Adult Disability Care in Castroville, TX: In-Home Support

Local figures

Disability Care for Adults in Castroville, TX: the local picture

21%

of residents aged 18 to 64 have a disability (15% in Medina County)

202

residents aged 18 to 64 have difficulty doing errands alone

8.1%

of households have no vehicle (3.5% in Medina County)

55

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

About 393 Castroville residents aged 18 to 64 report a disability (21%; 15% in Medina County).

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

8.1% of Castroville households have no vehicle (3.5% in Medina County); say in your posting if you need a caregiver who drives.

Castroville compared with Medina County and Texas

Census figure	Castroville	Medina County	Texas
Residents 18 to 64 with a disability	21%	15%	10%
Residents 18 to 64 with difficulty doing errands alone	11%	6.0%	3.4%
Households with no vehicle	8.1%	3.5%	5.4%
Residents 5+ who speak a language other than English at home	25%	26%	35%
Residents 65+ with a disability	46%	40%	35%
Residents 65+ below the poverty line (approx.)	6.1%	11%	12%
Median income, households headed by someone 65+	$65,625	$47,474	—

Older residents in towns around Castroville

Town	Distance	Residents 65+	Disability (18 to 64)
Lackland AFB, TX	14 mi	0	4.0%
Devine, TX	15 mi	1,156	16%
Leon Valley, TX	17 mi	1,993	14%
Helotes, TX	18 mi	1,789	13%
Hondo, TX	18 mi	1,231	20%
Lakehills, TX	19 mi	1,402	14%

Home health agencies serving Castroville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Healthcare Solutions, Inc.	San Antonio, TX	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Elara Caring	San Antonio, TX	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	19 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
S. A. Nurses Home Health Agency	San Antonio, TX	19 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 798-2199
Prime Home Health, LLC	San Antonio, TX	22 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 251-4973

Straight-line miles from the center of Castroville. 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 Castroville

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 18% of the $5,469 monthly median income of Castroville 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 Castroville: common questions

How much does disability care for adults cost in Castroville?

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 18% of the $5,469 monthly median income of Castroville 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 Castroville

More senior care near Castroville

Disability Care for Adults in nearby cities

Other care in Castroville

More for Castroville 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 Castroville, TX