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

Home Health Aides in Harker Heights, TX: the local picture
23 Medicare-certified home health agencies list Harker Heights ZIP codes in their service area; the highest-rated are below, and 3 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.
Harker Heights has about 3,464 residents aged 65 or older, 40% of whom report a disability.
Harker Heights compared with Bell County and Texas
| Census figure | Harker Heights | Bell County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 40% | 38% | 35% |
| Residents 65 or older | 10% | 12% | 13% |
| Residents 85 or older | 0.7% | 1.3% | 1.4% |
| Residents 65+ in households who live alone | 27% | 26% | 25% |
| Residents 65+ below the poverty line (approx.) | 15% | 11% | 12% |
| Residents 5+ who speak a language other than English at home | 18% | 19% | 35% |
| Median income, households headed by someone 65+ | $65,947 | $54,865 | — |
Older residents in towns around Harker Heights
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Nolanville, TX | 2.6 mi | 682 | 45% |
| Killeen, TX | 5.4 mi | 13,315 | 40% |
| Belton, TX | 9.8 mi | 3,379 | 36% |
| Fort Hood, TX | 10.0 mi | 224 | 38% |
| Morgan's Point Resort, TX | 13 mi | 652 | 39% |
| Temple, TX | 15 mi | 13,547 | 39% |
Medicare-certified home health agencies serving Harker Heights
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Paradigm Home Health | Whitney, TX | 66 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (254) 694-1447 |
| Texmed Home Health Inc | Killeen, TX | 6.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (254) 526-8188 |
| Centerwell Home Health | Temple, TX | 17 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy | (254) 778-6334 |
| Gilead Home Health | Round Rock, TX | 38 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 | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 733-1515 |
| Amedisys Home Health | San Antonio, TX | 117 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 558-9606 |
| Paradigm Homecare | Plano, TX | 145 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (972) 422-0033 |
| Vitalcaring Group | Temple, TX | 15 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (254) 751-1600 |
Straight-line miles from the center of Harker Heights. 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 Harker Heights
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 18% of the $5,496 monthly median income of Harker Heights 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 Harker Heights: common questions
Which home health agencies serve Harker Heights?
Medicare lists 23 certified agencies whose service area includes Harker Heights ZIP codes. The highest-rated on Medicare’s quality stars include Paradigm Home Health (5 of 5), Texmed Home Health Inc (4.5 of 5), Centerwell Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Harker Heights?
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 18% of the $5,496 monthly median income of Harker Heights 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 Harker Heights
Home Health Aides in nearby cities
- Home Health Aides in Nolanville, TX
- Home Health Aides in Killeen, TX
- Home Health Aides in Belton, TX
- Home Health Aides in Fort Hood, TX
- Home Health Aides in Morgan's Point Resort, TX
- Home Health Aides in Temple, TX
- Home Health Aides in Copperas Cove, TX
- Home Health Aides in Jarrell, TX
- Home Health Aides in Sonterra, TX
- Home Health Aides in Troy, TX
- Home Health Aides in Georgetown, TX
- Home Health Aides in Gatesville, TX
- Home Health Aides in McGregor, TX
- Home Health Aides in Santa Rita Ranch, TX
- Home Health Aides in Liberty Hill, TX
- Home Health Aides in Lampasas, TX
Other care in Harker Heights
- Companion Care in Harker Heights
- Dementia Care in Harker Heights
- Respite Care in Harker Heights
- Live-In Caregivers in Harker Heights
- Post-Surgery Care in Harker Heights
- Senior Transportation in Harker Heights
- Nursing Assistants in Harker Heights
- Personal Care in Harker Heights
- Overnight Caregivers in Harker Heights
- 24-Hour Home Care in Harker Heights
- Mobility Assistance in Harker Heights
- Parkinson’s Care in Harker Heights
- Stroke Recovery Support in Harker Heights
- Disability Care for Adults in Harker Heights
- Hospice Support in Harker Heights
- Senior Meal Preparation in Harker Heights
- Senior Housekeeping in Harker Heights
- Medication Reminders in Harker Heights
- Veterans’ Home Care in Harker Heights
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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