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

Local figures

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

16%

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

189

residents aged 18 to 64 have difficulty doing errands alone

5.3%

of households have no vehicle (7.0% in La Salle County)

7

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

About 312 Cotulla residents aged 18 to 64 report a disability (16%; 15% in La Salle County).

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

5.3% of Cotulla households have no vehicle (7.0% in La Salle County); say in your posting if you need a caregiver who drives.

Cotulla compared with La Salle County and Texas

Census figure	Cotulla	La Salle County	Texas
Residents 18 to 64 with a disability	16%	15%	10%
Residents 18 to 64 with difficulty doing errands alone	9.8%	8.4%	3.4%
Households with no vehicle	5.3%	7.0%	5.4%
Residents 5+ who speak a language other than English at home	43%	48%	35%
Residents 65+ with a disability	33%	27%	35%
Residents 65+ below the poverty line (approx.)	23%	15%	12%
Median income, households headed by someone 65+	$41,464	$50,219	—

Older residents in towns around Cotulla

Town	Distance	Residents 65+	Disability (18 to 64)
Dilley, TX	16 mi	419	19%
Pearsall, TX	33 mi	1,070	18%
Carrizo Springs, TX	38 mi	699	27%
Crystal City, TX	40 mi	1,024	21%
Devine, TX	53 mi	1,156	16%
Jourdanton, TX	54 mi	466	10%

Home health agencies serving Cotulla

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Inspira Home Health Services	Laredo, TX	63 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(956) 857-5900
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	81 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
Elite Home Health	Jourdanton, TX	53 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(830) 281-8136
St Isabel Home Health Inc	Eagle Pass, TX	78 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 776-5602
Home Care Providers Of Texas	Dallas, TX	343 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 735-0801

Straight-line miles from the center of Cotulla. 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 Cotulla

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 29% of the $3,455 monthly median income of Cotulla 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 Cotulla: common questions

How much does disability care for adults cost in Cotulla?

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 29% of the $3,455 monthly median income of Cotulla 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 Cotulla

More senior care near Cotulla

Disability Care for Adults in nearby cities

Other care in Cotulla

More for Cotulla 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 Cotulla, TX