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

Disability Care for Adults in Pearsall, TX: the local picture
About 869 Pearsall residents aged 18 to 64 report a disability (18%; 16% in Frio County).
274 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
12% of Pearsall households have no vehicle (10% in Frio County); say in your posting if you need a caregiver who drives.
Pearsall compared with Frio County and Texas
| Census figure | Pearsall | Frio County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 18% | 16% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 5.6% | 6.0% | 3.4% |
| Households with no vehicle | 12% | 10% | 5.4% |
| Residents 5+ who speak a language other than English at home | 51% | 46% | 35% |
| Residents 65+ with a disability | 71% | 59% | 35% |
| Residents 65+ below the poverty line (approx.) | 40% | 27% | 12% |
Older residents in towns around Pearsall
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Dilley, TX | 16 mi | 419 | 19% |
| Devine, TX | 21 mi | 1,156 | 16% |
| Hondo, TX | 32 mi | 1,231 | 20% |
| Cotulla, TX | 33 mi | 583 | 16% |
| Poteet, TX | 33 mi | 601 | 8.4% |
| Jourdanton, TX | 34 mi | 466 | 10% |
Home health agencies serving Pearsall
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| American Medical Home Health Services - San Antonio LLC | San Antonio, TX | 50 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 735-6225 |
| Capitol Home Health | San Antonio, TX | 56 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Adoration Home Health | San Antonio, TX | 61 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (830) 216-7111 |
| Elite Home Health | Jourdanton, TX | 34 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (830) 281-8136 |
| Provista Healthcare | Dallas, TX | 305 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (214) 965-0431 |
Straight-line miles from the center of Pearsall. 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 Pearsall
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. 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 Pearsall: common questions
How much does disability care for adults cost in Pearsall?
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. 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 Pearsall
Disability Care for Adults in nearby cities
- Disability Care for Adults in Dilley, TX
- Disability Care for Adults in Devine, TX
- Disability Care for Adults in Hondo, TX
- Disability Care for Adults in Cotulla, TX
- Disability Care for Adults in Poteet, TX
- Disability Care for Adults in Jourdanton, TX
- Disability Care for Adults in Castroville, TX
- Disability Care for Adults in Pleasanton, TX
- Disability Care for Adults in Lackland AFB, TX
- Disability Care for Adults in Sandy Oaks, TX
- Disability Care for Adults in Crystal City, TX
- Disability Care for Adults in Uvalde, TX
- Disability Care for Adults in Leon Valley, TX
- Disability Care for Adults in Lakehills, TX
- Disability Care for Adults in San Antonio, TX
- Disability Care for Adults in Carrizo Springs, TX
Other care in Pearsall
- Companion Care in Pearsall
- Dementia Care in Pearsall
- Respite Care in Pearsall
- Live-In Caregivers in Pearsall
- Post-Surgery Care in Pearsall
- Senior Transportation in Pearsall
- Home Health Aides in Pearsall
- Nursing Assistants in Pearsall
- Personal Care in Pearsall
- Overnight Caregivers in Pearsall
- 24-Hour Home Care in Pearsall
- Mobility Assistance in Pearsall
- Parkinson’s Care in Pearsall
- Stroke Recovery Support in Pearsall
- Hospice Support in Pearsall
- Senior Meal Preparation in Pearsall
- Senior Housekeeping in Pearsall
- Medication Reminders in Pearsall
- Veterans’ Home Care in Pearsall
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 Pearsall
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