Home Health Aides in Elgin, 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 Elgin for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Elgin, TX: the local picture
42 Medicare-certified home health agencies list Elgin 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.
Elgin has about 1,485 residents aged 65 or older, 24% of whom report a disability.
Elgin compared with Bastrop County and Texas
| Census figure | Elgin | Bastrop County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 24% | 29% | 35% |
| Residents 65 or older | 13% | 15% | 13% |
| Residents 85 or older | 1.5% | 1.2% | 1.4% |
| Residents 65+ in households who live alone | 24% | 21% | 25% |
| Residents 65+ below the poverty line (approx.) | 17% | 9.2% | 12% |
| Residents 5+ who speak a language other than English at home | 38% | 33% | 35% |
| Median income, households headed by someone 65+ | $55,483 | $65,730 | — |
Older residents in towns around Elgin
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Manor, TX | 9.9 mi | 597 | 21% |
| Camp Swift, TX | 13 mi | 915 | 39% |
| Pflugerville, TX | 14 mi | 5,995 | 32% |
| Hornsby Bend, TX | 14 mi | 804 | 44% |
| Taylor, TX | 15 mi | 3,240 | 36% |
| Hutto, TX | 16 mi | 2,376 | 38% |
Medicare-certified home health agencies serving Elgin
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Royalty Care Home Health Services Inc | Round Rock, TX | 20 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 244-4254 |
| Paradigm Home Health | Whitney, TX | 112 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (254) 694-1447 |
| Gilead Home Health | Round Rock, TX | 20 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 323-5858 |
| Elara Caring | Round Rock, TX | 20 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 733-1515 |
| Choice Austin Homecare | Austin, TX | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 637-1550 |
| Centerwell Home Health | Austin, TX | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 342-0331 |
| Home Therapy Austin | Austin, TX | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 637-1550 |
| Accentcare Home Health Of Texas | Austin, TX | 29 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 634-1850 |
Straight-line miles from the center of Elgin. 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 Elgin
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 $4,624 monthly median income of Elgin 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 Elgin: common questions
Which home health agencies serve Elgin?
Medicare lists 42 certified agencies whose service area includes Elgin ZIP codes. The highest-rated on Medicare’s quality stars include Royalty Care Home Health Services Inc (5 of 5), Paradigm Home Health (5 of 5), Gilead Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Elgin?
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 $4,624 monthly median income of Elgin 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 Elgin
Home Health Aides in nearby cities
- Home Health Aides in Manor, TX
- Home Health Aides in Camp Swift, TX
- Home Health Aides in Pflugerville, TX
- Home Health Aides in Hornsby Bend, TX
- Home Health Aides in Taylor, TX
- Home Health Aides in Hutto, TX
- Home Health Aides in Circle D-KC Estates, TX
- Home Health Aides in Wyldwood, TX
- Home Health Aides in Bastrop, TX
- Home Health Aides in Wells Branch, TX
- Home Health Aides in Round Rock, TX
- Home Health Aides in Cedar Creek, TX
- Home Health Aides in Austin, TX
- Home Health Aides in Brushy Creek, TX
- Home Health Aides in West Lake Hills, TX
- Home Health Aides in Cedar Park, TX
Other care in Elgin
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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