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

Local figures

Home Health Aides in Cotulla, TX: the local picture

7

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

$11.65

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

583

residents 65 or older (16% of Cotulla)

33%

of residents 65+ report a disability (27% in La Salle County)

7 Medicare-certified home health agencies list Cotulla 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.

Cotulla has about 583 residents aged 65 or older, 33% of whom report a disability.

Cotulla compared with La Salle County and Texas

Census figure	Cotulla	La Salle County	Texas
Residents 65+ with a disability	33%	27%	35%
Residents 65 or older	16%	16%	13%
Residents 85 or older	2.2%	1.8%	1.4%
Residents 65+ in households who live alone	13%	14%	25%
Residents 65+ below the poverty line (approx.)	23%	15%	12%
Residents 5+ who speak a language other than English at home	43%	48%	35%
Median income, households headed by someone 65+	$41,464	$50,219	—

Older residents in towns around Cotulla

Town	Distance	Residents 65+	65+ with a disability
Dilley, TX	16 mi	419	44%
Pearsall, TX	33 mi	1,070	71%
Carrizo Springs, TX	38 mi	699	65%
Crystal City, TX	40 mi	1,024	49%
Devine, TX	53 mi	1,156	60%
Jourdanton, TX	54 mi	466	38%

Medicare-certified home health agencies serving Cotulla

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Inspira Home Health Services	Laredo, TX	63 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(956) 857-5900
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	81 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
Elite Home Health	Jourdanton, TX	53 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(830) 281-8136
St Isabel Home Health Inc	Eagle Pass, TX	78 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 776-5602
Home Care Providers Of Texas	Dallas, TX	343 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 735-0801
Torres Home Health Services, Lc	Laredo, TX	63 mi	1.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(956) 712-3579
Sdq Healthcare Services LLC	Mission, TX	163 mi	1.5 of 5	—	(956) 271-4888

Straight-line miles from the center of Cotulla. 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 Cotulla

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 29% of the $3,455 monthly median income of Cotulla 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 Cotulla: common questions

Which home health agencies serve Cotulla?

Medicare lists 7 certified agencies whose service area includes Cotulla ZIP codes. The highest-rated on Medicare’s quality stars include Inspira Home Health Services (4.5 of 5), American Medical Home Health Services - San Antonio LLC (4.5 of 5), Elite Home Health (4 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Cotulla?

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 29% of the $3,455 monthly median income of Cotulla 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 Cotulla

More senior care near Cotulla

Home Health Aides in nearby cities

Other care in Cotulla

More for Cotulla 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 Cotulla, TX