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

Disability Care for Adults in Medina, TX: the local picture
About 148 Medina residents aged 18 to 64 report a disability (6.1%; 12% in Zapata County).
15 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
2.4% of Medina households have no vehicle (8.8% in Zapata County); say in your posting if you need a caregiver who drives.
Medina compared with Zapata County and Texas
| Census figure | Medina | Zapata County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 6.1% | 12% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 0.6% | 3.8% | 3.4% |
| Households with no vehicle | 2.4% | 8.8% | 5.4% |
| Residents 5+ who speak a language other than English at home | 87% | 83% | 35% |
| Residents 65+ with a disability | 47% | 45% | 35% |
| Residents 65+ below the poverty line (approx.) | 23% | 34% | 12% |
| Median income, households headed by someone 65+ | $36,742 | $26,967 | — |
Older residents in towns around Medina
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Zapata, TX | 2.3 mi | 987 | 12% |
| Rio Bravo, TX | 33 mi | 467 | 17% |
| Roma, TX | 39 mi | 1,712 | 15% |
| Escobares, TX | 41 mi | 396 | 17% |
| Hebbronville, TX | 45 mi | 381 | 11% |
| Laredo, TX | 45 mi | 25,820 | 11% |
Home health agencies serving Medina
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Capitol Home Health | San Antonio, TX | 185 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Enhabit Home Health | Fredericksburg, TX | 232 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (830) 990-2423 |
| Christus Vna Homecare San Antonio | San Antonio, TX | 183 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 785-5200 |
| Tri County Home Health | Kerrville, TX | 215 mi | 4 of 5 | nursing, physical therapy | (830) 895-3100 |
| Christus Homecare | San Antonio, TX | 183 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 590-8886 |
Straight-line miles from the center of Medina. 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 Medina
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 33% of the $3,062 monthly median income of Medina 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 Medina: common questions
How much does disability care for adults cost in Medina?
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 33% of the $3,062 monthly median income of Medina 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 Medina
Disability Care for Adults in nearby cities
- Disability Care for Adults in Zapata, TX
- Disability Care for Adults in Rio Bravo, TX
- Disability Care for Adults in Roma, TX
- Disability Care for Adults in Escobares, TX
- Disability Care for Adults in Hebbronville, TX
- Disability Care for Adults in Laredo, TX
- Disability Care for Adults in Rio Grande City, TX
- Disability Care for Adults in Sullivan City, TX
- Disability Care for Adults in Salida del Sol Estates, TX
- Disability Care for Adults in La Joya, TX
- Disability Care for Adults in Penitas, TX
Other care in Medina
- Companion Care in Medina
- Dementia Care in Medina
- Respite Care in Medina
- Live-In Caregivers in Medina
- Post-Surgery Care in Medina
- Senior Transportation in Medina
- Home Health Aides in Medina
- Nursing Assistants in Medina
- Personal Care in Medina
- Overnight Caregivers in Medina
- 24-Hour Home Care in Medina
- Mobility Assistance in Medina
- Parkinson’s Care in Medina
- Stroke Recovery Support in Medina
- Hospice Support in Medina
- Senior Meal Preparation in Medina
- Senior Housekeeping in Medina
- Medication Reminders in Medina
- Veterans’ Home Care in Medina
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 Medina
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