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

Local figures

Home Health Aides in Gonzales, TX: the local picture

13

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

$11.65

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

893

residents 65 or older (12% of Gonzales)

45%

of residents 65+ report a disability (33% in Gonzales County)

13 Medicare-certified home health agencies list Gonzales 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.

Gonzales has about 893 residents aged 65 or older, 45% of whom report a disability.

Gonzales compared with Gonzales County and Texas

Census figure	Gonzales	Gonzales County	Texas
Residents 65+ with a disability	45%	33%	35%
Residents 65 or older	12%	18%	13%
Residents 85 or older	2.1%	1.7%	1.4%
Residents 65+ in households who live alone	48%	28%	25%
Residents 65+ below the poverty line (approx.)	26%	17%	12%
Residents 5+ who speak a language other than English at home	32%	27%	35%
Median income, households headed by someone 65+	$29,160	$47,044	—

Older residents in towns around Gonzales

Town	Distance	Residents 65+	65+ with a disability
Luling, TX	17 mi	1,542	38%
Yoakum, TX	24 mi	1,047	29%
Lockhart, TX	29 mi	2,580	47%
Cuero, TX	30 mi	1,183	42%
Hallettsville, TX	31 mi	643	35%
Seguin, TX	32 mi	5,707	38%

Medicare-certified home health agencies serving Gonzales

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	San Antonio, TX	68 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Soar Home Care LLC	New Braunfels, TX	40 mi	4.5 of 5	nursing, physical therapy	(830) 214-6806
Capitol Home Health	San Antonio, TX	67 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Advanced Home Health Services	Seguin, TX	31 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(830) 379-6171
Regency Home Health Of Schulenburg	Schulenburg, TX	34 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(979) 743-4663
Halcyon Home	San Marcos, TX	39 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 815-9009
Remarkable Home Health	New Braunfels, TX	40 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(830) 214-0039
Adaptive Home Health	Temple, TX	109 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(214) 440-1394

Straight-line miles from the center of Gonzales. 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 Gonzales

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 42% of the $2,430 monthly median income of Gonzales 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 Gonzales: common questions

Which home health agencies serve Gonzales?

Medicare lists 13 certified agencies whose service area includes Gonzales ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring (5 of 5), Soar Home Care LLC (4.5 of 5), Capitol Home Health (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Gonzales?

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 42% of the $2,430 monthly median income of Gonzales 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 Gonzales

More senior care near Gonzales

Home Health Aides in nearby cities

Other care in Gonzales

More for Gonzales 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 Gonzales, TX