Home Health Aides in Castle Hills, 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 Castle Hills for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Castle Hills, TX: the local picture
94 Medicare-certified home health agencies list Castle Hills ZIP codes in their service area; the highest-rated are below, and 6 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.
Castle Hills has about 745 residents aged 65 or older, 34% of whom report a disability.
Castle Hills compared with Bexar County and Texas
| Census figure | Castle Hills | Bexar County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 34% | 40% | 35% |
| Residents 65 or older | 19% | 13% | 13% |
| Residents 85 or older | 2.4% | 1.4% | 1.4% |
| Residents 65+ in households who live alone | 27% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 4.6% | 13% | 12% |
| Residents 5+ who speak a language other than English at home | 34% | 37% | 35% |
| Median income, households headed by someone 65+ | $64,750 | $56,300 | — |
Older residents in towns around Castle Hills
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Balcones Heights, TX | 3.0 mi | 339 | 60% |
| Alamo Heights, TX | 4.2 mi | 1,315 | 32% |
| San Antonio, TX | 4.3 mi | 198,597 | 42% |
| Shavano Park, TX | 4.7 mi | 965 | 32% |
| Terrell Hills, TX | 5.4 mi | 878 | 31% |
| Hollywood Park, TX | 5.5 mi | 596 | 46% |
Medicare-certified home health agencies serving Castle Hills
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Comprehensive Home Health Inc | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (210) 614-0200 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Amedisys Home Health | San Antonio, TX | 1.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 558-9606 |
| Accentcare Home Health Of Texas | San Antonio, TX | 2.3 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (210) 349-7355 |
| Prime Home Health, LLC | San Antonio, TX | 2.3 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 251-4973 |
| Capitol Home Health | San Antonio, TX | 2.3 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Alpine Care Home Health | San Antonio, TX | 3.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 832-8031 |
Straight-line miles from the center of Castle Hills. 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 Castle Hills
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 $5,396 monthly median income of Castle Hills 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 Castle Hills: common questions
Which home health agencies serve Castle Hills?
Medicare lists 94 certified agencies whose service area includes Castle Hills ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring (5 of 5), Comprehensive Home Health Inc (5 of 5), Texas Healthcare Solutions, Inc. (5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Castle Hills?
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 $5,396 monthly median income of Castle Hills 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 Castle Hills
Home Health Aides in nearby cities
- Home Health Aides in Balcones Heights, TX
- Home Health Aides in Alamo Heights, TX
- Home Health Aides in San Antonio, TX
- Home Health Aides in Shavano Park, TX
- Home Health Aides in Terrell Hills, TX
- Home Health Aides in Hollywood Park, TX
- Home Health Aides in Leon Valley, TX
- Home Health Aides in Windcrest, TX
- Home Health Aides in Kirby, TX
- Home Health Aides in Helotes, TX
- Home Health Aides in Live Oak, TX
- Home Health Aides in Lackland AFB, TX
- Home Health Aides in Cross Mountain, TX
- Home Health Aides in Timberwood Park, TX
- Home Health Aides in Universal City, TX
- Home Health Aides in Converse, TX
Other care in Castle Hills
- Companion Care in Castle Hills
- Dementia Care in Castle Hills
- Respite Care in Castle Hills
- Live-In Caregivers in Castle Hills
- Post-Surgery Care in Castle Hills
- Senior Transportation in Castle Hills
- Nursing Assistants in Castle Hills
- Personal Care in Castle Hills
- Overnight Caregivers in Castle Hills
- 24-Hour Home Care in Castle Hills
- Mobility Assistance in Castle Hills
- Parkinson’s Care in Castle Hills
- Stroke Recovery Support in Castle Hills
- Disability Care for Adults in Castle Hills
- Hospice Support in Castle Hills
- Senior Meal Preparation in Castle Hills
- Senior Housekeeping in Castle Hills
- Medication Reminders in Castle Hills
- Veterans’ Home Care in Castle Hills
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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