A universal changing table, also known as an adult changing table, provides safe, hygienic, and dignified access to public restrooms for individuals with disabilities or other medical needs who may not be able to access standard handicapped accessible restrooms.

Changing Table Type: Adult-size, powered, height-adjustable changing table.

A Long-Term Care Ombudsman means "being an advocate for residents."  A Long-Term Care (LTC) Ombudsman listens to and addresses the concerns of nursing home and assisted living residents.  At all times, residents decide on the LTC Ombudsman's level of involvement. They can be counted on to respect residents' privacy and confidentiality. Some of the ways in which LTC Ombudsman serve residents include telling residents about their rights and empowering and supporting residents and their families to discuss concerns with staff.   An LTC Ombudsman completes State-supported training and is certified by the State Long-Term Care Ombudsman.  

Services
An LTC Ombudsman: 

• Advocates for quality of life and quality care.
• Explains Resident Rights.
• Supports resident directed care.
• Helps to ensure residents are treated with dignity.
• Identifies and resolves concerns that affect residents.

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This program creates a coordinated network of serving service members, veterans, and their families.

Alamo Veterans Network evaluates your personal goals and directs you to public, private, and nonprofit organizations providers who can help you reach your goals.

Alamo Veterans Network providers cover a comprehensive range of services, including:

• Benefits
• Health & Social Enrichment
• Clothing & Household Goods
• Housing
• Spiritual Enrichment
• Education
• Individual & Family Support Services
• Sports & Recreation
• Employment
• Legal
• Transportation
• Food
• Money Management
• Utilities

The Alamo Veterans Network assists service members, veterans, and their families in the Alamo Area (Atascosa, Bandera, Bexar, Comal, Frio, Gillespie, Guadalupe, Karnes, Kendall, Kerr, Medina, McMullen, and Wilson counties).

You only have to provide eligibility information once, and Alamo Veterans Network providers work together to serve you.

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The Area Agencies on Aging are dedicated to building a community that supports older residents and allows them to age in place with dignity, security, and enhanced quality of life. Services include congregate meals, home-delivered meals, benefits counseling, care coordination, legal assistance, nutrition, counseling and training, caregiver support, and transportation services.

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These Call Center Specialists will provide assistance information and referrals to services for individuals who are 60 years of age or older, as well as individuals of any age who are eligible for Medicare.

Service Coordination

The following programs are facilitated by a staff member, called a Services Coordination Specialist, who oversees the activities and services for eligible individuals.

• Safety Net Services: These services are intended to help people with intellectual and developmental disabilities remain in their own or their family’s home.
• Home and Community-Based Services (HCS) is a Medicaid waiver program that provides services to people with intellectual and developmental disabilities who live with their family, in their own home, in a foster/companion setting, or a residence with no more than three others receiving services.
• Texas Home Living (TxHmL): This Medicaid waiver program provides essential services so that people with intellectual and developmental disabilities may continue to live with their families.
• Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/IID) program is a community-based residential service option provided in homes with six or more individuals. This ICF/IID program provides similar services provided in an HCS residential home. The services include staff available to assist individuals with identified needs, access to medical care, the opportunity to attend Day Habilitation or similar programs, and participation in community activities. 

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Aging can be a challenge for many, especially those aging with a disability. The classes provided by the Support & Empowerment program are meant to alleviate some of the stress related to aging, by educating both caregivers and individuals with intellectual and or developmental disabilities on how to navigate their finances, health, mental health, spirituality, and caregiving roles as they age.

There are three videos, each covering the same subjects but in different areas and stages of life These include Finances: Managing income, savings, special needs trusts, finding and maintaining employment, and wills Health/Nutrition: Healthy foods and healthy habits, grocery shopping tips, staying active, common illnesses Crisis/Mental: What crisis is and how to react, mental health, grief, dementia & Alzheimer's Caregiving: Stigma, burnout & how to manage, life skills & assistance, aging out of caregiving, terminal illness Spirituality: Mindfulness & emotional health, stress, stigma, friendships, finding new purpose and staying sharp You can click on the link below to watch the videos in English/ASL or Spanish.

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The Senior Companion Program helps make independence a reality by helping older adults age in place. The program provides companionship to anyone 60 or older. The volunteers are able to assist the older adult with sorting mail, playing games, running errands, walking together, small chores around the house and making phone calls to name a few. To volunteer you must be 55 and older and meet the income eligibility for the program. As a volunteer, you can receive a stipend and mileage reimbursement, training, paid personal leave, paid Holidays and make lifelong friends!

Additional Aging Volunteer Opportunities
Additional volunteer positions are available from time to time, as needed, in Atascosa, Bandera, Bexar, Comal, Frio, Gillespie, Guadalupe, Karnes, Kendall, Kerr, McMullen, Medina, and Wilson Counties.

Please contact: Celina Wilt at 210-362-5200.

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The Warm Hearts, Warm Homes program is a locally-funded project that delivers a free space heater to older adults or veterans who have no safe source of heat inside their homes.

Thanks to the continued generosity and contributions from our fellow citizens - since 2009, the Warm Hearts program has been able to support over 100 homes, every year, across our 13-County service area.

To qualify, persons must be 60 years of age or older and a resident of one of the 13 counties in the AACOG Region. The recipient must also have no current, safe means of heating in their home, or the existing heating source is not working. A stove or oven is not considered a safe and adequate source of heating a home, as this regularly leads to numerous fires and casualties in our community.

For more information, or to request a heater, call the Alamo Service Connection at (210) 477-3275 (or toll free at 866-231-4922) or email for details.

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The Weatherization Assistance program is designed to help low-income individuals overcome the high cost of energy through the installation of energy conservation measures. Although the program does not address major home repairs, it can help lower the amount of energy used in a home by enhancing the structure's thermal boundary, ultimately helping a home stay warm in the colder months and cold in the warmer months.

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Qualification for weatherization assistance is a three-step process.

1. The applicant's total household income must meet federal income eligibility requirements.
2. The person completing the application must be a U.S. Citizen or show proof of eligible Resident Alien Status to receive federal benefits.
3. The home must be structurally sound (no major roof repairs, plumbing leaks, foundation problems, faulty electrical wiring, or similar structural issues).