Look No Further

The Best
Senior Care

The Most Reliable Senior Care to Support You and Your Loved Ones

7 Year Badge 2024

Welcome to Always Best Care Serving San Antonio

Always Best Care combines national strength and standards with local accessibility and personal service. The owners of Always Best Care of Northern San Antonio are Wendy and Pat O’Kane. The O’Kanes are expanding the Always Best Care brand into San Antonio and the surrounding communities of Stone Oak, Bulverde, Alamo Heights, Hollywood Park, Shavano Park, Castle Hills, Terrell Hills, Olmos Park, Windcrest, Converse, Westover Hills and Live Oak. The O’Kane’s and their team have your loved ones best interests at heart, and will ensure the exceptional service and care is provided to all family members. We have strong relationships with area hospitals, social workers, senior communities and senior resources throughout the area.

We specialize in non-medical in-home care in addition to free community placement*. We are here to serve your needs and we can help.

*Because Always Best Care is compensated by our contracted assisted living communities, we are happy to provide our senior housing and assisted living referral services at no charge to you.

Wendy & Patrick OKane
Always Best Care of San Antonio
The Right Choice for

Senior Care
Services When You Need It

We match our clients with the most appropriate living options

Senior-Daughter-HP min

Team of Caring Professionals

We are a team of caring and compassionate professionals working together to provide the best possible care for you and your loved ones

Care at Each Step of the Way

We have worked with thousands of seniors and their families across the U.S. and Canada, providing the best service each step of the way

Proven Track Record of Success

Our team of professional caregivers has a proven track record of providing expert care to seniors and people with special needs

Services Tailored to Your Needs

We help people with specific needs maintain a safe, independent, and dignified lifestyle with in-home care, senior community referral services and special care services

The Care You Deserve

Always Best Care Senior Care Services

Discover our services to find the right care solution for you and your loved ones


In-Home Care

Expert care services, delivered in the comfort of your home

Senior Living Referral Services

Referral services designed to help you find the right senior living community

Special Care Services

Specialized health monitoring services, powered by advanced healthcare technology

Veterans Assistance Program

Helping veterans navigate the financing options available from the VA to receive the best care possible

Skilled Home Health

Individual healthcare provided by licensed nurses and therapists

serving you

Communities Served

Your local Always Best Care team helps families throughout San Antonio and the surrounding areas




“I can’t say enough about how happy I am with the care that Best Care has done for my father and soon my mother. The person that answers the phone is the best and the compassion they show along with their flexibility to help is uncommon these days. Check this place out for your loved ones!”

Mary A.

“Pat, Wendy, & their team are the BEST! I had a friend in need of their services and they were timely, attentive, and incredibly caring. They went above and beyond to make sure the best care was provided. They have a heart to care for those in need and it shines through everything they do! I HIGLY recommend using Always Best Care Senior Services! Best in town!”

Katelyn M.

“ABC was a tremendous help when my dad required additional care beyond Assisted Living. Wendy came out within minutes to assess my dad’s needs. The ABC caregivers went above and beyond, including staying with my dad when he had to be hospitalized. I’ve referred ABC to several families, all of which have shared our positive experience. Thank you, Pat and Wendy, for providing a service that makes a difficult time in the life of our loved ones so much easier to accept. Keep up the good work! Forever grateful!”

Melanie B.

“They have good communication, and the aids have been very good.”

Gabby S.

“Great facility for senior citizens, service you can count on”

Shon G.

“I Give My All When Caring For The Elder I Do It With A Passion From My Heart A Gift From God!! I Will Truly Miss You Mrs. Mary!!!”

Dorothy S.

“They were punctual and helpful. They did what they needed to be done, but I just have a husband who is a loner. They understood his condition and helped him to the bathroom. I wanted a male and they gave me a male.”

Carolyn A.

“They are very capable and love to care for my wife.”

A G.

“They are very capable and love to care for my wife.”

John F.

“ABC helped me place my relative in Memory Care. They are very knowledgeable about placement in San Antonio. They gave us 4 communities within our price range and actually got better prices than we received. We live out of town. They made our lives more relaxed since our Aunt has moved in and is not a wander risk. Thanks Debbie and staff.”

P M.

