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

Local figures

Home Health Aides in Nacogdoches, TX: the local picture

26

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

$11.65

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

4,195

residents 65 or older (13% of Nacogdoches)

34%

of residents 65+ report a disability (35% in Nacogdoches County)

26 Medicare-certified home health agencies list Nacogdoches 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.

Nacogdoches has about 4,195 residents aged 65 or older, 34% of whom report a disability.

Nacogdoches compared with Nacogdoches County and Texas

Census figure	Nacogdoches	Nacogdoches County	Texas
Residents 65+ with a disability	34%	35%	35%
Residents 65 or older	13%	16%	13%
Residents 85 or older	1.6%	1.4%	1.4%
Residents 65+ in households who live alone	32%	27%	25%
Residents 65+ below the poverty line (approx.)	19%	12%	12%
Residents 5+ who speak a language other than English at home	15%	17%	35%
Median income, households headed by someone 65+	$41,525	$52,436	—

Older residents in towns around Nacogdoches

Town	Distance	Residents 65+	65+ with a disability
Lufkin, TX	21 mi	5,215	41%
Hudson, TX	22 mi	588	59%
Huntington, TX	23 mi	622	68%
Diboll, TX	30 mi	924	43%
Center, TX	30 mi	772	37%
Rusk, TX	32 mi	676	38%

Medicare-certified home health agencies serving Nacogdoches

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Pasadena, TX	139 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 780-2390
Abundant Home Health LLC	Arlington, TX	163 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(817) 633-3152
Advantage Plus Homecare	Nacogdoches, TX	4.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 559-9480
Accentcare Home Health Of Texas	Nacogdoches, TX	7.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 715-9625
Doctor's Choice Home Care	Lufkin, TX	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(833) 365-2464
Reliant At Home	Lufkin, TX	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 344-2821
Paradigm Homecare	Tyler, TX	60 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223
Elara Caring	Jasper, TX	64 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(409) 489-9104

Straight-line miles from the center of Nacogdoches. 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 Nacogdoches

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 29% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches: common questions

Which home health agencies serve Nacogdoches?

Medicare lists 26 certified agencies whose service area includes Nacogdoches ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring (5 of 5), Abundant Home Health LLC (5 of 5), Advantage Plus Homecare (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Nacogdoches?

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 29% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches

More senior care near Nacogdoches

Home Health Aides in nearby cities

Other care in Nacogdoches

More for Nacogdoches 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 Nacogdoches, TX