Adult Disability Care in Big Spring, TX: In-Home Support

Local figures

Disability Care for Adults in Big Spring, TX: the local picture

19%

of residents aged 18 to 64 have a disability (17% in Howard County)

746

residents aged 18 to 64 have difficulty doing errands alone

7.1%

of households have no vehicle (6.3% in Howard County)

12

Medicare-certified home health agencies list Big Spring ZIP codes in their service area

About 2,537 Big Spring residents aged 18 to 64 report a disability (19%; 17% in Howard County).

746 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.1% of Big Spring households have no vehicle (6.3% in Howard County); say in your posting if you need a caregiver who drives.

Big Spring compared with Howard County and Texas

Census figure	Big Spring	Howard County	Texas
Residents 18 to 64 with a disability	19%	17%	10%
Residents 18 to 64 with difficulty doing errands alone	5.4%	4.7%	3.4%
Households with no vehicle	7.1%	6.3%	5.4%
Residents 5+ who speak a language other than English at home	34%	30%	35%
Residents 65+ with a disability	42%	42%	35%
Residents 65+ below the poverty line (approx.)	17%	14%	12%
Median income, households headed by someone 65+	$44,104	$44,581	—

Older residents in towns around Big Spring

Town	Distance	Residents 65+	Disability (18 to 64)
Stanton, TX	19 mi	211	14%
Colorado City, TX	38 mi	708	17%
Midland, TX	40 mi	13,847	8.9%
Lamesa, TX	44 mi	1,345	15%
Snyder, TX	47 mi	1,787	11%
Odessa, TX	56 mi	11,642	8.1%

Home health agencies serving Big Spring

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Big Spring, TX	3.2 mi	5 of 5	nursing, physical therapy, home health aides	(432) 714-4510
Midland Health At Home	Midland, TX	38 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(432) 218-7996
St Josephs Home Health Inc	Midland, TX	38 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(432) 684-5858
Home Preferred Senior Care	San Angelo, TX	82 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(325) 703-2999
Excelacare Home Health	Big Spring, TX	3.2 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(432) 235-1164

Straight-line miles from the center of Big Spring. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Big Spring

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 27% of the $3,675 monthly median income of Big Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

Before you hire

What to know before hiring a disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Big Spring: common questions

How much does disability care for adults cost in Big Spring?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 27% of the $3,675 monthly median income of Big Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.

More near Big Spring

More senior care near Big Spring

Disability Care for Adults in nearby cities

Other care in Big Spring

More for Big Spring families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Support for Adults With Disabilities in Big Spring, TX