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

Disability Care for Adults in Reno, TX: the local picture
About 339 Reno residents aged 18 to 64 report a disability (19%; 16% in Lamar County).
63 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
1.1% of Reno households have no vehicle (7.1% in Lamar County); say in your posting if you need a caregiver who drives.
Reno compared with Lamar County and Texas
| Census figure | Reno | Lamar County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 19% | 16% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 3.5% | 4.7% | 3.4% |
| Households with no vehicle | 1.1% | 7.1% | 5.4% |
| Residents 5+ who speak a language other than English at home | 7.1% | 9.5% | 35% |
| Residents 65+ with a disability | 24% | 40% | 35% |
| Residents 65+ below the poverty line (approx.) | 17% | 15% | 12% |
| Median income, households headed by someone 65+ | $51,563 | $46,153 | — |
Older residents in towns around Reno
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Paris, TX | 3.8 mi | 4,691 | 19% |
| Hugo, OK | 24 mi | 873 | 28% |
| Clarksville, TX | 25 mi | 854 | 26% |
| Mount Vernon, TX | 37 mi | 287 | 9.2% |
| Sulphur Springs, TX | 37 mi | 2,692 | 12% |
| Commerce, TX | 38 mi | 643 | 12% |
Home health agencies serving Reno
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Lucent Home Health LLC | Plano, TX | 85 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (972) 664-0945 |
| Elara Caring | Paris, TX | 1.1 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (903) 784-8088 |
| Guardian Healthcare | Paris, TX | 3.4 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 | 3.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (903) 784-6300 |
| Country Home Care | Clarksville, TX | 25 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 Reno. 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 Reno
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 23% of the $4,297 monthly median income of Reno 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 Reno: common questions
How much does disability care for adults cost in Reno?
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 23% of the $4,297 monthly median income of Reno 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 Reno
Disability Care for Adults in nearby cities
- Disability Care for Adults in Paris, TX
- Disability Care for Adults in Hugo, OK
- Disability Care for Adults in Clarksville, TX
- Disability Care for Adults in Mount Vernon, TX
- Disability Care for Adults in Sulphur Springs, TX
- Disability Care for Adults in Commerce, TX
- Disability Care for Adults in Bonham, TX
- Disability Care for Adults in Idabel, OK
- Disability Care for Adults in Mount Pleasant, TX
- Disability Care for Adults in Leonard, TX
- Disability Care for Adults in Broken Bow, OK
- Disability Care for Adults in Winnsboro, TX
- Disability Care for Adults in Greenville, TX
- Disability Care for Adults in Pittsburg, TX
- Disability Care for Adults in Durant, OK
- Disability Care for Adults in Calera, OK
Other care in Reno
- Companion Care in Reno
- Dementia Care in Reno
- Respite Care in Reno
- Live-In Caregivers in Reno
- Post-Surgery Care in Reno
- Senior Transportation in Reno
- Home Health Aides in Reno
- Nursing Assistants in Reno
- Personal Care in Reno
- Overnight Caregivers in Reno
- 24-Hour Home Care in Reno
- Mobility Assistance in Reno
- Parkinson’s Care in Reno
- Stroke Recovery Support in Reno
- Hospice Support in Reno
- Senior Meal Preparation in Reno
- Senior Housekeeping in Reno
- Medication Reminders in Reno
- Veterans’ Home Care in Reno
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 Reno
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