Adult Disability Care in Horseshoe Bay, TX: In-Home Support

Local figures

Disability Care for Adults in Horseshoe Bay, TX: the local picture

4.4%

of residents aged 18 to 64 have a disability (15% in Llano County)

41

residents aged 18 to 64 have difficulty doing errands alone

1.8%

of households have no vehicle (4.2% in Llano County)

18

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

About 89 Horseshoe Bay residents aged 18 to 64 report a disability (4.4%; 15% in Llano County).

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

1.8% of Horseshoe Bay households have no vehicle (4.2% in Llano County); say in your posting if you need a caregiver who drives.

Horseshoe Bay compared with Llano County and Texas

Census figure	Horseshoe Bay	Llano County	Texas
Residents 18 to 64 with a disability	4.4%	15%	10%
Residents 18 to 64 with difficulty doing errands alone	2.0%	4.7%	3.4%
Households with no vehicle	1.8%	4.2%	5.4%
Residents 5+ who speak a language other than English at home	4.5%	9.3%	35%
Residents 65+ with a disability	24%	33%	35%
Residents 65+ below the poverty line (approx.)	2.8%	7.2%	12%
Median income, households headed by someone 65+	$101,635	$59,781	—

Older residents in towns around Horseshoe Bay

Town	Distance	Residents 65+	Disability (18 to 64)
Granite Shoals, TX	3.4 mi	1,031	21%
Marble Falls, TX	6.3 mi	1,315	18%
Kingsland, TX	9.7 mi	2,058	19%
Burnet, TX	17 mi	1,324	13%
Briarcliff, TX	22 mi	544	6.0%
Llano, TX	23 mi	927	13%

Home health agencies serving Horseshoe Bay

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ascension At Home	Burnet, TX	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 756-7511
Home Therapy Austin	Austin, TX	39 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 637-1550
Elara Caring	Round Rock, TX	42 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 733-1515
Capitol Home Health	San Antonio, TX	70 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Accentcare Home Health Of Texas	Beaumont, TX	253 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(409) 899-9979

Straight-line miles from the center of Horseshoe Bay. 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 Horseshoe Bay

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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay: common questions

How much does disability care for adults cost in Horseshoe Bay?

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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay

More senior care near Horseshoe Bay

Disability Care for Adults in nearby cities

Other care in Horseshoe Bay

More for Horseshoe Bay 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 Horseshoe Bay, TX