Home care in Bulverde is close to home for us, because our office is here. When a Bulverde family calls, the caregiver and the nurse who plans the care are minutes away, not across the city. Maybe Mom is still in the house she loves off FM 1863 but needs help bathing. Maybe Dad just came home from the hospital and should not be alone yet. Assisting Hands Home Care Northeast San Antonio sends trained, background-checked caregivers into Bulverde homes for a few hours, overnight or around the clock.
Our office is at 32685 US Hwy 281 N, Suite 180, in Bulverde. Most Bulverde homes are 5 to 15 minutes away. Our care is non-medical: bathing, meals, getting around safely, errands and company. Nancy Wilch, MSN, RN, our co-owner, plans your loved one’s care, and care can often start within a day or two.

Care after a hospital or rehab stay in Bulverde
The first days home are often the hardest. Bulverde families are often coming home from Methodist Hospital Stone Oak on Sonterra Boulevard, from North Central Baptist Hospital at Stone Oak Parkway, or after inpatient rehab at the Methodist Hospital Stone Oak Rehabilitation Center on Stonehue.
For a fall or a sudden change close to home, Methodist ER Bulverde on Highway 46 is open around the clock.
A caregiver can be there when your loved one walks in the door, with meals, bathing, a steady arm on the way to the bathroom and rides to follow-up visits. Our caregivers work alongside the home health nurse or therapist the doctor orders. They do not replace them. If you can, call us before discharge day, and read about our hospital to home care in Bulverde.
Nancy brings a nurse’s eye to these homecomings. She spent more than 30 years at Methodist Hospital in San Antonio, caring for stroke and brain injury patients in the Neuro ICU, and she taught nursing students their hospital clinicals at Methodist Hospital Stone Oak.
Home care across Bulverde, Cougar Bend to Johnson Ranch
Bulverde is a Comal County city of about 5,700 people. German families settled it in 1850 as Pieper Settlement, and Cibolo Creek still marks the county line just south of town. We care for families all over it: near City Hall and the Bulverde Spring Branch Activity Center on Cougar Bend, around the Mammen Family Public Library at Bulverde Crossing, in Johnson Ranch and Belle Oaks, and out along FM 1863 and Highway 46.
We plan around how Bulverde lives. If your home sits on a bigger lot or off a country road, the best way in, the porch light and any gate code go on the care plan. Wildlife on the roads at dusk shapes when a caregiver leaves for an evening shift. If the bedroom or laundry room is up a few steps, we look at those steps together at the first visit. Parents who still like to get out can keep going: a caregiver can take them to a class or lunch at the Activity Center, the library, or church on Sunday.
What home care visits in Bulverde cover
Many Bulverde families start with a few hours a week and add time as trust builds. A visit can include:
- Bathing, dressing and toileting through personal care from our Bulverde caregivers
- Meals prepared at home in Bulverde and light housekeeping for Bulverde families
- Groceries, errands, rides to appointments and medication reminders
- Conversation, cards and companion care in Bulverde
When memory loss is part of the picture, our Alzheimer’s and dementia caregivers in Bulverde keep each day calm and familiar. If you are the family caregiver and need a break, respite care for Bulverde caregivers gives you real time off. When someone should not be alone at all, 24-hour care in Bulverde keeps a caregiver in the house day and night. When a hospice team is involved, we add hands for personal care and company.
Getting started in 3 steps
- Call us at (210) 405-4059. Tell us about your loved one and what has gotten harder at home. We will answer your questions and set up a time to visit.
- A free in-home visit with Nancy, our RN owner. Nancy comes to your Bulverde home, gets to know your loved one and listens to what your family needs. Then she writes a care plan with you.
- Care can often start within a day or two. Help can be a few hours, overnight or around the clock. If needs change, we change the plan with you.
How Bulverde families pay for care
Most families pay us directly for the hours they schedule. Other ways families cover home care in Bulverde:
- Long-term care insurance. Our Certified Long-Term Care Advocate can help you turn a long-term care policy into care at home.
- VA Aid and Attendance. Veterans and surviving spouses may be able to put their own VA Aid and Attendance benefit in Bulverde toward care at home. Troy “Doc” Wilch, our co-owner and a Navy Hospital Corpsman, can explain how it works.
- Medicare GUIDE respite. For a loved one with dementia on Original Medicare, we are an approved respite provider for PocketRN’s GUIDE program, and we help with the paperwork. Learn about GUIDE respite for Bulverde families.
Original Medicare does not pay for ongoing help with bathing, meals or company at home. We are glad to talk through your options on the first call.
Who oversees care in Bulverde
Nancy Wilch, MSN, RN, co-owner and Director of Nursing, meets each family at the free in-home visit, writes the care plan and oversees the caregivers who carry it out. After a fall, a new diagnosis or a hospital stay, she changes the plan with you. Troy “Doc” Wilch, co-owner, is a Navy Hospital Corpsman and Marine veteran.
Every caregiver is background-checked, and we are bonded and insured. Assisting Hands Home Care Northeast San Antonio is licensed by the State of Texas, license #023668. Every Bulverde visit is scheduled and supervised right here at our Bulverde office.
Here is what families say about our Bulverde office:
