Always Best Care 

Trusted and Reliable Senior Care Services

Always Best Care Values

Our Mission, Vision & Promise

What drives our passion for expert care services


Our Mission

To work as a united team providing the best senior care in the world, with the broadest range of services, and the most loving and consistent care anywhere

Our Vision

To be the leader in compassionate senior care


Our Promise

We are committed to providing you with the best care for your specific needs


Our Story

In the mid-1990’s, just outside of Sacramento, California, Michael Newman felt frustrated by the lack of resources for seniors in his community. An owner and operator of facilities for seniors, he saw many seniors and their loved ones arrive at his facilities confused and overwhelmed after trying to find the right assisted living community. This frustration eventually shaped his vision: To create a company that would serve seniors in the community by providing trusted care, compassionate support, and professional advice.

In 1996, Michael acted on his vision and founded Always Best Care. Since that time, Always Best Care has become one of the nation’s leading providers of non-medical in-home care, senior living referral services and home health care. Always Best Care was formed with the belief and agenda of taking the burden off of the families’ shoulders and putting it on our own. People with passion have made Always Best Care what it is today. Although times may change, our foundation never will.

Michael Newman believes that a successful senior care company is built on successful relationships at every level, in all directions. The things that make every relationship work make business relationships work too – caring, trust, respect, and communication. These are the values that guide our relationships with our clients, franchisees, employees, vendors, our community, and everyone we touch. Caring relationships are the foundation of our work – a sincere concern for the betterment of life that goes beyond just doing what is required, but doing the most we can for the seniors entrusted to our care.

Always Best Care began franchising in 2007 and today provides services through a network of more than 225 franchised territories across the United States and Canada.


Welcome to Always Best Care of San Antonio

Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we’ve also added skilled home care for clients that suffer from illness or injury.

Our passion for helping people maintain a safe, independent and dignified lifestyle represents the strong foundation of Always Best Care. Every client receives extraordinary care in an inspiring environment with caring and compassionate people. Our Care Coordinators have worked with thousands of seniors across the country, and we’re always ready to help you!

Our vision:

The Always Best Care resources include an extensive library to help you make better informed decisions on senior care and more. Our vision is to work as a united TEAM providing the best senior care in the world – with the broadest range of services, and the most loving and consistent care anywhere.

Service coverage

Always Best Care Senior Services provides senior care in San Antonio, communities of Stone Oak, Bulverde, Alamo Heights, Hollywood Park, Shavano Park, Castle Hills, Terrell Hills, Olmos Park, Windcrest, Converse, Westover Hills, Live Oak.

Call today 210-772-2277
Or email [email protected]
1846 N Loop W, Ste. 205, San Antonio, TX 78248

Always Best Care combines national strength and standards with local accessibility and personal service. Wendy & Patrick OKane, the owners of Always Best Care-San Antonio, are local residents and take great pride in helping families care for their loved ones. Our goal is to join your family's journey and provide the absolute best care plan for your loved one. Our entire team has your loved ones best interests at heart, and we'll ensure that exceptional service and care is provided to all family members. All of our caregivers are carefully screened, thoroughly trained, bonded and insured to provide the safest and highest level of care. We have strong relationships with area hospitals, social workers, senior communities and senior resources across our communities. We are ready and willing to serve all your special care needs today!

Care Consultation

The first step in our process includes a personal consultation with a Care Coordinator at no charge to you. In our meeting, we will thoroughly discuss your care needs, create a detailed care plan, and work with you on financing and logistics.

The meeting will consist of:

  • A thorough discussion of your care needs
  • A highly detailed personal care plan
  • A discussion with you, or your loved one to determine how best to meet your requirements
  • Assistance with billing of insurance providers

Individual care plans are constantly being assessed and updated to meet physical, social, emotional and intellectual needs of our clients.

We know that exceptional service sets us apart from all other home care companies. All of our team members and caregivers receive comprehensive training before being assigned to a care plan. Our standard is that "we only hire care providers we would have care for our own loved ones."

Always Best Care provides in-home care services from as little as one hour per day up to 24-hour care, and up to 7 days a week. Whatever your care needs are, Always Best Care is there for you.

Some key home care services we provide include:

  • Activities of daily living (dressing, personal care, bathing, incontinence care)
  • Meals cooked and served (for you and your spouse)
  • Transportation (medical appointments, errands, shopping, etc.)
  • Domestic services (laundry, cleaning, etc.)
  • Facilitate social outings and help maintain personal freedom

Please let one of our Care Coordinators meet with you to discuss your needs and to assist in developing a personalized care plan specific to the level of care you need.

Take the first step with us – contact your local Always Best Care representative today.

Our Advantage

Benefits of
Always Best Care
Senior Services


Team of Caring People

We are a team of caring and compassionate people 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 specific needs

