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

Disability Care for Adults in Presidio, TX: the local picture
About 206 Presidio residents aged 18 to 64 report a disability (13%; 10% in Presidio County).
18 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.9% of Presidio households have no vehicle (5.7% in Presidio County); say in your posting if you need a caregiver who drives.
Presidio compared with Presidio County and Texas
| Census figure | Presidio | Presidio County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 13% | 10% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 1.1% | 3.0% | 3.4% |
| Households with no vehicle | 3.9% | 5.7% | 5.4% |
| Residents 5+ who speak a language other than English at home | 98% | 72% | 35% |
| Residents 65+ with a disability | 46% | 48% | 35% |
| Residents 65+ below the poverty line (approx.) | 48% | 35% | 12% |
| Median income, households headed by someone 65+ | $23,790 | $23,750 | — |
Home health agencies serving Presidio
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Agave Home Health LLC | Alpine, TX | 65 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (432) 837-5907 |
| Express Nursing | Odessa, TX | 200 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (432) 580-9393 |
Straight-line miles from the center of Presidio. 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 Presidio
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 51% of the $1,983 monthly median income of Presidio 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 Presidio: common questions
How much does disability care for adults cost in Presidio?
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 51% of the $1,983 monthly median income of Presidio 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 Presidio
Disability Care for Adults in nearby cities
Other care in Presidio
- Companion Care in Presidio
- Dementia Care in Presidio
- Respite Care in Presidio
- Live-In Caregivers in Presidio
- Post-Surgery Care in Presidio
- Senior Transportation in Presidio
- Home Health Aides in Presidio
- Nursing Assistants in Presidio
- Personal Care in Presidio
- Overnight Caregivers in Presidio
- 24-Hour Home Care in Presidio
- Mobility Assistance in Presidio
- Parkinson’s Care in Presidio
- Stroke Recovery Support in Presidio
- Hospice Support in Presidio
- Senior Meal Preparation in Presidio
- Senior Housekeeping in Presidio
- Medication Reminders in Presidio
- Veterans’ Home Care in Presidio
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 Presidio
Posting is free and takes about ten minutes. Caregivers near Presidio can see it as soon as it is live.
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