Home care in Selma often starts with a call from a son or daughter who lives close by but works long days. Dad is still in the house he loves near Retama Park, but cooking and bathing have gotten harder. Mom just finished rehab and should not be alone yet. Assisting Hands Home Care Northeast San Antonio sends trained, background-checked caregivers into Selma homes for a few hours, overnight or around the clock.
Our office is in Bulverde, at 32685 US Hwy 281 N, Suite 180. Selma is about 30 minutes away by Loop 1604 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 Selma
The first days home are often the hardest. Selma families are often coming home from Methodist Hospital Northeast on Judson Road in nearby Live Oak, or after a short rehab stay at TruCare Living Centers on Retama Parkway, right here in Selma.
For a fall or a sudden change, Baptist Neighborhood Hospital sits just over the line in Schertz, on the interstate frontage road.
University Health is also building a new hospital next to Retama Park, right in town.
When your loved one walks back in the door, a caregiver can be there 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 see how our help after a Selma hospital or rehab discharge works.
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.
Home care across Selma, Retama Park to Lookout Road
Selma is a small city with a big footprint. It reaches into three counties, Bexar, Comal and Guadalupe, and three school districts. We care for families all over it: near City Hall on Corporate Drive, in the neighborhoods off Lookout Road and FM 1518, and around Retama Park and The Forum shopping center along I-35.
We plan around how Selma moves. Traffic on the interstate and the loop shapes when a caregiver should leave for a morning shift. If your home is in a newer subdivision with a gate, the gate code goes on the care plan. If the bedroom is upstairs, we look at the stairs together at the first visit. Parents who like to get out can keep going: a caregiver can take them shopping at The Forum, to Stage Stop Park for a slow walk, or to church on Sunday.
What home care visits in Selma cover
Many Selma 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 visits for Selma seniors
- Meals made fresh at home and light cleaning between family visits
- Groceries, errands, rides to appointments and medication reminders
- A friendly face and companion care for Selma parents
When memory loss is part of the picture, our caregivers who know dementia care keep each day calm and familiar. If you are the family caregiver and need time for yourself, respite care for Selma caregivers gives you a real break. For someone who should not be alone at night, we offer overnight help so the family can sleep. 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 Selma 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 Selma families pay for care
Most families pay us directly for the hours they schedule. Other ways families cover home care in Selma:
- Long-term care insurance. Our Certified Long-Term Care Advocate can walk you through a long-term care insurance claim for home care.
- VA Aid and Attendance. Veterans and surviving spouses may be able to put their own Aid and Attendance benefit from the VA 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. Read about GUIDE respite for dementia caregivers.
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 Selma
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 Selma visit is scheduled and supervised by our Bulverde office.
Retama Park to our office
Retama Park (1 Retama Pkwy, Selma) to 32685 US Hwy 281 N, Suite 180, Bulverde, TX 78163
- Leave the park and turn left on Lookout Road (about 1.5 miles)
- Take Loop 1604 west (about 8 miles)
- Take the US 281 North exit and continue north (about 12 miles)
- Our office is on the left at 32685 US Hwy 281 N, Suite 180
About 23 miles, about 31 minutes without traffic.
Common questions about care in Selma
How soon can home care start in Selma?
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.
Do you cover all three county sides of Selma?
Yes. We serve the Bexar, Comal and Guadalupe County parts of Selma alike. If you are not sure about your street, call and ask.
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 Selma
Call (210) 405-4059 or reach our office online 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
Selma sits between several towns we serve. Just to the north, we offer home care for Garden Ridge families, and we also care for families in Schertz, Cibolo and Windcrest. You can see the full list of towns we serve on our Areas page.
