Decatur, Texas

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

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Local figures

Home Health Aides in Decatur, TX: the local picture

24
Medicare-certified home health agencies list Decatur ZIP codes in their service area
$11.65
median hourly wage of home care aides in Texas (BLS, May 2025)
1,623
residents 65 or older (22% of Decatur)
27%
of residents 65+ report a disability (36% in Wise County)

24 Medicare-certified home health agencies list Decatur ZIP codes in their service area; the highest-rated are below, and 8 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.

Decatur has about 1,623 residents aged 65 or older, 27% of whom report a disability.

Decatur compared with Wise County and Texas

Census figureDecaturWise CountyTexas
Residents 65+ with a disability27%36%35%
Residents 65 or older22%16%13%
Residents 85 or older3.3%1.5%1.4%
Residents 65+ in households who live alone49%21%25%
Residents 65+ below the poverty line (approx.)6.8%8.7%12%
Residents 5+ who speak a language other than English at home23%17%35%
Median income, households headed by someone 65+$55,208$64,324—

Older residents in towns around Decatur

TownDistanceResidents 65+65+ with a disability
Bridgeport, TX11 mi55117%
Briar, TX14 mi1,00333%
Ponder, TX17 mi28033%
Springtown, TX19 mi48547%
Justin, TX19 mi50431%
Pecan Acres, TX19 mi51840%

Medicare-certified home health agencies serving Decatur

AgencyOfficeDistanceCMS quality starsServices listedPhone
Abundant Home Health LLCArlington, TX43 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(817) 633-3152
Elara CaringWichita Falls, TX68 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(940) 683-6370
Accentcare Home Health Of DentonDenton, TX30 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(940) 891-1161
Centerwell Home HealthWeatherford, TX35 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(817) 599-0192
First Texas Home HealthWhitesboro, TX51 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(903) 564-9111
Healing Hands Healthcare LLCWichita Falls, TX70 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(940) 432-0588
Guardian HealthcareFort Worth, TX36 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(817) 882-8200
Amatus Health Care LLCFarmers Branch, TX45 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(972) 249-4999

Straight-line miles from the center of Decatur. 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 Decatur

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 22% of the $4,601 monthly median income of Decatur 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 Decatur: common questions

Which home health agencies serve Decatur?

Medicare lists 24 certified agencies whose service area includes Decatur ZIP codes. The highest-rated on Medicare’s quality stars include Abundant Home Health LLC (5 of 5), Elara Caring (5 of 5), Accentcare Home Health Of Denton (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Decatur?

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 22% of the $4,601 monthly median income of Decatur 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.

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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