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

Local figures

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

7.2%

of residents aged 18 to 64 have a disability (6.2% in Fort Bend County)

664

residents aged 18 to 64 have difficulty doing errands alone

1.3%

of households have no vehicle (3.2% in Fort Bend County)

126

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

About 1,258 Fresno residents aged 18 to 64 report a disability (7.2%; 6.2% in Fort Bend County).

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

1.3% of Fresno households have no vehicle (3.2% in Fort Bend County); say in your posting if you need a caregiver who drives.

Fresno compared with Fort Bend County and Texas

Census figure	Fresno	Fort Bend County	Texas
Residents 18 to 64 with a disability	7.2%	6.2%	10%
Residents 18 to 64 with difficulty doing errands alone	3.8%	2.1%	3.4%
Households with no vehicle	1.3%	3.2%	5.4%
Residents 5+ who speak a language other than English at home	33%	41%	35%
Residents 65+ with a disability	40%	28%	35%
Residents 65+ below the poverty line (approx.)	7.0%	9.0%	12%
Median income, households headed by someone 65+	$64,119	$78,465	—

Older residents in towns around Fresno

Town	Distance	Residents 65+	Disability (18 to 64)
Sienna, TX	4.3 mi	2,146	4.3%
Missouri City, TX	4.4 mi	13,050	9.0%
Iowa Colony, TX	7.2 mi	1,005	7.9%
Manvel, TX	7.3 mi	1,416	7.5%
Stafford, TX	8.4 mi	1,870	8.0%
Pearland, TX	8.8 mi	15,739	5.4%

Home health agencies serving Fresno

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Xtra-Care Home Health Inc	Houston, TX	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 270-1160
Providian Health Care Inc	Houston, TX	16 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(281) 997-6272
Tawl Health Care Inc	Houston, TX	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 777-9171
All About Home Care, Inc.	Houston, TX	18 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(713) 802-1211
Elara Caring	Pasadena, TX	19 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 780-2390

Straight-line miles from the center of Fresno. 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 Fresno

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 19% of the $5,343 monthly median income of Fresno 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 Fresno: common questions

How much does disability care for adults cost in Fresno?

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 19% of the $5,343 monthly median income of Fresno 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 Fresno

More senior care near Fresno

Disability Care for Adults in nearby cities

Other care in Fresno

More for Fresno 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 Fresno, TX