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

Local figures

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

10%

of residents aged 18 to 64 have a disability (9.4% in Gillespie County)

230

residents aged 18 to 64 have difficulty doing errands alone

7.3%

of households have no vehicle (5.5% in Gillespie County)

10

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

About 546 Fredericksburg residents aged 18 to 64 report a disability (10%; 9.4% in Gillespie County).

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

7.3% of Fredericksburg households have no vehicle (5.5% in Gillespie County); say in your posting if you need a caregiver who drives.

Fredericksburg compared with Gillespie County and Texas

Census figure	Fredericksburg	Gillespie County	Texas
Residents 18 to 64 with a disability	10%	9.4%	10%
Residents 18 to 64 with difficulty doing errands alone	4.2%	2.6%	3.4%
Households with no vehicle	7.3%	5.5%	5.4%
Residents 5+ who speak a language other than English at home	11%	17%	35%
Residents 65+ with a disability	25%	26%	35%
Residents 65+ below the poverty line (approx.)	13%	12%	12%
Median income, households headed by someone 65+	$54,771	$65,909	—

Older residents in towns around Fredericksburg

Town	Distance	Residents 65+	Disability (18 to 64)
Kerrville, TX	22 mi	6,992	8.8%
Boerne, TX	34 mi	3,516	11%
Horseshoe Bay, TX	35 mi	2,338	4.4%
Llano, TX	36 mi	927	13%
Kingsland, TX	37 mi	2,058	19%
Granite Shoals, TX	38 mi	1,031	21%

Home health agencies serving Fredericksburg

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Enhabit Home Health	Fredericksburg, TX	1.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(830) 990-2423
Adoration Home Health	San Antonio, TX	53 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 216-7111
Capitol Home Health	San Antonio, TX	54 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Tri County Home Health	Kerrville, TX	22 mi	4 of 5	nursing, physical therapy	(830) 895-3100
Christus Vna Homecare San Antonio	San Antonio, TX	54 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 785-5200

Straight-line miles from the center of Fredericksburg. 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 Fredericksburg

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 22% of the $4,564 monthly median income of Fredericksburg 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 Fredericksburg: common questions

How much does disability care for adults cost in Fredericksburg?

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 22% of the $4,564 monthly median income of Fredericksburg 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 Fredericksburg

More senior care near Fredericksburg

Disability Care for Adults in nearby cities

Other care in Fredericksburg

More for Fredericksburg 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 Fredericksburg, TX