the same services but can require prior approval and an in-network agency, so check the plan before choosing from this list.

How should you read Medicare's two star ratings?

The quality of patient care rating summarizes clinical results: whether care started on time and whether patients improved at walking, bathing, breathing and managing medicines. The patient survey rating summarizes what patients said about communication, professionalism and whether they would recommend the agency.

The two can disagree. An agency can have strong clinical results and middling survey answers, or the reverse, which is why each agency page shows both in full.

Last verified: November 2026, against the Medicare provider data release dated 2026-09-21.

Common questions

How many Medicare-certified home health agencies are in San Antonio?

81 are based in San Antonio and Bexar, Comal and Guadalupe counties. Medicare publishes a quality star rating for 59 of them.

Which San Antonio home health agencies have 5 stars from Medicare?

Comprehensive Home Health Inc, Elara Caring and Texas Healthcare Solutions, Inc. hold 5 stars for quality of patient care in the current Medicare data.

Is home health care the same as in-home care?

No. Home health is skilled medical care in visits, usually paid by Medicare. In-home care is non-medical help with daily living, usually paid privately.