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

Disability Care for Adults in Onalaska, TX: the local picture
About 540 Onalaska residents aged 18 to 64 report a disability (28%; 20% in Polk County).
67 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.8% of Onalaska households have no vehicle (3.8% in Polk County); say in your posting if you need a caregiver who drives.
Onalaska compared with Polk County and Texas
| Census figure | Onalaska | Polk County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 28% | 20% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 3.5% | 6.7% | 3.4% |
| Households with no vehicle | 3.8% | 3.8% | 5.4% |
| Residents 5+ who speak a language other than English at home | 5.5% | 12% | 35% |
| Residents 65+ with a disability | 49% | 42% | 35% |
| Residents 65+ below the poverty line (approx.) | 22% | 12% | 12% |
| Median income, households headed by someone 65+ | $38,537 | $47,857 | — |
Older residents in towns around Onalaska
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| West Livingston, TX | 10 mi | 987 | 15% |
| Livingston, TX | 13 mi | 1,105 | 7.5% |
| Huntsville, TX | 28 mi | 5,567 | 12% |
| Diboll, TX | 32 mi | 924 | 20% |
| Cleveland, TX | 34 mi | 1,129 | 18% |
| Willis, TX | 35 mi | 947 | 20% |
Home health agencies serving Onalaska
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | Conroe, TX | 43 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (936) 539-9846 |
| Doctor's Choice Home Care | Lufkin, TX | 40 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (833) 365-2464 |
| Reliant At Home | Lufkin, TX | 40 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (866) 344-2821 |
| Allheal Home Health, Inc | Houston, TX | 65 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (936) 756-2277 |
| Ipr Healthcare Systems, Inc | Houston, TX | 81 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 592-6776 |
Straight-line miles from the center of Onalaska. 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 Onalaska
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 31% of the $3,211 monthly median income of Onalaska 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 Onalaska: common questions
How much does disability care for adults cost in Onalaska?
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 31% of the $3,211 monthly median income of Onalaska 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 Onalaska
Disability Care for Adults in nearby cities
- Disability Care for Adults in West Livingston, TX
- Disability Care for Adults in Livingston, TX
- Disability Care for Adults in Huntsville, TX
- Disability Care for Adults in Diboll, TX
- Disability Care for Adults in Cleveland, TX
- Disability Care for Adults in Willis, TX
- Disability Care for Adults in Panorama Village, TX
- Disability Care for Adults in Hudson, TX
- Disability Care for Adults in Crockett, TX
- Disability Care for Adults in Conroe, TX
- Disability Care for Adults in Woodville, TX
- Disability Care for Adults in Lufkin, TX
- Disability Care for Adults in Huntington, TX
- Disability Care for Adults in Madisonville, TX
- Disability Care for Adults in Shenandoah, TX
- Disability Care for Adults in Oak Ridge North, TX
Other care in Onalaska
- Companion Care in Onalaska
- Dementia Care in Onalaska
- Respite Care in Onalaska
- Live-In Caregivers in Onalaska
- Post-Surgery Care in Onalaska
- Senior Transportation in Onalaska
- Home Health Aides in Onalaska
- Nursing Assistants in Onalaska
- Personal Care in Onalaska
- Overnight Caregivers in Onalaska
- 24-Hour Home Care in Onalaska
- Mobility Assistance in Onalaska
- Parkinson’s Care in Onalaska
- Stroke Recovery Support in Onalaska
- Hospice Support in Onalaska
- Senior Meal Preparation in Onalaska
- Senior Housekeeping in Onalaska
- Medication Reminders in Onalaska
- Veterans’ Home Care in Onalaska
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.
Find disability care for adults in Onalaska
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