“Thank you all so much for the excellent care you gave Bill. I could not have made it without the help of your company. Thank you also for the gorgeous bouquet of roses, tulips and hydrangeas. I appreciate it so much.”

Billye F.

“Loved our caregiver. First time I felt comfortable enough to be able to leave the home and do stuff I needed to do. She was great.”

Karen S.

“I am a current client of this provider I signed up two agencies, one for weekdays and one for weekends. I dropped the weekend agency who is listed on this site because of lateness of caregivers and one caregiver left her shift and did not return. I have had very good service with Always Best Care. Caregivers arrive on time. IF ABC has a new caregiver start a shift , office staff does a meet and greet with client to introduce new caregiver and make sure its a good fit. Director Debbie did an excellant job explaining services plus she and the owner are Certified Dementia Practioner's. Patient has diagnosed dementia. Caregiver's do very well with interactions with family.”


“ABC helped me place my relative in Memory Care. They are very knowledgeable about placement in San Antonio. They gave us 4 communities within our price range and actually got better prices than we received. We live out of town. They made our lives more relaxed since our Aunt has moved in and is not a wander risk. Thanks Debbie and staff.”

patrick M.

“You have taken such good care of mom over the years. You made her very happy. Thank you for your thoughtfulness. It gives us some peace knowing she wanted to be with my dad on his birthday, the next day, and she was :)”

Zuber A.

“ABC provided excellent service and I miss Always Best Care”

Jackie J.

“From Barbara Randle – I wanted to let you know, first of all, how much we have appreciated the wonderful care, compassion, and love that you and all of your stsff have shown to me over the past month. We can never thank you all enough for your patience as we worked out a schedule, and for your dedication to truly best care. We are ever grateful to all of you. Please share our thanks with the lovely and tender hearted ladies who helped me after surgery.”

Patrick O.

“I have been working with Debbie Trone trying to find a Senior Living Home for my 89 year old sister. Debbie has been exceptional in helping us navigate thru every detail of what we need to do to get her settled in. We know it will come together an want to thank her for assisting us.”

Riki L.

“I was very pleased with them. I don’t have any family here so when they took me to the doctor, they would come in with me to see the doctor and communicate with my family.”

Mavis C.

“They are always there and consistent.”

Helen K.

“This place is absolutely amazing!!”


“The owners of ABC are wonderful caring people. They go above & beyond to make sure you get whatever you need to help in your situation. Thank you Wendy & Pat & Kendra for all your help.”

marlene E.

“The staff is wonderful, friendly, and very attentive; they truly care about the community they serve.”

Melinda H.

Health Monitoring Devices & Special Services

Discover our porfolio of technology and special care services, designed to cater to the needs of you and your loved ones.


Always In Touch

A complimentary telephone reassurance program that provides companionship to seniors and disabled adults

Balance Tracking System

A computerized balance assessment tool that provides an objective, accurate, and reliable fall risk assessment

Remote Patient Monitoring

Monitoring and reporting of vital health signs and 24/7 access to a clinical call center

Personal Emergency Response System

The Personal Emergency Response alert system ensures a timely response in case of a medical emergency

24/7 Virtual Care Agent

The Personal Emergency Response alert system ensures a timely response in case of a medical emergency


Contact Us For Care Consultation

Always Best Care helps seniors and their family through the entire process. Our care coordinators are local and have in-depth knowledge of our senior living partners and services.


Serving Our Community and Friends

We are very proud of our awards and recognitions of excellence in the senior care industry

  • 2022-Provider-of-Choice_High-Res
  • SRG-BO-2020
  • SRG-BO-2019
  • gold-seal-190
The Most Reliable CARE

Dedicated to Exceeding Your Expectations… Always

Our passion for helping people maintain a safe, independent and dignified lifestyle represents the strong foundation of
Always Best Care

Nature-Caregiver-Senior-Mobile Nature-Caregiver-Senior

The Best Senior Care in San Antonio and Surrounding Communities

Our employees are our own – not contractors. Caregivers are thoroughly screened, trained and insured. We are dedicated to exceeding your expectations…always.


Join Our Caregiver Team

Whether you are an experienced caregiver or looking to launch your career, contact us today to learn about opportunities that may be available in your area

Caregivers-Group Caregivers-Group
Ready To Answer Your Questions

FAQs About Our Senior Care Services

Female-Caregiver-Mobile Female-Caregiver-Desktop

It’s becoming more and more common for families to live far apart from each other, and leaving an elderly relative alone at home can be a major source of anxiety if you’re not nearby. Always Best Care provides the reassurance you need that your loved ones are safe and happy, with a compassionate caregiver available in case of an emergency. We’ll help them handle their daily tasks so that you can manage your own life with confidence and peace of mind. In addition, home care is often considered a healthier and more affordable option for families when compared to long-term nursing facilities.

Choosing an in-home senior care provider can be a daunting task. However, there are a few guidelines to keep in mind. First, ask your friends and family for recommendations. If you’re unable to get any suggestions, search for local and state organizations that recognize the best providers in the industry. Doing so can help narrow down a shortlist of home care agencies. Next, set up meetings with your top choices and ensure that they meet your criteria. Don’t forget to ask your senior for their opinion, too. Doing so will help you make an informed home care decision.

When hiring an in-home care provider, it’s important to ensure that they are insured to protect you and your loved one. Always Best Care not only provides our clients with insurance coverage but also Worker’s Compensation. That way, in the unlikely event that an accident occurs while a caregiver is working in your loved one’s home, you are protected against any claims or damages. These protections not only benefit you and your loved one, but also directly benefit our caregivers, enabling us to attract some of the most skilled and compassionate individuals for Home Care in San Antonio.

In the mid-90s, Always Best Care founder Michael Newman grew frustrated by the lack of resources available for seniors in his community. That frustration helped him shape a vision: to create a home care company that would provide trusted care, compassionate support, and professional advice for seniors and their loved ones. In 1996, Michael channeled his frustration into founding Always Best Care, which has since become one of the nation’s leading providers of in-home care for seniors. Today, people with passion continue to make Always Best Care what it is today. While times may change, our company’s commitment to compassionate home care will always remain the same.

To provide the best home care in San Antonio, we believe that it’s crucial for seniors and their caregivers to build a strong relationship that is fortified with trust. Without it, all parties can suffer. However, at Always Best Care, our caregivers are allowed requested vacations. There may also be times when caregivers become ill. In such cases, a substitute caregiver takes responsibility for your loved one’s care. We inform the substitute caregiver about all your loved one’s likes and dislikes to minimize disruptions. If additional care is required in the morning, afternoon, and evening, we will do our best to accommodate.

We understand that many seniors can lead mostly independent lives, but occasionally they may need assistance. At Always Best Care, we’re thrilled when we can schedule a caregiver in a very short turnaround. That’s why we’re happy to offer part-time in-home care for seniors in San Antonio. Our team of compassionate caregivers can be `available to assist your senior loved one morning, noon, and night.

Our home care providers in San Antonio can assist with a wide range of services to help your senior live a fulfilling, independent life at home. Some of our most requested home care services include the following:

• Light Housekeeping
• Medication Reminders
• Community Activity Escorts
• Companionship
• Meal Prep
• Nutrition Monitoring
• Incontinence Care
• Transportation and Errand Running
• Dressing and Grooming

Contact our Always Best Care office today to learn more about the additional home care services we offer.

We believe that safety is one of the most important aspects of home care in San Antonio. As such, we train our caregivers to assess your senior loved one’s home to identify any potential hazards that could lead to accidents. Before providing in-home care services, we will perform a safety assessment of your loved one’s property to identify ways to make their home safer. This may include introducing grab rails in hallways or showers or making other small changes. To ensure ongoing safety measures are met, your caregiver will continue to monitor your senior’s mobility and recommend any necessary equipment or technology to make their life easier and safer.

Yes. We understand that, with time, a senior’s home care needs can change. If they do, your Care Coordinator will be there to re-evaluate and adjust your non-medical home care services in San Antonio as needed.

Our senior home care providers in San Antonio are dedicated to delivering compassionate, exceptional care. That dedication often translates to specialized training and preferred areas of focus. Please don’t hesitate to inform us of any unique health needs or requirements your loved one has during your care consultation with Always Best Care.

Female-Caregiver-Mobile Female-Caregiver-Desktop

News & Insights

Explore the latest insights, trends, and tips from the home care and caregiving industry

Subscribe to news about

Senior Care Services


Partnerships for the Best Senior Care

We have partnered with the best groups and institutions to provide the best care for you.