In-Home Support for Adults With Disabilities in Harker Heights, TX
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Harker Heights for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Harker Heights, TX: the local picture
About 3,105 Harker Heights residents aged 18 to 64 report a disability (17%; 15% in Bell County).
1,158 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.2% of Harker Heights households have no vehicle (5.3% in Bell County); say in your posting if you need a caregiver who drives.
Harker Heights compared with Bell County and Texas
| Census figure | Harker Heights | Bell County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 17% | 15% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 6.2% | 5.2% | 3.4% |
| Households with no vehicle | 7.2% | 5.3% | 5.4% |
| Residents 5+ who speak a language other than English at home | 18% | 19% | 35% |
| Residents 65+ with a disability | 40% | 38% | 35% |
| Residents 65+ below the poverty line (approx.) | 15% | 11% | 12% |
| Median income, households headed by someone 65+ | $65,947 | $54,865 | — |
Older residents in towns around Harker Heights
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Nolanville, TX | 2.6 mi | 682 | 13% |
| Killeen, TX | 5.4 mi | 13,315 | 16% |
| Belton, TX | 9.8 mi | 3,379 | 14% |
| Fort Hood, TX | 10.0 mi | 224 | 12% |
| Morgan's Point Resort, TX | 13 mi | 652 | 10% |
| Temple, TX | 15 mi | 13,547 | 14% |
Home health agencies serving Harker Heights
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Paradigm Home Health | Whitney, TX | 66 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (254) 694-1447 |
| Texmed Home Health Inc | Killeen, TX | 6.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (254) 526-8188 |
| Centerwell Home Health | Temple, TX | 17 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy | (254) 778-6334 |
| Gilead Home Health | Round Rock, TX | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 323-5858 |
| Elara Caring | Round Rock, TX | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 733-1515 |
Straight-line miles from the center of Harker Heights. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in Harker Heights
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 18% of the $5,496 monthly median income of Harker Heights 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.
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.
Disability Care for Adults in Harker Heights: common questions
How much does disability care for adults cost in Harker Heights?
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 18% of the $5,496 monthly median income of Harker Heights 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 senior care near Harker Heights
Disability Care for Adults in nearby cities
- Disability Care for Adults in Nolanville, TX
- Disability Care for Adults in Killeen, TX
- Disability Care for Adults in Belton, TX
- Disability Care for Adults in Fort Hood, TX
- Disability Care for Adults in Morgan's Point Resort, TX
- Disability Care for Adults in Temple, TX
- Disability Care for Adults in Copperas Cove, TX
- Disability Care for Adults in Jarrell, TX
- Disability Care for Adults in Sonterra, TX
- Disability Care for Adults in Troy, TX
- Disability Care for Adults in Georgetown, TX
- Disability Care for Adults in Gatesville, TX
- Disability Care for Adults in McGregor, TX
- Disability Care for Adults in Santa Rita Ranch, TX
- Disability Care for Adults in Liberty Hill, TX
- Disability Care for Adults in Lampasas, TX
Other care in Harker Heights
- Companion Care in Harker Heights
- Dementia Care in Harker Heights
- Respite Care in Harker Heights
- Live-In Caregivers in Harker Heights
- Post-Surgery Care in Harker Heights
- Senior Transportation in Harker Heights
- Home Health Aides in Harker Heights
- Nursing Assistants in Harker Heights
- Personal Care in Harker Heights
- Overnight Caregivers in Harker Heights
- 24-Hour Home Care in Harker Heights
- Mobility Assistance in Harker Heights
- Parkinson’s Care in Harker Heights
- Stroke Recovery Support in Harker Heights
- Hospice Support in Harker Heights
- Senior Meal Preparation in Harker Heights
- Senior Housekeeping in Harker Heights
- Medication Reminders in Harker Heights
- Veterans’ Home Care in Harker Heights
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.
Find disability care for adults in Harker Heights
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