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

Local figures

Home Health Aides in Gainesville, TX: the local picture

37

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

$11.65

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

2,963

residents 65 or older (17% of Gainesville)

40%

of residents 65+ report a disability (37% in Cooke County)

37 Medicare-certified home health agencies list Gainesville 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.

Gainesville has about 2,963 residents aged 65 or older, 40% of whom report a disability.

Gainesville compared with Cooke County and Texas

Census figure	Gainesville	Cooke County	Texas
Residents 65+ with a disability	40%	37%	35%
Residents 65 or older	17%	19%	13%
Residents 85 or older	3.0%	2.0%	1.4%
Residents 65+ in households who live alone	33%	27%	25%
Residents 65+ below the poverty line (approx.)	9.0%	6.4%	12%
Residents 5+ who speak a language other than English at home	21%	15%	35%
Median income, households headed by someone 65+	$49,838	$54,597	—

Older residents in towns around Gainesville

Town	Distance	Residents 65+	65+ with a disability
Whitesboro, TX	14 mi	714	52%
Sanger, TX	18 mi	1,021	28%
Pilot Point, TX	20 mi	1,074	51%
Marietta, OK	21 mi	380	48%
Aubrey, TX	25 mi	701	32%
Krum, TX	26 mi	610	31%

Medicare-certified home health agencies serving Gainesville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Lucent Home Health LLC	Plano, TX	49 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945
Abundant Home Health LLC	Arlington, TX	60 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(817) 633-3152
Dependable Home Care Inc	Garland, TX	63 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(214) 221-7900
First Texas Home Health	Whitesboro, TX	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 564-9111
Elara Caring	Sherman, TX	31 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 892-3163
Accentcare Home Health Of Denton	Denton, TX	35 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(940) 891-1161
Intuitive Care Home Health Agency, LLC	Mckinney, TX	43 mi	4.5 of 5	—	(469) 927-7003
Healing Hands Healthcare LLC	Wichita Falls, TX	80 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(940) 432-0588

Straight-line miles from the center of Gainesville. 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 Gainesville

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 24% of the $4,153 monthly median income of Gainesville 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 Gainesville: common questions

Which home health agencies serve Gainesville?

Medicare lists 37 certified agencies whose service area includes Gainesville ZIP codes. The highest-rated on Medicare’s quality stars include Lucent Home Health LLC (5 of 5), Abundant Home Health LLC (5 of 5), Dependable Home Care Inc (5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Gainesville?

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 24% of the $4,153 monthly median income of Gainesville 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 Gainesville

More senior care near Gainesville

Home Health Aides in nearby cities

Other care in Gainesville

More for Gainesville 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 Gainesville, TX