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

Local figures

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

12%

of residents aged 18 to 64 have a disability (11% in Kaufman County)

283

residents aged 18 to 64 have difficulty doing errands alone

2.9%

of households have no vehicle (3.1% in Kaufman County)

211

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

About 790 Heartland residents aged 18 to 64 report a disability (12%; 11% in Kaufman County).

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

2.9% of Heartland households have no vehicle (3.1% in Kaufman County); say in your posting if you need a caregiver who drives.

Heartland compared with Kaufman County and Texas

Census figure	Heartland	Kaufman County	Texas
Residents 18 to 64 with a disability	12%	11%	10%
Residents 18 to 64 with difficulty doing errands alone	4.3%	3.5%	3.4%
Households with no vehicle	2.9%	3.1%	5.4%
Residents 5+ who speak a language other than English at home	28%	23%	35%
Residents 65+ with a disability	74%	35%	35%
Residents 65+ below the poverty line (approx.)	3.5%	11%	12%

Older residents in towns around Heartland

Town	Distance	Residents 65+	Disability (18 to 64)
Crandall, TX	2.9 mi	621	6.0%
Talty, TX	3.5 mi	349	12%
Forney, TX	4.9 mi	2,553	9.2%
Seagoville, TX	5.4 mi	1,727	13%
Combine, TX	6.7 mi	476	13%
Travis Ranch, TX	9.0 mi	525	9.3%

Home health agencies serving Heartland

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ultimate Plus Home Care	Mesquite, TX	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 240-5300
Ultimate Home Health Care	Mesquite, TX	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 240-4700
Dependable Home Care Inc	Garland, TX	15 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(214) 221-7900
New Vision Home Health Services Inc	Desoto, TX	24 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 227-3000
Lucent Home Health LLC	Plano, TX	29 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945

Straight-line miles from the center of Heartland. 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 Heartland

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. 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 Heartland: common questions

How much does disability care for adults cost in Heartland?

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. 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 Heartland

More senior care near Heartland

Disability Care for Adults in nearby cities

Other care in Heartland

More for Heartland families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Heartland, TX