San Marcos is the Hays County seat, on I-35 between San Antonio and Austin, and home to Texas State University and Spring Lake, the headwaters of the San Marcos River. If your parent lives here and is starting to need help at home, you may be juggling a lot at once: a recent fall, a stay at CHRISTUS Santa Rosa on Wonder World Drive, or a long drive every weekend just to check in. We provide non-medical home care in San Marcos from our office in Bulverde, with care planned and overseen by our co-owner, Nancy Wilch, MSN, RN.
Home care in San Marcos starts with an honest answer
San Marcos sits at the far edge of the area our office covers. From the Hays County Historic Courthouse, our Bulverde office is about 43 miles away, roughly 53 minutes by car. We do serve San Marcos, but availability depends on whether one of our caregivers can get to your home for the hours you need. So the first step is simple: call us and we’ll check.
On that call we ask where the home is, which days and hours you need and how soon help should start. Then we check whether a caregiver can reliably cover that schedule and get back to you with a straight answer.
Landmarks San Marcos families know
Spring Lake, fed by the Edwards Aquifer, still offers glass-bottom boat tours through the Meadows Center at Texas State. Downtown, the Hays County Historic Courthouse anchors the square, and the San Marcos Activity Center and Public Library sit just east along East Hopkins Street.
For older adults, the San Marcos Senior Citizens Center on Arizona Street, run by Community Action, offers field trips, arts and crafts, health screenings and low-impact exercise. On the southwest side of town, Kissing Tree is a 55 and older community near Hunter and Centerpoint roads. A caregiver can go with a parent to the senior center, the library or a doctor’s visit, and keep a familiar routine going between family visits.
Hospitals and rehab centers near San Marcos
These are the closest ones, with rough drive times from the courthouse:
- CHRISTUS Santa Rosa Hospital San Marcos, on Wonder World Dr: about 3 miles, 8 minutes. It has a 24-hour emergency room and is certified by The Joint Commission as a primary stroke center.
- San Marcos Rehabilitation & Health Care, on the I-35 frontage road: about 2 miles, 7 minutes
- Hays Nursing and Rehabilitation Center, on Medical Pkwy: about 3 miles, 8 minutes
- Ascension Seton Hays, in Kyle: about 13 miles, 17 minutes
- PAM Health Rehabilitation Hospital of Kyle: about 13 miles, 16 minutes
- Resolute Baptist Hospital, in New Braunfels: about 15 miles, 19 minutes
- New Braunfels Regional Rehabilitation Hospital: about 16 miles, 21 minutes
The first days home after a hospital or rehab stay are often the hardest. Nancy cared for stroke and brain injury patients in the Neuro ICU at Methodist Hospital for more than 30 years, so she knows what those weeks can look like. For home care in San Marcos after a discharge, please call before discharge day if you can, so we have time to check caregiver availability. Here is how help at home after a hospital stay for San Marcos families works.
What home care in San Marcos includes
Every plan is non-medical. Our caregivers do not give injections, dress wounds or do other skilled nursing tasks. When we can cover your address, a plan can include:
- Bathing, dressing, grooming and safe trips to the bathroom, through personal care for San Marcos seniors
- Meals, light housekeeping, laundry, errands, company and rides to appointments
- A calm, familiar routine for someone living with Alzheimer’s or another dementia, with dementia care for San Marcos families
- A planned break for the family member who has been doing it all, through respite care in San Marcos
Paying for home care in San Marcos
Many families pay privately for home care in San Marcos. Others use a long-term care insurance policy, and our office includes a Certified Long-Term Care Advocate who can help you start a claim. Learn more about long-term care insurance help for San Marcos families.
Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit the VA pays to the family. Troy Wilch, our co-owner and a Navy and Marine veteran, can walk you through how Aid and Attendance can help with home care costs.
For a family on Original Medicare caring for someone with moderate or severe dementia, we are an approved respite provider for PocketRN’s GUIDE program, which can pay for some respite up to a yearly limit. Read about GUIDE dementia respite through Medicare. We do not take Medicaid or Medicare Advantage, and we go over costs at the free visit. For free help in Hays County with benefits, Medicare questions and dementia support, contact the Area Agency on Aging of the Capital Area.
Who oversees care in San Marcos

Nancy Wilch, MSN, RN, co-owner and registered nurse. She plans each client’s care and oversees the caregivers who provide it.
Troy Wilch, co-owner, Navy and Marine veteran.
Licensed by the State of Texas, license #023668. Every caregiver is background-checked, and we are bonded and insured. Every home care visit in San Marcos is scheduled and supervised out of our Bulverde office.
How getting started works
- Call us at (210) 405-4059. Tell us the address and the days and hours you need.
- We check caregiver availability. For San Marcos, we confirm a caregiver can reliably reach your home before we schedule anything.
- A free in-home visit, then care. We write a care plan with you and set a start date.
From the Hays County Historic Courthouse to our office
From the courthouse, 111 E San Antonio St, to 32685 US-281 N, Suite 180, Bulverde, TX 78163
- Head west on E San Antonio St and turn left onto W Hopkins St (0.4 mi)
- Turn right onto Moore St, then left onto Smith Ave, which becomes Old Ranch Rd 12 (2.8 mi)
- Turn right onto Ranch Rd 12 N (7.3 mi)
- Turn left onto FM 32 (7.4 mi)
- Turn left onto FM 3424 S (1.3 mi)
- Turn right onto FM 306 (12.2 mi)
- Turn left onto US-281 S (11.2 mi)
- Turn right. The office is on the left (0.1 mi)
42.7 miles, about 53 minutes without traffic.
Questions San Marcos families ask
Do you really serve San Marcos?
Yes. The 78666 ZIP code is part of our franchise territory. It is also one of the farthest areas from our office, so availability depends on whether a caregiver can get there for the hours you need. Call us and we’ll check.
Do you cover Kissing Tree and other parts of town?
Inside 78666, yes, with the same availability check. That includes homes near downtown, off Wonder World Drive and out toward Kissing Tree. For an address outside 78666, call us and we’ll check.
Can a caregiver stay overnight?
We offer overnight and 24-hour care, with caregivers working in shifts. For San Marcos, longer shifts depend on caregiver availability, so ask about your schedule and we’ll check.
Talk to us about home care in San Marcos
Call (210) 405-4059 or ask us to check caregiver availability in San Marcos. If we can cover your address, we will set up a free in-home visit. There is no cost and no obligation to hire us.
For a fever, a fall, or a sudden change, call the doctor or 911 first.
Nearby areas we also serve
Closer to our office, we also support aging parents in New Braunfels, families looking for caregivers in Garden Ridge and neighbors who need help at home around Canyon Lake. You can also browse the full list of towns we cover.
