Home care in Leon Valley often starts close to the Medical Center, literally. A parent finishes a stay at one of the big hospitals a few miles away and comes home needing more help than before. Or Mom has lived off Bandera Road for years and the house has slowly gotten harder to manage. Assisting Hands Home Care Northeast San Antonio sends trained, background-checked caregivers into Leon Valley homes for a few hours, overnight or around the clock.
Our office is in Bulverde, at 32685 US Hwy 281 N, Suite 180. Leon Valley is about 35 minutes away by Loop 410 and US 281. 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 Leon Valley
The first days home are often the hardest, and Leon Valley sits right next to the South Texas Medical Center. Families here are often coming home from Methodist Hospital on Floyd Curl Drive, University Hospital on Medical Drive, CHRISTUS Santa Rosa Hospital Medical Center on Babcock Road, or after inpatient rehab at Warm Springs Rehabilitation Hospital on Medical Drive.
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 help for Leon Valley families coming 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 Leon Valley, Bandera Road to Huebner
Leon Valley is a Bexar County city of about 11,500 people on Bandera Road, between Helotes and San Antonio. We care for families all over it: near City Hall on El Verde Road and the public library on Evers Road, around the Huebner-Onion Natural Area and Raymond Rimkus Park, and in the neighborhoods off Huebner Road and Grissom Road.
We plan around how Leon Valley moves. Bandera Road traffic and the loop shape when a caregiver should leave for a morning shift. A single-story home helps, but a step into the den or a tight bathroom still matters, so we look at both at the first visit. Parents who like to stay active can keep going: a caregiver can take them to the library, a slow walk on the trails at the Natural Area, or church on Sunday.
What home care visits in Leon Valley cover
Many Leon Valley 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 for Leon Valley seniors
- Meals cooked with your parent at home and light chores around the house
- Groceries, errands, rides to appointments and medication reminders
- Conversation, cards and companionship for Leon Valley parents
When memory loss is part of the picture, our memory care caregivers in Leon Valley keep each day calm and familiar. If you are the family caregiver and need a break, respite care for Leon Valley caregivers gives you real time off. When someone should not be alone at all, care around the clock in shifts keeps someone in the house. 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 Leon Valley 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 Leon Valley families pay for care
Most families pay us directly for the hours they schedule. Other ways families cover home care in Leon Valley:
- Long-term care insurance. Our Certified Long-Term Care Advocate can help you claim a long-term care benefit for help at home.
- VA Aid and Attendance. If your parent already gets care at the Audie L. Murphy VA hospital nearby, ask us about this one. Veterans and surviving spouses may be able to put their own VA benefit for care at home toward the cost, and 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 GUIDE dementia respite works in San Antonio.
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 Leon Valley
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 Leon Valley visit is scheduled and supervised by our Bulverde office.
Leon Valley City Hall to our office
Leon Valley City Hall (6400 El Verde Rd) to 32685 US Hwy 281 N, Suite 180, Bulverde, TX 78163
- Take El Verde Road to Bandera Road and turn right (about 1 mile)
- Get on Loop 410 and head east (about 6 miles)
- Exit at San Pedro Avenue and follow it to US 281 North (about 1.5 miles)
- Continue north on US 281 (about 17 miles)
- Our office is on the left at 32685 US Hwy 281 N, Suite 180
About 27 miles, about 36 minutes without traffic.
Common questions about care in Leon Valley
How soon can home care start in Leon Valley?
After the free in-home visit with Nancy, care can often start within a day or two. If a hospital or rehab discharge is coming, call us before discharge day and we will plan around it.
Can you start right after a Medical Center discharge?
Yes. Call us while your loved one is still in the hospital or rehab, and we will plan the first shifts around the discharge day so a caregiver is ready at home.
Can a caregiver stay overnight?
Yes. We offer overnight shifts and 24-hour care, with caregivers working in shifts so someone is always there.
Talk to us about home care in Leon Valley
Call (210) 405-4059 or send a note to our office and we will set up a free in-home visit with Nancy. 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
Leon Valley sits close to several communities we serve. Up Bandera Road to the northwest, we offer home care in Helotes, and we also care for families in Shavano Park and Alamo Ranch. You can see each area we serve on our Areas page.
