Home Health Aides in Alvin, TX
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Alvin for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Alvin, TX: the local picture
120 Medicare-certified home health agencies list Alvin ZIP codes in their service area; the highest-rated are below, and 7 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in Texas earn a median $11.65 an hour (BLS, May 2025), with the middle half between $10.97 and $13.23.
Alvin has about 3,861 residents aged 65 or older, 39% of whom report a disability.
Alvin compared with Brazoria County and Texas
| Census figure | Alvin | Brazoria County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 39% | 37% | 35% |
| Residents 65 or older | 14% | 13% | 13% |
| Residents 85 or older | 1.7% | 1.2% | 1.4% |
| Residents 65+ in households who live alone | 27% | 21% | 25% |
| Residents 65+ below the poverty line (approx.) | 14% | 8.8% | 12% |
| Residents 5+ who speak a language other than English at home | 27% | 28% | 35% |
| Median income, households headed by someone 65+ | $44,113 | $61,848 | — |
Older residents in towns around Alvin
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Friendswood, TX | 5.9 mi | 6,684 | 31% |
| Santa Fe, TX | 7.8 mi | 2,233 | 36% |
| League City, TX | 8.3 mi | 15,166 | 33% |
| Manvel, TX | 9.3 mi | 1,416 | 38% |
| Webster, TX | 9.9 mi | 1,819 | 40% |
| Dickinson, TX | 10 mi | 2,659 | 27% |
Medicare-certified home health agencies serving Alvin
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Choice Health At Home | Texas City, TX | 14 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 | 15 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (281) 997-6272 |
| Elara Caring | Pasadena, TX | 16 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 780-2390 |
| Mynurse Home Care Inc | Angleton, TX | 22 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 436-0999 |
| All About Home Care, Inc. | Houston, TX | 28 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (713) 802-1211 |
| Aging Gracefully Home Health | Richmond, TX | 38 mi | 5 of 5 | — | (281) 925-7621 |
| Residential Home Health Services LLC | Friendswood, TX | 7.1 mi | 4.5 of 5 | nursing, occupational therapy, speech therapy, medical social work, home health aides | (281) 956-5660 |
| Marathon Healthcare Services LLC | Pearland, TX | 9.9 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (281) 997-6272 |
Straight-line miles from the center of Alvin. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Alvin
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 27% of the $3,676 monthly median income of Alvin 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 home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in Alvin: common questions
Which home health agencies serve Alvin?
Medicare lists 120 certified agencies whose service area includes Alvin ZIP codes. The highest-rated on Medicare’s quality stars include Choice Health At Home (5 of 5), Providian Health Care Inc (5 of 5), Elara Caring (5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Alvin?
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 27% of the $3,676 monthly median income of Alvin 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).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near Alvin
Home Health Aides in nearby cities
- Home Health Aides in Friendswood, TX
- Home Health Aides in Santa Fe, TX
- Home Health Aides in League City, TX
- Home Health Aides in Manvel, TX
- Home Health Aides in Webster, TX
- Home Health Aides in Dickinson, TX
- Home Health Aides in Pearland, TX
- Home Health Aides in Nassau Bay, TX
- Home Health Aides in Iowa Colony, TX
- Home Health Aides in La Marque, TX
- Home Health Aides in Taylor Lake Village, TX
- Home Health Aides in El Lago, TX
- Home Health Aides in Bacliff, TX
- Home Health Aides in South Houston, TX
- Home Health Aides in Hitchcock, TX
- Home Health Aides in Pasadena, TX
Other care in Alvin
- Companion Care in Alvin
- Dementia Care in Alvin
- Respite Care in Alvin
- Live-In Caregivers in Alvin
- Post-Surgery Care in Alvin
- Senior Transportation in Alvin
- Nursing Assistants in Alvin
- Personal Care in Alvin
- Overnight Caregivers in Alvin
- 24-Hour Home Care in Alvin
- Mobility Assistance in Alvin
- Parkinson’s Care in Alvin
- Stroke Recovery Support in Alvin
- Disability Care for Adults in Alvin
- Hospice Support in Alvin
- Senior Meal Preparation in Alvin
- Senior Housekeeping in Alvin
- Medication Reminders in Alvin
- Veterans’ Home Care in Alvin
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.
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