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

Disability Care for Adults in Round Rock, TX: the local picture
About 9,109 Round Rock residents aged 18 to 64 report a disability (11%; 9.2% in Williamson County).
3,108 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.5% of Round Rock households have no vehicle (3.0% in Williamson County); say in your posting if you need a caregiver who drives.
Round Rock compared with Williamson County and Texas
| Census figure | Round Rock | Williamson County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 9.2% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 3.7% | 3.0% | 3.4% |
| Households with no vehicle | 3.5% | 3.0% | 5.4% |
| Residents 5+ who speak a language other than English at home | 29% | 25% | 35% |
| Residents 65+ with a disability | 32% | 29% | 35% |
| Residents 65+ below the poverty line (approx.) | 5.9% | 7.0% | 12% |
| Median income, households headed by someone 65+ | $68,000 | $75,134 | — |
Older residents in towns around Round Rock
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Brushy Creek, TX | 4.6 mi | 2,133 | 7.5% |
| Wells Branch, TX | 5.8 mi | 1,451 | 10% |
| Pflugerville, TX | 6.5 mi | 5,995 | 9.6% |
| Hutto, TX | 7.2 mi | 2,376 | 8.4% |
| Cedar Park, TX | 9.3 mi | 8,846 | 8.2% |
| Georgetown, TX | 10 mi | 22,534 | 9.5% |
Home health agencies serving Round Rock
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Royalty Care Home Health Services Inc | Round Rock, TX | 0.8 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 244-4254 |
| Paradigm Home Health | Whitney, TX | 102 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (254) 694-1447 |
| Gilead Home Health | Round Rock, TX | 0.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 323-5858 |
| Accentcare Health | Round Rock, TX | 0.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 238-6000 |
| Elara Caring | Round Rock, TX | 1.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 733-1515 |
Straight-line miles from the center of Round Rock. 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 Round Rock
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 18% of the $5,667 monthly median income of Round Rock 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 Round Rock: common questions
How much does disability care for adults cost in Round Rock?
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 18% of the $5,667 monthly median income of Round Rock 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 Round Rock
Disability Care for Adults in nearby cities
- Disability Care for Adults in Brushy Creek, TX
- Disability Care for Adults in Wells Branch, TX
- Disability Care for Adults in Pflugerville, TX
- Disability Care for Adults in Hutto, TX
- Disability Care for Adults in Cedar Park, TX
- Disability Care for Adults in Georgetown, TX
- Disability Care for Adults in Leander, TX
- Disability Care for Adults in Manor, TX
- Disability Care for Adults in Santa Rita Ranch, TX
- Disability Care for Adults in Taylor, TX
- Disability Care for Adults in Jonestown, TX
- Disability Care for Adults in Austin, TX
- Disability Care for Adults in Liberty Hill, TX
- Disability Care for Adults in Hudson Bend, TX
- Disability Care for Adults in Steiner Ranch, TX
- Disability Care for Adults in West Lake Hills, TX
Other care in Round Rock
- Companion Care in Round Rock
- Dementia Care in Round Rock
- Respite Care in Round Rock
- Live-In Caregivers in Round Rock
- Post-Surgery Care in Round Rock
- Senior Transportation in Round Rock
- Home Health Aides in Round Rock
- Nursing Assistants in Round Rock
- Personal Care in Round Rock
- Overnight Caregivers in Round Rock
- 24-Hour Home Care in Round Rock
- Mobility Assistance in Round Rock
- Parkinson’s Care in Round Rock
- Stroke Recovery Support in Round Rock
- Hospice Support in Round Rock
- Senior Meal Preparation in Round Rock
- Senior Housekeeping in Round Rock
- Medication Reminders in Round Rock
- Veterans’ Home Care in Round Rock
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 Round Rock
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