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

Local figures

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

14%

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

256

residents aged 18 to 64 have difficulty doing errands alone

1.8%

of households have no vehicle (2.2% in Bandera County)

52

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

About 536 Lakehills residents aged 18 to 64 report a disability (14%; 15% in Bandera County).

256 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 Lakehills households have no vehicle (2.2% in Bandera County); say in your posting if you need a caregiver who drives.

Lakehills compared with Bandera County and Texas

Census figure	Lakehills	Bandera County	Texas
Residents 18 to 64 with a disability	14%	15%	10%
Residents 18 to 64 with difficulty doing errands alone	6.9%	5.2%	3.4%
Households with no vehicle	1.8%	2.2%	5.4%
Residents 5+ who speak a language other than English at home	15%	14%	35%
Residents 65+ with a disability	39%	41%	35%
Residents 65+ below the poverty line (approx.)	6.8%	11%	12%
Median income, households headed by someone 65+	$100,104	$61,821	—

Older residents in towns around Lakehills

Town	Distance	Residents 65+	Disability (18 to 64)
Helotes, TX	16 mi	1,789	13%
Cross Mountain, TX	17 mi	452	1.1%
Boerne, TX	17 mi	3,516	11%
Scenic Oaks, TX	17 mi	1,736	6.9%
Castroville, TX	19 mi	698	21%
Fair Oaks Ranch, TX	20 mi	2,385	8.7%

Home health agencies serving Lakehills

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	San Antonio, TX	24 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Alpine Care Home Health	San Antonio, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 832-8031
Prime Home Health, LLC	San Antonio, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 251-4973
Accentcare Home Health Of Texas	San Antonio, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(210) 349-7355
Capitol Home Health	San Antonio, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090

Straight-line miles from the center of Lakehills. 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 Lakehills

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 $8,342 monthly median income of Lakehills 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 Lakehills: common questions

How much does disability care for adults cost in Lakehills?

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 $8,342 monthly median income of Lakehills 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 Lakehills

More senior care near Lakehills

Disability Care for Adults in nearby cities

Other care in Lakehills

More for Lakehills 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 Lakehills, TX