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

Local figures

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

12%

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

262

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (3.7% in Hunt County)

35

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

About 869 Commerce residents aged 18 to 64 report a disability (12%; 14% in Hunt County).

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

11% of Commerce households have no vehicle (3.7% in Hunt County); say in your posting if you need a caregiver who drives.

Commerce compared with Hunt County and Texas

Census figure	Commerce	Hunt County	Texas
Residents 18 to 64 with a disability	12%	14%	10%
Residents 18 to 64 with difficulty doing errands alone	3.6%	4.5%	3.4%
Households with no vehicle	11%	3.7%	5.4%
Residents 5+ who speak a language other than English at home	23%	17%	35%
Residents 65+ with a disability	51%	38%	35%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Median income, households headed by someone 65+	$38,611	$50,839	—

Older residents in towns around Commerce

Town	Distance	Residents 65+	Disability (18 to 64)
Greenville, TX	15 mi	5,513	13%
Sulphur Springs, TX	18 mi	2,692	12%
Caddo Mills, TX	22 mi	452	10%
Leonard, TX	22 mi	372	14%
Josephine, TX	27 mi	701	10%
Farmersville, TX	27 mi	610	18%

Home health agencies serving Commerce

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Lucent Home Health LLC	Plano, TX	51 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945
Ultimate Plus Home Care	Mesquite, TX	52 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 240-5300
Angels Care Home Health	Royse City, TX	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 454-6001
Guardian Healthcare	Paris, TX	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 737-9865
On Call Home Health And Rehab Services	Paris, TX	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 784-6300

Straight-line miles from the center of Commerce. 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 Commerce

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 31% of the $3,218 monthly median income of Commerce 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 Commerce: common questions

How much does disability care for adults cost in Commerce?

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 31% of the $3,218 monthly median income of Commerce 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 Commerce

More senior care near Commerce

Disability Care for Adults in nearby cities

Other care in Commerce

More for Commerce 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 Commerce, TX