serving you

Service Coverage

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



Tailored to Your Needs

Always Best Care In Home Care Services

Personal Care Services

  • 24-Hour Care​
    Always Best Care helps you find the perfect round-the-clock in-home care plan to fit your loved one’s circumstances and needs. 24-hour care is support that is available to anyone who needs extra help to carry on living at home. It can include help with shopping, cooking, cleaning, washing, dressing and all other daily tasks. The need for 24-hour care can be prompted by accident, illness, dementia, frailty, disability, or frailty caused by the aging process.
  • Bathing, Grooming
    & Dressing​
    Bathing, dressing and grooming play a large role in a senior’s daily routines. Maintaining good personal hygiene can be vital in preventing sickness, while dressing can impact an elderly individual’s self-esteem. Grooming and dressing are integral to the activities of daily living.
  • Cognitive Impairments​​
    Cognitive impairment is not an illness, but a description of someone’s condition. It means they have trouble with things like memory or paying attention. They might have trouble speaking or understanding. And they might have difficulty recognizing people, places or things, and might find new places or situations overwhelming.
  • Companionship​​
    Companionship care is primarily emotional support and companionship for seniors who are generally healthy and who want to remain independent at home.
  • Errands & Transportation​​
    Help with errands, shopping, and transportation falls under the category of Instrumental Activities of Daily Living (IADLs). These skills are necessary in order to live independently and that all of us do once we are up, out of bed, dressed, and ready to start our day. Transportation services for seniors can help maintain a level of independence without the need for the senior to drive themselves.
  • Escort to Activities​
    Escorting a senior to activities can help them if they feel unsafe or uncomfortable in public without accompaniment. Many trips are often used to assist seniors to utilize the services of health professionals and agencies that they otherwise would not be able to access.
  • Hospice
    Support / End-of-Life​​
    Hospice care is for people who are nearing the end of life. The services are provided by a team of health care professionals who maximize comfort for a person who is terminally ill by reducing pain and addressing physical, psychological, social and spiritual needs.
  • Hospital to Home​​
    Following a discharge from the hospital, the first three days are critical. During this time frame and beyond, the support given to a senior and their family play a vital role in the recovery process at home. A hospital-to-home program offers a comprehensive and flexible solution that can provide the physical and emotional support needed to recover safely and comfortably.
  • Incontinence / Toileting​​
    There are several types of incontinence, which include overflow incontinence, transient incontinence, stress incontinence, urge incontinence, and knowing a little about the different types can help the caretaker and the family make the best decisions about what levels of toileting assistance should be included in the care plan of their loved one.
  • Laundry Services​​
    For seniors, laundry can be a challenge. As people age, they may have less energy and stamina. One of the biggest benefits of laundry services is that they can help seniors stay independent. Laundry services can also help keep seniors healthy by ensuring the are wearing clean clothing.
  • Light Housekeeping​​
    Light housekeeping includes things like watering the plants, dusting of surfaces and knickknacks, as well as picking up newspapers, magazines and other clutter. It includes emptying the trash, vacuuming and sweeping of main walk areas. It can also include organizing drawers, shelves and closets. In a nutshell light housekeeping is completing the specific tasks required to tidy up areas that a client uses. Examples of what a light housekeeping service does not include are heavy-duty cleaning tasks that require moving heavy furniture, washing windows, cleaning carpets, or scrubbing floors. Nor does it cover outside chores, such as shoveling snow off sidewalks, raking, or mowing the grass.
  • Live-In Care​​
    Live-in care is for seniors who need around-the-clock assistance from a caregiver. Assistance is generally non-medical and includes such tasks as medication management, shopping, and assistance with activities of daily living (ADL). Though caregivers sleep at the senior’s residence, they generally aren’t required for assistance at night.
  • Meal Preparation​
    Meal preparation and eating healthy and nutritional food is important for seniors. Meal preparation assistance for the elderly is not just about cooking, but involves so much more. Maintaining a regular and consistent schedule can also play a role in emotional and physical health.
  • Medication Reminders​
    Medication reminders are a nonmedical service provided by a caregiver or a Certified Nurse Assistant (CNA). CNAs do not administer medications, or speak with a doctor or pharmacist about a senior’s medicine or regime—but they do ensure medication safety and regularity.
  • Mobility​
    Mobility is the ability to move or walk freely and easily — is critical for functioning well and living independently. As we age, we may experience changes to our mobility. There are many reasons for these changes, including changes in gait (how we walk), balance, and physical strength.
  • Nutrition Monitoring​​
    Nutrition is an important element of health in the older population and affects the aging process. The prevalence of malnutrition is increasing in this population and is associated with a decline in functional status, impaired muscle function, decreased bone mass, immune dysfunction, anemia, reduced cognitive function, poor wound healing, delayed recovery from surgery, higher hospital readmission rates, and mortality.
  • Overnight Care​​
    Overnight care revolves around a multitude of services which may include help using the restroom in the middle of the night, providing fluids and snacks in the evening, and assisting with preparing for bed. Elderly individuals may also receive help with transfer assistance throughout the night. Overnight caregivers can also prepare breakfast and offer morning care.
  • Safety Supervision​​
    Because more accidents occur inside the home than anywhere else, seniors and their caregivers must do everything in their power to make sure their homes are as safe and secure as possible. Some of the steps that can be taken to ensure homes are safe for seniors and their families include removing clutter, adding better lighting, rearranging cabinets and drawers, and assessing the safety risks of the bathroom.
  • Technology Assistance​​
    Technology can help the elderly live independently for longer by facilitating preventive care, early detection of, and response to, emerging health issues, as well as timely support for daily tasks. Technology offers a wide range of benefits to older adults. Seniors who use technology can also feel more connected to others, can be better engaged in the community and world around them, and be more informed about current events.
Our Team of Experts

Committed to Providing the Best Care & Support

Experienced Healthcare and Caregiving Professionals
  • Wendy & Pat O’Kane

    Wendy & Pat O’Kane

    View Full Bio
  • Jenna Frias

    Jenna Frias

    Quality Control Coordinator
    View Full Bio
  • Payton Dillon

    Payton Dillon

    Operations Coordinator
    View Full Bio
  • Daniel Martinez

    Daniel Martinez

    View Full Bio
  • Louie


    Therapy Dog
    View Full Bio

“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.

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