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

Local figures

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

13%

of residents aged 18 to 64 have a disability (13% in Nacogdoches County)

544

residents aged 18 to 64 have difficulty doing errands alone

7.7%

of households have no vehicle (6.1% in Nacogdoches County)

26

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

About 2,827 Nacogdoches residents aged 18 to 64 report a disability (13%; 13% in Nacogdoches County).

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

7.7% of Nacogdoches households have no vehicle (6.1% in Nacogdoches County); say in your posting if you need a caregiver who drives.

Nacogdoches compared with Nacogdoches County and Texas

Census figure	Nacogdoches	Nacogdoches County	Texas
Residents 18 to 64 with a disability	13%	13%	10%
Residents 18 to 64 with difficulty doing errands alone	2.5%	4.3%	3.4%
Households with no vehicle	7.7%	6.1%	5.4%
Residents 5+ who speak a language other than English at home	15%	17%	35%
Residents 65+ with a disability	34%	35%	35%
Residents 65+ below the poverty line (approx.)	19%	12%	12%
Median income, households headed by someone 65+	$41,525	$52,436	—

Older residents in towns around Nacogdoches

Town	Distance	Residents 65+	Disability (18 to 64)
Lufkin, TX	21 mi	5,215	19%
Hudson, TX	22 mi	588	22%
Huntington, TX	23 mi	622	25%
Diboll, TX	30 mi	924	20%
Center, TX	30 mi	772	18%
Rusk, TX	32 mi	676	13%

Home health agencies serving Nacogdoches

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Pasadena, TX	139 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 780-2390
Abundant Home Health LLC	Arlington, TX	163 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(817) 633-3152
Advantage Plus Homecare	Nacogdoches, TX	4.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 559-9480
Accentcare Home Health Of Texas	Nacogdoches, TX	7.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 715-9625
Doctor's Choice Home Care	Lufkin, TX	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(833) 365-2464

Straight-line miles from the center of Nacogdoches. 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 Nacogdoches

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 29% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches: common questions

How much does disability care for adults cost in Nacogdoches?

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 29% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches

More senior care near Nacogdoches

Disability Care for Adults in nearby cities

Other care in Nacogdoches

More for Nacogdoches 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 Nacogdoches, TX