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

Local figures

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

9.3%

of residents aged 18 to 64 have a disability (9.3% in Harris County)

44,622

residents aged 18 to 64 have difficulty doing errands alone

10%

of households have no vehicle (7.1% in Harris County)

469

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

About 137,750 Houston residents aged 18 to 64 report a disability (9.3%; 9.3% in Harris County).

44,622 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

10% of Houston households have no vehicle (7.1% in Harris County); say in your posting if you need a caregiver who drives.

Houston compared with Harris County and Texas

Census figure	Houston	Harris County	Texas
Residents 18 to 64 with a disability	9.3%	9.3%	10%
Residents 18 to 64 with difficulty doing errands alone	3.0%	3.0%	3.4%
Households with no vehicle	10%	7.1%	5.4%
Residents 5+ who speak a language other than English at home	47%	45%	35%
Residents 65+ with a disability	36%	34%	35%
Residents 65+ below the poverty line (approx.)	17%	14%	12%
Median income, households headed by someone 65+	$50,324	$58,641	—

Older residents in towns around Houston

Town	Distance	Residents 65+	Disability (18 to 64)
West University Place, TX	5.5 mi	2,533	3.3%
Hunters Creek Village, TX	6.6 mi	760	3.9%
Spring Valley Village, TX	6.9 mi	678	2.2%
Bellaire, TX	7.1 mi	3,186	3.1%
Piney Point Village, TX	7.9 mi	660	3.2%
Bunker Hill Village, TX	8.7 mi	635	3.0%

Home health agencies serving Houston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
All About Home Care, Inc.	Houston, TX	1.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(713) 802-1211
Xtra-Care Home Health Inc	Houston, TX	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 270-1160
Tawl Health Care Inc	Houston, TX	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 777-9171
Providian Health Care Inc	Houston, TX	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(281) 997-6272
St Clare Home Care, Inc.	Houston, TX	15 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 572-4663

Straight-line miles from the center of Houston. 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 Houston

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 24% of the $4,194 monthly median income of Houston 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 Houston: common questions

How much does disability care for adults cost in Houston?

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 24% of the $4,194 monthly median income of Houston 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 Houston

More senior care near Houston

Disability Care for Adults in nearby cities

Other care in Houston

More for Houston 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 Houston, TX