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

Disability Care for Adults in Karnes City, TX: the local picture
About 229 Karnes City residents aged 18 to 64 report a disability (13%; 19% in Karnes County).
23 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
11% of Karnes City households have no vehicle (9.8% in Karnes County); say in your posting if you need a caregiver who drives.
Karnes City compared with Karnes County and Texas
| Census figure | Karnes City | Karnes County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 13% | 19% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 1.3% | 2.8% | 3.4% |
| Households with no vehicle | 11% | 9.8% | 5.4% |
| Residents 5+ who speak a language other than English at home | 27% | 25% | 35% |
| Residents 65+ with a disability | 45% | 36% | 35% |
| Residents 65+ below the poverty line (approx.) | 2.6% | 14% | 12% |
| Median income, households headed by someone 65+ | $55,972 | $36,591 | — |
Older residents in towns around Karnes City
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Kenedy, TX | 6.0 mi | 555 | 25% |
| Floresville, TX | 24 mi | 1,524 | 13% |
| Beeville, TX | 34 mi | 1,709 | 9.7% |
| Pleasanton, TX | 36 mi | 1,799 | 9.5% |
| Sandy Oaks, TX | 37 mi | 1,137 | 15% |
| Jourdanton, TX | 39 mi | 466 | 10% |
Home health agencies serving Karnes City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Connally Memorial Home Health | Floresville, TX | 26 mi | 5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (830) 393-1540 |
| Adoration Home Health | San Antonio, TX | 60 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (830) 216-7111 |
| Capitol Home Health | San Antonio, TX | 60 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Elite Home Health | Jourdanton, TX | 39 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (830) 281-8136 |
| Advanced Home Health Services | Seguin, TX | 47 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (830) 379-6171 |
Straight-line miles from the center of Karnes 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 Karnes 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 22% of the $4,664 monthly median income of Karnes 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 Karnes City: common questions
How much does disability care for adults cost in Karnes 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 22% of the $4,664 monthly median income of Karnes 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 Karnes City
Disability Care for Adults in nearby cities
- Disability Care for Adults in Kenedy, TX
- Disability Care for Adults in Floresville, TX
- Disability Care for Adults in Beeville, TX
- Disability Care for Adults in Pleasanton, TX
- Disability Care for Adults in Sandy Oaks, TX
- Disability Care for Adults in Jourdanton, TX
- Disability Care for Adults in Cuero, TX
- Disability Care for Adults in George West, TX
- Disability Care for Adults in Poteet, TX
- Disability Care for Adults in Seguin, TX
- Disability Care for Adults in Kirby, TX
- Disability Care for Adults in Converse, TX
- Disability Care for Adults in Cibolo, TX
- Disability Care for Adults in Gonzales, TX
- Disability Care for Adults in Schertz, TX
- Disability Care for Adults in Universal City, TX
Other care in Karnes City
- Companion Care in Karnes City
- Dementia Care in Karnes City
- Respite Care in Karnes City
- Live-In Caregivers in Karnes City
- Post-Surgery Care in Karnes City
- Senior Transportation in Karnes City
- Home Health Aides in Karnes City
- Nursing Assistants in Karnes City
- Personal Care in Karnes City
- Overnight Caregivers in Karnes City
- 24-Hour Home Care in Karnes City
- Mobility Assistance in Karnes City
- Parkinson’s Care in Karnes City
- Stroke Recovery Support in Karnes City
- Hospice Support in Karnes City
- Senior Meal Preparation in Karnes City
- Senior Housekeeping in Karnes City
- Medication Reminders in Karnes City
- Veterans’ Home Care in Karnes City
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.
Find disability care for adults in Karnes City
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