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

Local figures

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

18%

of residents aged 18 to 64 have a disability (14% in Shelby County)

113

residents aged 18 to 64 have difficulty doing errands alone

5.1%

of households have no vehicle (6.7% in Shelby County)

19

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

About 504 Center residents aged 18 to 64 report a disability (18%; 14% in Shelby County).

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

5.1% of Center households have no vehicle (6.7% in Shelby County); say in your posting if you need a caregiver who drives.

Center compared with Shelby County and Texas

Census figure	Center	Shelby County	Texas
Residents 18 to 64 with a disability	18%	14%	10%
Residents 18 to 64 with difficulty doing errands alone	4.0%	4.5%	3.4%
Households with no vehicle	5.1%	6.7%	5.4%
Residents 5+ who speak a language other than English at home	19%	15%	35%
Residents 65+ with a disability	37%	40%	35%
Residents 65+ below the poverty line (approx.)	23%	15%	12%

Older residents in towns around Center

Town	Distance	Residents 65+	Disability (18 to 64)
Carthage, TX	26 mi	1,189	14%
Nacogdoches, TX	30 mi	4,195	13%
Mansfield, LA	33 mi	910	28%
Huntington, TX	42 mi	622	25%
Henderson, TX	44 mi	2,190	14%
Lufkin, TX	46 mi	5,215	19%

Home health agencies serving Center

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Accentcare Home Health Of Texas	Nacogdoches, TX	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 715-9625
Advantage Plus Homecare	Nacogdoches, TX	31 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 559-9480
Doctor's Choice Home Care	Lufkin, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(833) 365-2464
Reliant At Home	Lufkin, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 344-2821
Traditions Health	Longview, TX	63 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 663-2331

Straight-line miles from the center of Center. 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 Center

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. 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 Center: common questions

How much does disability care for adults cost in Center?

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. 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 Center

More senior care near Center

Disability Care for Adults in nearby cities

Other care in Center

More for Center 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 Center, TX