Adult Disability Care in Van, TX: In-Home Support

Local figures

Disability Care for Adults in Van, TX: the local picture

13%

of residents aged 18 to 64 have a disability (13% in Van Zandt County)

23

residents aged 18 to 64 have difficulty doing errands alone

2.5%

of households have no vehicle (3.2% in Van Zandt County)

22

Medicare-certified home health agencies list Van ZIP codes in their service area

About 191 Van residents aged 18 to 64 report a disability (13%; 13% in Van Zandt County).

23 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

2.5% of Van households have no vehicle (3.2% in Van Zandt County); say in your posting if you need a caregiver who drives.

Van compared with Van Zandt County and Texas

Census figure	Van	Van Zandt County	Texas
Residents 18 to 64 with a disability	13%	13%	10%
Residents 18 to 64 with difficulty doing errands alone	1.5%	3.7%	3.4%
Households with no vehicle	2.5%	3.2%	5.4%
Residents 5+ who speak a language other than English at home	5.7%	10%	35%
Residents 65+ with a disability	19%	33%	35%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Median income, households headed by someone 65+	$36,000	$44,462	—

Older residents in towns around Van

Town	Distance	Residents 65+	Disability (18 to 64)
Hideaway, TX	11 mi	1,059	10%
Grand Saline, TX	11 mi	730	24%
Mineola, TX	13 mi	1,412	16%
Canton, TX	13 mi	819	8.5%
Lindale, TX	14 mi	1,182	12%
Chandler, TX	18 mi	1,368	12%

Home health agencies serving Van

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Reliant At Home	Tyler, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-3374
Vitalcaring Group	Tyler, TX	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-4555
Paradigm Homecare	Tyler, TX	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223
Elara Caring	Mount Vernon, TX	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 537-2445
Centerwell Home Health	Temple, TX	142 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(254) 778-6334

Straight-line miles from the center of Van. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in Van

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 34% of the $3,000 monthly median income of Van 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.

Before you hire

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.

Questions

Disability Care for Adults in Van: common questions

How much does disability care for adults cost in Van?

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 34% of the $3,000 monthly median income of Van 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 near Van

More senior care near Van

Disability Care for Adults in nearby cities

Other care in Van

More for Van families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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.

In-Home Support for Adults With Disabilities in Van, TX