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San Antonio, TX

San Antonio Area in-home careFrom 1 hour a week to 24/7 support
Keep Safe CareSan Antonio☎ (210) 920-8950
A caregiver sharing a warm moment with an older woman
Keep Safe Care

✓ Local, licensed and caregiver-first

EveryoneNeeds anAngel

Let Keep Safe Care be yours.

We match your family with a reliable, dependable and compatible caregiver. Because we pay more, you get more consistent care—week after week, month after month.

Get a free in-home care assessment →Why families choose us
No contractsNo hour minimumsInsured & bonded
Consistency mattersThoughtful matching. Familiar faces.
Care that fitsOne hour a week or around the clock.
Licensed in TexasHCSSA #025234
Caregiver-first modelBuilt around The 2/3 Rule®
Locally responsiveServing San Antonio and surrounding communities

Serving San Antonio, Stone Oak, Live Oak, Cibolo, New Braunfels, Boerne, Helotes, Far West San Antonio and surrounding communities

The Keep Safe Care difference

We changed the industry of in-home care.

Keep Safe Care puts the caregiver first. As a caregiver first agency, this means we pay better, hire the most qualified individuals, give them more autonomy, and empower them to own the care-pair relationship. We Empower Caregivers® and We Empower Caregiving®.
Keep Safe Care — The Caregiver Company

The 2/3 Rule®

More of every care dollar goes to the caregiver.

Better pay helps attract and retain dependable professionals. For families, that means greater consistency, fewer disruptions and a caregiver who can truly get to know the person they support.

  • Higher caregiver wages
  • More consistent care
  • Smarter, lower-overhead operations
What does 2/3s mean to you and the caregiver?
67¢
Most agencies pay 40¢ to 45¢ per dollar charged.Higher wages means happier caregivers, which results in fewer call-outs, less turnover, and more consistent care.

Our mission, our motivation, our motto

We take care of our caregivers, so they take better care of you.®

Care built around real life

Help when you needit. No oversizedcommitment.

No minimum hours / Graduated rates

Start with as little as one hour per week for help with showering, a few hours a day, or 20 to 40 hours per week. We can put together a dependable team after surgery or provide consistent 24/7 care. Our flexibility allows us to shape care and rates around a person’s needs—not a rigid package.

Shower / bathing

Respectful help with bathing, grooming and dressing while protecting comfort, privacy and safety.Ask about this service →

Wake up / Bedtime

Gentle support getting ready for the day or settling safely into a comfortable evening routine.Ask about this service →
Veteran or surviving spouse?Learn how benefits may help pay for in-home care.
Learn about Vet Assist →Call (210) 920-8950

The rightness of fit

The right caregiver feels like family.

We match for care needs and the human details that make time together work—personality, language, routines, interests and family preferences.

Personal fit
Familiar faces
Safe & dependable
Transparent value

Real words from local families

Care people remember.

★★★★★
“The caregivers show up, and I get the same great ones all the time. My mother-in-law has improved tremendously.”
Kerry EdwardsSan Antonio, TX
★★★★★
“Of all the agencies I contacted, Keep Safe Care was the most responsive and made me feel respected.”
Suzanne OffnerSan Antonio, TX
★★★★★
“Your company came in at the last second and made it all possible. I would recommend you any time.”
Sandra GableSan Antonio, TX

Your local care team

Local leadership.Personal accountability.

You are never dealing with a distant call center. Your San Antonio team is here to listen, solve problems and make sure care feels right.

Karl Nicholas is the San Antonio Territory Director and administrator.

Karl Nicholas

Administrator / Territory Director

Karl Nicholas

Karl brings more than 15 years of experience as a sales leader and revenue operations executive across enterprise SaaS, healthcare technology and IT. His commitment to senior advocacy grew from watching his mother serve as a geriatric social worker. He brings that same focus, accountability and drive to building dependable, dignity-centered support for San Antonio families.Karl believes excellent home care rests on rigorous processes, transparent communication and unyielding reliability. He is committed to building trust with families, referral partners, discharge planners and social workers while creating a fair, professional environment for caregivers.

Bachelor of Business Administration in Marketing, Huston-Tillotson University

Let's talk about what you need

Care can feel complicated. The first conversation shouldn’t.

Tell our local team what is happening. We’ll listen, answer your questions and help you understand the next best step—without pressure.

☎ (210) 920-8950✉ satx@keepsafecare.com
Keep Safe Care caregiver and client

Start your care inquiry

We’ll get back to you within one business day.
Care Need Form - Central Austin
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How We Treat Our Caregivers

“We see caregivers as an asset that can be cultivated as opposed to an expense that can be replaced.”

This quotation is important for a number of reasons, but the primary one is because we want to employ caregivers who not only give superior, quality care, but who are reliable, dependable, courteous, trustworthy, and kind. The only way Keep Safe Care will attract and keep highly motivated and engaged caregivers is to treat them with respect, consider them as part of the team, pay them higher wages, empower them to make choices in their jobs and careers, and to offer training to advance their caregiving career.

While most agencies say they have great caregivers and boast about their quality, compassion, reliability, and experience; the industry average for turnover has risen to 83% and truancy (no-shows) is 25%. This begs the question: If these agencies treated their caregivers so well, why is there so much turnover and absenteeism?

So, how does Keep Safe Care combat these horrific truancy and turnover rates with caregivers? It starts with our caregivers and partners. We are passionate about treating our caregivers like responsible adults and giving them the tools to deliver great care. Secondly, Keep Safe Care strives to pay our caregivers substantially more than the industry average and we take less in profits from our clients. In small words, we are less greedy, or maybe, more generous. Finally, Keep Safe Care is constantly training our caregivers to improve their skills and value in the caregiving marketplace.
The result: better, more reliable, dependable, consistent care for you; better, happier, more committed caregivers for us.

Taken in combination, Keep Safe Care has reduced both truancy and staff turnover to under 5% and has become the Gold Standard of caregiving in America.