Home Health Aides in Commerce, TX: Hire In-Home Help

Local figures

Home Health Aides in Commerce, TX: the local picture

35

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

$11.65

median hourly wage of home care aides in Texas (BLS, May 2025)

643

residents 65 or older (6.9% of Commerce)

51%

of residents 65+ report a disability (38% in Hunt County)

35 Medicare-certified home health agencies list Commerce ZIP codes in their service area; the highest-rated are below, and 4 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.

Commerce has about 643 residents aged 65 or older, 51% of whom report a disability.

Commerce compared with Hunt County and Texas

Census figure	Commerce	Hunt County	Texas
Residents 65+ with a disability	51%	38%	35%
Residents 65 or older	6.9%	16%	13%
Residents 85 or older	0.9%	1.7%	1.4%
Residents 65+ in households who live alone	35%	23%	25%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Residents 5+ who speak a language other than English at home	23%	17%	35%
Median income, households headed by someone 65+	$38,611	$50,839	—

Older residents in towns around Commerce

Town	Distance	Residents 65+	65+ with a disability
Greenville, TX	15 mi	5,513	35%
Sulphur Springs, TX	18 mi	2,692	37%
Caddo Mills, TX	22 mi	452	31%
Leonard, TX	22 mi	372	30%
Josephine, TX	27 mi	701	49%
Farmersville, TX	27 mi	610	30%

Medicare-certified home health agencies serving Commerce

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Lucent Home Health LLC	Plano, TX	51 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945
Ultimate Plus Home Care	Mesquite, TX	52 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 240-5300
Angels Care Home Health	Royse City, TX	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 454-6001
Guardian Healthcare	Paris, TX	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 737-9865
On Call Home Health And Rehab Services	Paris, TX	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 784-6300
Centerwell Home Health	Plano, TX	47 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(817) 514-8284
Elara Caring	Sherman, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 892-3163
Paradigm Homecare	Tyler, TX	75 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223

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

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Commerce

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 Commerce 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 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.

Questions

Home Health Aides in Commerce: common questions

Which home health agencies serve Commerce?

Medicare lists 35 certified agencies whose service area includes Commerce ZIP codes. The highest-rated on Medicare’s quality stars include Lucent Home Health LLC (5 of 5), Ultimate Plus Home Care (5 of 5), Angels Care Home Health (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Commerce?

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 Commerce 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 near Commerce

More senior care near Commerce

Home Health Aides in nearby cities

Other care in Commerce

More for Commerce families

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.

Home Health Aides in Commerce, TX