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

Local figures

Home Health Aides in Howe, TX: the local picture

38

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

$11.65

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

275

residents 65 or older (7.5% of Howe)

41%

of residents 65+ report a disability (34% in Grayson County)

38 Medicare-certified home health agencies list Howe 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.

Howe has about 275 residents aged 65 or older, 41% of whom report a disability.

Howe compared with Grayson County and Texas

Census figure	Howe	Grayson County	Texas
Residents 65+ with a disability	41%	34%	35%
Residents 65 or older	7.5%	18%	13%
Residents 85 or older	0.9%	2.2%	1.4%
Residents 65+ in households who live alone	30%	27%	25%
Residents 65+ below the poverty line (approx.)	24%	10%	12%
Residents 5+ who speak a language other than English at home	26%	12%	35%
Median income, households headed by someone 65+	$38,107	$54,577	—

Older residents in towns around Howe

Town	Distance	Residents 65+	65+ with a disability
Van Alstyne, TX	6.2 mi	1,091	19%
Sherman, TX	8.4 mi	7,338	35%
Anna, TX	12 mi	1,358	45%
Melissa, TX	15 mi	1,344	34%
Celina, TX	17 mi	3,231	34%
Denison, TX	18 mi	5,178	39%

Medicare-certified home health agencies serving Howe

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Lucent Home Health LLC	Plano, TX	34 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(972) 664-0945
Abundant Home Health LLC	Arlington, TX	57 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(817) 633-3152
Remarkable Home Health	Sherman, TX	9.0 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 357-5704
Elara Caring	Sherman, TX	9.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 892-3163
First Texas Home Health	Whitesboro, TX	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 564-9111
Amity Health Care Services	Dallas, TX	37 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 931-5400
Guardian Healthcare	Paris, TX	63 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 737-9865
Changing Seasons Home Health	Sherman, TX	9.4 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 868-3648

Straight-line miles from the center of Howe. 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 Howe

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 32% of the $3,176 monthly median income of Howe 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 Howe: common questions

Which home health agencies serve Howe?

Medicare lists 38 certified agencies whose service area includes Howe 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), Remarkable Home Health (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Howe?

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 32% of the $3,176 monthly median income of Howe 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 Howe

More senior care near Howe

Home Health Aides in nearby cities

Other care in Howe

More for Howe families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Howe, TX