Preferred Care at Home of North San Antonio

Pros

• Preferred Care at Home is among the most caring agencies the reviewer has worked for.
• After more than 20 years in the field, the reviewer calls Preferred Care at Home one of the very best agencies.
• The company is very caring and works hard to find the right caregiver for the client, even if it means hiring a new person with specific qualifications.
• Working for Mr. Paulson is described as a welcomed change, with improved communication and consideration of caregivers' needs.
• The reviewer is glad they chose Preferred Care at Home and would highly recommend others apply.
• The company is a great place to work; the staff is friendly and the owners are amazing, caring, and supportive.
• Jake, the coordinator, is personable and effective at pairing clients with great caregivers; Jessica, the caregiver, is professional, punctual, and proactive.
• Jacob's care team provided immediate, 24/7 loving and professional care, and went above and beyond to provide support.
• Jake's agency has gone above and beyond in providing essential services and demonstrates care by meeting needs personally.
• Jake and Kate, the owners, are kind, caring, dedicated, and hospitable, making clients feel well taken care of.

Cons

• They were unable to use the care services because the client's father declined into hospice before the caregiver had a chance to start.

Review

Preferred Care at Home of North San Antonio is best suited for families who want to keep a loved one living at home while receiving highly personalized, relationship-driven in-home care. The model excels when a senior's needs require skilled assistance but also depend on consistent, compassionate human interaction rather than robotic scheduling. This agency stands out for clients who value careful caregiver matching, direct, responsive communication, and leadership involvement in care decisions. It particularly serves older adults with complex needs - post-operative recovery, Alzheimer's or other cognitive challenges, and transitions from rehab to home - where 24/7 or near-daily support is a practical necessity.

Alternatives to consider include facility-based assisted living or other providers that bundle housing and meals with medical oversight under one roof. Families weighing options for a more structured environment may prefer such a campus setting. Others might seek larger, highly standardized agencies with expansive caregiver pools and highly predictable scheduling. If budget is a pressure point, or if a guaranteed, fixed caregiver roster and a campus-like setting with on-site services is essential, those paths might offer a more predictable experience than a small, relationship-driven local agency.

Key pros center on the care team's humanity and reliability. The owners, Jake and Kate, are repeatedly described as caring, knowledgeable, and actively involved, giving families confidence that issues won't bottleneck at a coordinator's desk. Staffing aligns with client needs: the agency is willing to hire a caregiver with specific qualifications even if that means recruiting new personnel. The coordinator - Jake - consistently listens, matches well, and communicates clearly, and caregivers like Jessica are punctual, professional, proactive, and ready to take on chores beyond the basics. The ability to mobilize a care team quickly, including 24/7 arrangements when required, plus a track record of supporting hospice transitions and post-surgical returns, makes the service feel thoroughly full-service.

The main cons are those typical of small, hands-on home-care models. The most credible downside involves staffing stability and scalability: if a preferred caregiver is unavailable, coverage depends on the agency's ability to substitute quickly without sacrificing fit. There is no campus or on-site living option, so care remains strictly in-home, with scheduling driven by caregiver availability rather than a centralized calendar. Cost can also be a factor; premium, high-touch service often commands higher rates than more transactional home-care models. For families seeking ultra-predictable, hospital-like oversight or a tightly standardized experience, this approach may feel less structured than desired.

Nevertheless, the strengths substantially offset these potential drawbacks. Leadership involvement translates into rapid problem-solving and meticulous matching - the kind of responsiveness that reduces the risk of misalignment and deterioration in care quality. The willingness to recruit specialized caregivers minimizes skill gaps for residents with dementia, mobility limitations, or complex medical needs, while on-demand, around-the-clock coverage addresses urgent care gaps before they escalate. The documented ability to guide families through decisions with patience, and to stay in touch after onboarding, reduces anxiety and fosters trust that the care plan will adapt as needs evolve. This is not a detached vendor relationship; it is a hands-on partnership that evolves with the resident.

For families pursuing home-based living with a high-touch, relationship-forward approach, Preferred Care at Home of North San Antonio represents a compelling option. It is less suited for those prioritizing a fixed facility environment or strict budget constraints, or for individuals seeking a highly standardized scheduling model. Prospective clients should enter with clear expectations about budget, the preferred caregiver profile, and the desire for leadership-led oversight. An initial assessment and a direct conversation with Jake - the driver of onboarding and caregiver pairing - will reveal how well this model matches the specific needs, timelines, and personalities involved. In the right circumstances, the partnership delivers not just care, but dependable continuity and peace of mind.

Cafes

• Local Coffee (0.2 miles)
• Starbucks (1.8 miles)
• Starbucks (4.7 miles)
• La Media Luna Cafe (5.6 miles)
• Starbucks (6.3 miles)
• Starbucks (6.6 miles)
• Kaffeinated Crepes and Coffee (6.7 miles)

Physicians

• San Antonio Kidney Disease Center (0.3 miles)
• Neurosurgical Associates (0.6 miles)
• TruOrtho (0.6 miles)
• Sonterra Dermatology (0.8 miles)
• ABCD Pediatrics - Stone Oak (1 miles)
• North Central Federal Clinic (1.8 miles)
• Pediatric ENT (2.4 miles)

Pharmacies

• CVS Pharmacy (0.4 miles)
• Walgreens (0.9 miles)
• CVS Pharmacy (1.6 miles)
• Walgreens (1.9 miles)
• CVS Pharmacy (1.9 miles)
• Walgreens (2.3 miles)
• Walgreens (2.4 miles)

Restaurants

• Little Woodrow's (0.6 miles)
• Chama Gaucha Brazilian Steakhouse (0.8 miles)
• Eggspectation (1 miles)
• Chili's Grill & Bar (1.5 miles)
• Kneaders Bakery & Café (1.8 miles)
• Whataburger (2.4 miles)
• Lupe Tortilla (2.7 miles)

Places of Worship

• Northrock Church (0.8 miles)
• Community Bible Church (2.2 miles)
• Hope Church (2.9 miles)
• Abiding Presence Lutheran Church (2.9 miles)
• Church of Jesus Christ of Latter Day Saints (3.6 miles)
• Church of Jesus Christ of Latter Day Saints (5.3 miles)
• St George Episcopal School (6.3 miles)

Theaters

• Regal Northwoods (1.6 miles)
• Alamo Drafthouse Stone Oak (3.5 miles)
• Alamo Drafthouse Park North (6.8 miles)
• Santikos Palladium IMAX (6.8 miles)

Parks

• Phil Hardberger Park (4.3 miles)
• Phil Hardberger Dog Park (4.4 miles)
• Eisenhower Park (5.2 miles)

Hospitals

• Baptist Neighborhood Hospital (4.8 miles)

Transportation

• Landmark Aviation (5.4 miles)
• Skyplace Center (5.7 miles)
• Southwest Airlines Cargo (5.9 miles)
• American Airlines (6.2 miles)
• San Antonio International Airport (SAT) (6.3 miles)
• Rental Car Center (6.3 miles)
• Terminal 1 Arrivals (6.3 miles)