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

Local figures

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

19%

of residents aged 18 to 64 have a disability (16% in Lamar County)

695

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (7.1% in Lamar County)

26

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

About 2,509 Paris residents aged 18 to 64 report a disability (19%; 16% in Lamar County).

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

11% of Paris households have no vehicle (7.1% in Lamar County); say in your posting if you need a caregiver who drives.

Paris compared with Lamar County and Texas

Census figure	Paris	Lamar County	Texas
Residents 18 to 64 with a disability	19%	16%	10%
Residents 18 to 64 with difficulty doing errands alone	5.2%	4.7%	3.4%
Households with no vehicle	11%	7.1%	5.4%
Residents 5+ who speak a language other than English at home	9.7%	9.5%	35%
Residents 65+ with a disability	44%	40%	35%
Residents 65+ below the poverty line (approx.)	15%	15%	12%
Median income, households headed by someone 65+	$36,679	$46,153	—

Older residents in towns around Paris

Town	Distance	Residents 65+	Disability (18 to 64)
Reno, TX	3.8 mi	521	19%
Hugo, OK	24 mi	873	28%
Clarksville, TX	28 mi	854	26%
Commerce, TX	36 mi	643	12%
Sulphur Springs, TX	37 mi	2,692	12%
Bonham, TX	37 mi	1,569	11%

Home health agencies serving Paris

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Lucent Home Health LLC	Plano, TX	82 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945
Guardian Healthcare	Paris, TX	0.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 737-9865
On Call Home Health And Rehab Services	Paris, TX	0.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 784-6300
Elara Caring	Paris, TX	3.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 784-8088
Country Home Care	Clarksville, TX	29 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 427-8366

Straight-line miles from the center of Paris. 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 Paris

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 $3,057 monthly median income of Paris 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 Paris: common questions

How much does disability care for adults cost in Paris?

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 $3,057 monthly median income of Paris 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 Paris

More senior care near Paris

Disability Care for Adults in nearby cities

Other care in Paris

More for Paris 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 Paris, TX