Adult Disability Care in Grand Saline, TX: In-Home Support

Local figures

Disability Care for Adults in Grand Saline, TX: the local picture

24%

of residents aged 18 to 64 have a disability (13% in Van Zandt County)

209

residents aged 18 to 64 have difficulty doing errands alone

12%

of households have no vehicle (3.2% in Van Zandt County)

29

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

About 433 Grand Saline residents aged 18 to 64 report a disability (24%; 13% in Van Zandt County).

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

12% of Grand Saline households have no vehicle (3.2% in Van Zandt County); say in your posting if you need a caregiver who drives.

Grand Saline compared with Van Zandt County and Texas

Census figure	Grand Saline	Van Zandt County	Texas
Residents 18 to 64 with a disability	24%	13%	10%
Residents 18 to 64 with difficulty doing errands alone	11%	3.7%	3.4%
Households with no vehicle	12%	3.2%	5.4%
Residents 5+ who speak a language other than English at home	20%	10%	35%
Residents 65+ with a disability	42%	33%	35%
Residents 65+ below the poverty line (approx.)	16%	11%	12%
Median income, households headed by someone 65+	$36,184	$44,462	—

Older residents in towns around Grand Saline

Town	Distance	Residents 65+	Disability (18 to 64)
Van, TX	11 mi	361	13%
Canton, TX	12 mi	819	8.5%
Mineola, TX	14 mi	1,412	16%
Wills Point, TX	17 mi	631	12%
Hideaway, TX	20 mi	1,059	10%
Lindale, TX	22 mi	1,182	12%

Home health agencies serving Grand Saline

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Lucent Home Health LLC	Plano, TX	64 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945
Reliant At Home	Tyler, TX	35 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-3374
Vitalcaring Group	Tyler, TX	37 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-4555
Paradigm Homecare	Tyler, TX	37 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223
Angels Care Home Health	Royse City, TX	43 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 454-6001

Straight-line miles from the center of Grand Saline. 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 Grand Saline

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 33% of the $3,015 monthly median income of Grand Saline 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 Grand Saline: common questions

How much does disability care for adults cost in Grand Saline?

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 33% of the $3,015 monthly median income of Grand Saline 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 Grand Saline

More senior care near Grand Saline

Disability Care for Adults in nearby cities

Other care in Grand Saline

More for Grand Saline 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 Grand Saline, TX