In-Home Support for Adults With Disabilities in Horizon City, 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 Horizon City for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Horizon City, TX: the local picture
About 1,504 Horizon City residents aged 18 to 64 report a disability (11%; 12% in El Paso County).
342 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 Horizon City households have no vehicle (6.4% in El Paso County); say in your posting if you need a caregiver who drives.
Horizon City compared with El Paso County and Texas
| Census figure | Horizon City | El Paso County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 12% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 2.4% | 3.5% | 3.4% |
| Households with no vehicle | 2.9% | 6.4% | 5.4% |
| Residents 5+ who speak a language other than English at home | 74% | 68% | 35% |
| Residents 65+ with a disability | 47% | 40% | 35% |
| Residents 65+ below the poverty line (approx.) | 22% | 22% | 12% |
| Median income, households headed by someone 65+ | $57,500 | $37,273 | — |
Older residents in towns around Horizon City
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Sparks, TX | 2.9 mi | 261 | 12% |
| Agua Dulce, TX | 3.6 mi | 233 | 6.9% |
| Socorro, TX | 4.8 mi | 4,447 | 12% |
| San Elizario, TX | 8.1 mi | 1,185 | 11% |
| Homestead Meadows South, TX | 9.2 mi | 655 | 18% |
| Homestead Meadows North, TX | 12 mi | 981 | 9.1% |
Home health agencies serving Horizon City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | El Paso, TX | 12 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (915) 881-8129 |
| Reliant At Home | El Paso, TX | 12 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (214) 758-0900 |
| Victoria Home Health Care | El Paso, TX | 23 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (915) 587-5284 |
| Guardian Angel Home Healthcare Services | El Paso, TX | 8.9 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (915) 594-1116 |
| New Mission Home Care | Clint, TX | 9.0 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (915) 851-9200 |
Straight-line miles from the center of Horizon City. 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 Horizon City
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 21% of the $4,792 monthly median income of Horizon City 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 Horizon City: common questions
How much does disability care for adults cost in Horizon City?
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 21% of the $4,792 monthly median income of Horizon City 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 Horizon City
Disability Care for Adults in nearby cities
- Disability Care for Adults in Sparks, TX
- Disability Care for Adults in Agua Dulce, TX
- Disability Care for Adults in Socorro, TX
- Disability Care for Adults in San Elizario, TX
- Disability Care for Adults in Homestead Meadows South, TX
- Disability Care for Adults in Homestead Meadows North, TX
- Disability Care for Adults in Fabens, TX
- Disability Care for Adults in Fort Bliss, TX
- Disability Care for Adults in El Paso, TX
- Disability Care for Adults in Sunland Park, NM
- Disability Care for Adults in Chaparral, NM
- Disability Care for Adults in Canutillo, TX
- Disability Care for Adults in Westway, TX
- Disability Care for Adults in Vinton, TX
- Disability Care for Adults in Santa Teresa, NM
- Disability Care for Adults in Anthony, TX
Other care in Horizon City
- Companion Care in Horizon City
- Dementia Care in Horizon City
- Respite Care in Horizon City
- Live-In Caregivers in Horizon City
- Post-Surgery Care in Horizon City
- Senior Transportation in Horizon City
- Home Health Aides in Horizon City
- Nursing Assistants in Horizon City
- Personal Care in Horizon City
- Overnight Caregivers in Horizon City
- 24-Hour Home Care in Horizon City
- Mobility Assistance in Horizon City
- Parkinson’s Care in Horizon City
- Stroke Recovery Support in Horizon City
- Hospice Support in Horizon City
- Senior Meal Preparation in Horizon City
- Senior Housekeeping in Horizon City
- Medication Reminders in Horizon City
- Veterans’ Home Care in Horizon City
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 Horizon City
Posting is free and takes about ten minutes. Caregivers near Horizon City can see it as soon as it is live.
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