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

Disability Care for Adults in Santa Fe, TX: the local picture
About 624 Santa Fe residents aged 18 to 64 report a disability (8.1%; 11% in Galveston County).
130 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
1.7% of Santa Fe households have no vehicle (5.4% in Galveston County); say in your posting if you need a caregiver who drives.
Santa Fe compared with Galveston County and Texas
| Census figure | Santa Fe | Galveston County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.1% | 11% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 1.7% | 3.8% | 3.4% |
| Households with no vehicle | 1.7% | 5.4% | 5.4% |
| Residents 5+ who speak a language other than English at home | 12% | 21% | 35% |
| Residents 65+ with a disability | 36% | 36% | 35% |
| Residents 65+ below the poverty line (approx.) | 7.7% | 12% | 12% |
| Median income, households headed by someone 65+ | $63,304 | $59,920 | — |
Older residents in towns around Santa Fe
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Dickinson, TX | 5.2 mi | 2,659 | 15% |
| La Marque, TX | 6.6 mi | 2,935 | 13% |
| League City, TX | 7.1 mi | 15,166 | 7.2% |
| Alvin, TX | 7.8 mi | 3,861 | 11% |
| Hitchcock, TX | 9.2 mi | 1,085 | 8.6% |
| Webster, TX | 10 mi | 1,819 | 9.8% |
Home health agencies serving Santa Fe
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Choice Health At Home | Texas City, TX | 6.5 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (844) 270-0096 |
| Providian Health Care Inc | Houston, TX | 19 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (281) 997-6272 |
| Elara Caring | Pasadena, TX | 19 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 780-2390 |
| All About Home Care, Inc. | Houston, TX | 34 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (713) 802-1211 |
| Choice Health At Home | Texas City, TX | 6.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (409) 935-1675 |
Straight-line miles from the center of Santa Fe. 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 Santa Fe
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 19% of the $5,275 monthly median income of Santa Fe 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 Santa Fe: common questions
How much does disability care for adults cost in Santa Fe?
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 19% of the $5,275 monthly median income of Santa Fe 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 Santa Fe
Disability Care for Adults in nearby cities
- Disability Care for Adults in Dickinson, TX
- Disability Care for Adults in La Marque, TX
- Disability Care for Adults in League City, TX
- Disability Care for Adults in Alvin, TX
- Disability Care for Adults in Hitchcock, TX
- Disability Care for Adults in Webster, TX
- Disability Care for Adults in Friendswood, TX
- Disability Care for Adults in Bacliff, TX
- Disability Care for Adults in Nassau Bay, TX
- Disability Care for Adults in San Leon, TX
- Disability Care for Adults in Texas City, TX
- Disability Care for Adults in El Lago, TX
- Disability Care for Adults in Taylor Lake Village, TX
- Disability Care for Adults in Seabrook, TX
- Disability Care for Adults in Galveston, TX
- Disability Care for Adults in Manvel, TX
Other care in Santa Fe
- Companion Care in Santa Fe
- Dementia Care in Santa Fe
- Respite Care in Santa Fe
- Live-In Caregivers in Santa Fe
- Post-Surgery Care in Santa Fe
- Senior Transportation in Santa Fe
- Home Health Aides in Santa Fe
- Nursing Assistants in Santa Fe
- Personal Care in Santa Fe
- Overnight Caregivers in Santa Fe
- 24-Hour Home Care in Santa Fe
- Mobility Assistance in Santa Fe
- Parkinson’s Care in Santa Fe
- Stroke Recovery Support in Santa Fe
- Hospice Support in Santa Fe
- Senior Meal Preparation in Santa Fe
- Senior Housekeeping in Santa Fe
- Medication Reminders in Santa Fe
- Veterans’ Home Care in Santa Fe
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 Santa Fe
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