Home Health Aides in Big Spring, 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 Big Spring for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Big Spring, TX: the local picture
12 Medicare-certified home health agencies list Big Spring 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.
Big Spring has about 2,905 residents aged 65 or older, 42% of whom report a disability.
Big Spring compared with Howard County and Texas
| Census figure | Big Spring | Howard County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 42% | 42% | 35% |
| Residents 65 or older | 12% | 13% | 13% |
| Residents 85 or older | 1.8% | 1.7% | 1.4% |
| Residents 65+ in households who live alone | 33% | 31% | 25% |
| Residents 65+ below the poverty line (approx.) | 17% | 14% | 12% |
| Residents 5+ who speak a language other than English at home | 34% | 30% | 35% |
| Median income, households headed by someone 65+ | $44,104 | $44,581 | — |
Older residents in towns around Big Spring
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Stanton, TX | 19 mi | 211 | 32% |
| Colorado City, TX | 38 mi | 708 | 51% |
| Midland, TX | 40 mi | 13,847 | 41% |
| Lamesa, TX | 44 mi | 1,345 | 39% |
| Snyder, TX | 47 mi | 1,787 | 38% |
| Odessa, TX | 56 mi | 11,642 | 42% |
Medicare-certified home health agencies serving Big Spring
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Big Spring, TX | 3.2 mi | 5 of 5 | nursing, physical therapy, home health aides | (432) 714-4510 |
| Midland Health At Home | Midland, TX | 38 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (432) 218-7996 |
| St Josephs Home Health Inc | Midland, TX | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (432) 684-5858 |
| Home Preferred Senior Care | San Angelo, TX | 82 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy | (325) 703-2999 |
| Excelacare Home Health | Big Spring, TX | 3.2 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (432) 235-1164 |
| Martin County Home Health | Stanton, TX | 20 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (432) 607-2516 |
| Enhabit Home Health | Big Spring, TX | 3.2 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (432) 264-0044 |
| Express Nursing | Odessa, TX | 56 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (432) 580-9393 |
Straight-line miles from the center of Big Spring. 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 Big Spring
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 $3,675 monthly median income of Big Spring 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 Big Spring: common questions
Which home health agencies serve Big Spring?
Medicare lists 12 certified agencies whose service area includes Big Spring ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (5 of 5), Midland Health At Home (5 of 5), St Josephs Home Health Inc (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Big Spring?
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 $3,675 monthly median income of Big Spring 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 Big Spring
Home Health Aides in nearby cities
- Home Health Aides in Stanton, TX
- Home Health Aides in Colorado City, TX
- Home Health Aides in Midland, TX
- Home Health Aides in Lamesa, TX
- Home Health Aides in Snyder, TX
- Home Health Aides in Odessa, TX
- Home Health Aides in Andrews, TX
- Home Health Aides in Sweetwater, TX
- Home Health Aides in West Odessa, TX
- Home Health Aides in Post, TX
Other care in Big Spring
- Companion Care in Big Spring
- Dementia Care in Big Spring
- Respite Care in Big Spring
- Live-In Caregivers in Big Spring
- Post-Surgery Care in Big Spring
- Senior Transportation in Big Spring
- Nursing Assistants in Big Spring
- Personal Care in Big Spring
- Overnight Caregivers in Big Spring
- 24-Hour Home Care in Big Spring
- Mobility Assistance in Big Spring
- Parkinson’s Care in Big Spring
- Stroke Recovery Support in Big Spring
- Disability Care for Adults in Big Spring
- Hospice Support in Big Spring
- Senior Meal Preparation in Big Spring
- Senior Housekeeping in Big Spring
- Medication Reminders in Big Spring
- Veterans’ Home Care in Big Spring
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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