Home care in Fair Oaks Ranch often starts when a family notices small things. Mom skipped lunch again. Dad is not driving to the golf course the way he used to. A parent is coming home from a hospital stay and nobody can be there all day. Assisting Hands Home Care Northeast San Antonio sends trained, background-checked caregivers into Fair Oaks Ranch homes for a few hours, overnight or around the clock.
Our office is in Bulverde, at 32685 US Hwy 281 N, Suite 180. Fair Oaks Ranch is about 25 to 30 minutes away by Ralph Fair Road and Highway 46. 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 Fair Oaks Ranch
The first days home are often the hardest. Many Fair Oaks Ranch families are coming home from Methodist Hospital on Floyd Curl Drive in the Medical Center, or after a short rehab stay at Cibolo Creek Health and Rehabilitation Center on River Road in Boerne. For a fall or a sudden change, Methodist ER Boerne on Menger Springs 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 support for the first weeks home from the hospital.
Methodist Hospital is familiar ground for Nancy. She spent more than 30 years there, caring for stroke and brain injury patients in the Neuro ICU, and she taught nursing students their hospital clinicals.
Home care across Fair Oaks Ranch, Dietz Elkhorn to Ralph Fair Road
Fair Oaks Ranch is one city spread across three counties, Bexar, Kendall and Comal, so neighbors can live a few minutes apart and still have different county offices. We care for families all over it: near City Hall and Van Raub Elementary on Dietz Elkhorn Road, along Ralph Fair Road and Fair Oaks Parkway, around the golf course and out toward the Comal County side closest to Bulverde.
We plan around the way people live here. If your home sits on a large lot or back from the 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 a 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, with a ride to church, the pharmacy in Boerne or lunch with a friend.
What home care visits in Fair Oaks Ranch cover
Many families here start with a few hours a week and add time as trust builds. A visit can include:
- Bathing, dressing and toileting through personal care for Fair Oaks Ranch seniors
- Fresh meals cooked in your parent’s kitchen and help keeping the house tidy and safe
- Groceries, errands, rides to appointments and medication reminders
- Conversation, puzzles and company on the long afternoons
When memory loss is part of the picture, our caregivers trained for Alzheimer’s at home keep each day calm and familiar. If you are the family caregiver and running low, respite care in Fair Oaks Ranch gives you real time off. When someone should not be alone at all, round the clock care in shifts 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 Fair Oaks Ranch 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 Fair Oaks Ranch families pay for care
Most families pay us directly for the hours they schedule. Other ways families cover home care in Fair Oaks Ranch:
- Long-term care insurance. Our Certified Long-Term Care Advocate can help you sort out the forms for a long-term care insurance benefit.
- VA Aid and Attendance. Veterans and surviving spouses may be able to put their own VA Aid and Attendance benefit for home care toward the cost. 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. See how Medicare GUIDE respite for dementia works.
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 Fair Oaks Ranch
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 Fair Oaks Ranch visit is scheduled and supervised by our Bulverde office.
Here is what families say about our Bulverde office:
