Home Health Aides in Horseshoe Bay, 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 Horseshoe Bay for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Horseshoe Bay, TX: the local picture
18 Medicare-certified home health agencies list Horseshoe Bay 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.
Horseshoe Bay has about 2,338 residents aged 65 or older, 24% of whom report a disability.
Horseshoe Bay compared with Llano County and Texas
| Census figure | Horseshoe Bay | Llano County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 24% | 33% | 35% |
| Residents 65 or older | 48% | 37% | 13% |
| Residents 85 or older | 5.1% | 4.4% | 1.4% |
| Residents 65+ in households who live alone | 18% | 26% | 25% |
| Residents 65+ below the poverty line (approx.) | 2.8% | 7.2% | 12% |
| Residents 5+ who speak a language other than English at home | 4.5% | 9.3% | 35% |
| Median income, households headed by someone 65+ | $101,635 | $59,781 | — |
Older residents in towns around Horseshoe Bay
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Granite Shoals, TX | 3.4 mi | 1,031 | 29% |
| Marble Falls, TX | 6.3 mi | 1,315 | 38% |
| Kingsland, TX | 9.7 mi | 2,058 | 41% |
| Burnet, TX | 17 mi | 1,324 | 23% |
| Briarcliff, TX | 22 mi | 544 | 18% |
| Llano, TX | 23 mi | 927 | 32% |
Medicare-certified home health agencies serving Horseshoe Bay
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Ascension At Home | Burnet, TX | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 756-7511 |
| Home Therapy Austin | Austin, TX | 39 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 637-1550 |
| Elara Caring | Round Rock, TX | 42 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 733-1515 |
| Capitol Home Health | San Antonio, TX | 70 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Accentcare Home Health Of Texas | Beaumont, TX | 253 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (409) 899-9979 |
| Accentcare Home Health Of Marble Falls | Marble Falls, TX | 6.8 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (830) 798-8272 |
| Capitol Home Health | Austin, TX | 39 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 467-6900 |
| Accentcare Home Health Of Taylor | Hutto, TX | 48 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 755-8005 |
Straight-line miles from the center of Horseshoe Bay. 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 Horseshoe Bay
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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay: common questions
Which home health agencies serve Horseshoe Bay?
Medicare lists 18 certified agencies whose service area includes Horseshoe Bay ZIP codes. The highest-rated on Medicare’s quality stars include Ascension At Home (4.5 of 5), Home Therapy Austin (4.5 of 5), Elara Caring (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Horseshoe Bay?
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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay
Home Health Aides in nearby cities
- Home Health Aides in Granite Shoals, TX
- Home Health Aides in Marble Falls, TX
- Home Health Aides in Kingsland, TX
- Home Health Aides in Burnet, TX
- Home Health Aides in Briarcliff, TX
- Home Health Aides in Llano, TX
- Home Health Aides in Lago Vista, TX
- Home Health Aides in Lakeway, TX
- Home Health Aides in Jonestown, TX
- Home Health Aides in The Hills, TX
- Home Health Aides in Hudson Bend, TX
- Home Health Aides in Dripping Springs, TX
- Home Health Aides in Liberty Hill, TX
- Home Health Aides in Bee Cave, TX
- Home Health Aides in Leander, TX
- Home Health Aides in Steiner Ranch, TX
Other care in Horseshoe Bay
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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