Home Health Aides in Cactus, 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 Cactus for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Cactus, TX: the local picture
5 Medicare-certified home health agencies list Cactus ZIP codes in their service area; the highest-rated are below, and 5 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.
Cactus has about 184 residents aged 65 or older, 32% of whom report a disability.
Cactus compared with Moore County and Texas
| Census figure | Cactus | Moore County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 32% | 36% | 35% |
| Residents 65 or older | 6.0% | 11% | 13% |
| Residents 85 or older | 0.0% | 1.6% | 1.4% |
| Residents 65+ in households who live alone | 19% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 9.2% | 20% | 12% |
| Residents 5+ who speak a language other than English at home | 92% | 53% | 35% |
| Median income, households headed by someone 65+ | $38,611 | $39,706 | — |
Older residents in towns around Cactus
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Sunray, TX | 10 mi | 128 | 18% |
| Dumas, TX | 13 mi | 1,881 | 38% |
| Dalhart, TX | 28 mi | 1,001 | 36% |
| Borger, TX | 43 mi | 1,959 | 35% |
| Spearman, TX | 47 mi | 429 | 39% |
| Guymon, OK | 54 mi | 1,010 | 31% |
Medicare-certified home health agencies serving Cactus
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Accentcare Health | Amarillo, TX | 59 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 352-3900 |
| Bsa Compassion Home Care | Amarillo, TX | 59 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 351-8522 |
| Excelacare Home Health | Amarillo, TX | 54 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 467-1156 |
| Enhabit Home Health | Amarillo, TX | 59 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 351-1700 |
| High Plains Senior Care, LLC | Amarillo, TX | 59 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (806) 355-1899 |
Straight-line miles from the center of Cactus. 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 Cactus
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 31% of the $3,218 monthly median income of Cactus 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 Cactus: common questions
Which home health agencies serve Cactus?
Medicare lists 5 certified agencies whose service area includes Cactus ZIP codes. The highest-rated on Medicare’s quality stars include Accentcare Health (4.5 of 5), Bsa Compassion Home Care (4 of 5), Excelacare Home Health (3.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Cactus?
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 31% of the $3,218 monthly median income of Cactus 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 Cactus
Home Health Aides in nearby cities
- Home Health Aides in Sunray, TX
- Home Health Aides in Dumas, TX
- Home Health Aides in Dalhart, TX
- Home Health Aides in Borger, TX
- Home Health Aides in Spearman, TX
- Home Health Aides in Guymon, OK
- Home Health Aides in Bushland, TX
- Home Health Aides in Amarillo, TX
- Home Health Aides in Panhandle, TX
- Home Health Aides in Pampa, TX
- Home Health Aides in Clayton, NM
Other care in Cactus
- Companion Care in Cactus
- Dementia Care in Cactus
- Respite Care in Cactus
- Live-In Caregivers in Cactus
- Post-Surgery Care in Cactus
- Senior Transportation in Cactus
- Nursing Assistants in Cactus
- Personal Care in Cactus
- Overnight Caregivers in Cactus
- 24-Hour Home Care in Cactus
- Mobility Assistance in Cactus
- Parkinson’s Care in Cactus
- Stroke Recovery Support in Cactus
- Disability Care for Adults in Cactus
- Hospice Support in Cactus
- Senior Meal Preparation in Cactus
- Senior Housekeeping in Cactus
- Medication Reminders in Cactus
- Veterans’ Home Care in Cactus
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.
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