Home Health Aides in Needville, 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 Needville for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Needville, TX: the local picture
54 Medicare-certified home health agencies list Needville ZIP codes in their service area; the highest-rated are below, and 7 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.
Needville has about 456 residents aged 65 or older, 57% of whom report a disability.
Needville compared with Fort Bend County and Texas
| Census figure | Needville | Fort Bend County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 57% | 28% | 35% |
| Residents 65 or older | 15% | 13% | 13% |
| Residents 85 or older | 4.5% | 1.0% | 1.4% |
| Residents 65+ in households who live alone | 39% | 15% | 25% |
| Residents 65+ below the poverty line (approx.) | 5.5% | 9.0% | 12% |
| Residents 5+ who speak a language other than English at home | 23% | 41% | 35% |
| Median income, households headed by someone 65+ | $36,422 | $78,465 | — |
Older residents in towns around Needville
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Rosenberg, TX | 11 mi | 5,173 | 43% |
| Cumings, TX | 13 mi | 93 | 100% |
| Richmond, TX | 14 mi | 2,102 | 35% |
| East Bernard, TX | 16 mi | 445 | 48% |
| Wharton, TX | 17 mi | 1,363 | 54% |
| Pecan Grove, TX | 17 mi | 3,810 | 17% |
Medicare-certified home health agencies serving Needville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aging Gracefully Home Health | Richmond, TX | 17 mi | 5 of 5 | — | (281) 925-7621 |
| Caring Angels Home Health | Richmond, TX | 17 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (866) 344-2821 |
| Elara Caring | Pasadena, TX | 43 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 780-2390 |
| Choice Health At Home | Texas City, TX | 51 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (844) 270-0096 |
| Beyondfaith Homecare & Rehab Of Houston | Richmond, TX | 13 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (832) 774-3000 |
| Joint Health Care Services Inc | Katy, TX | 31 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (713) 592-8955 |
| Ipr Healthcare Systems, Inc | Houston, TX | 33 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 592-6776 |
| Total Home Care Inc | Houston, TX | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 647-7036 |
Straight-line miles from the center of Needville. 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 Needville
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 33% of the $3,035 monthly median income of Needville 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 Needville: common questions
Which home health agencies serve Needville?
Medicare lists 54 certified agencies whose service area includes Needville ZIP codes. The highest-rated on Medicare’s quality stars include Aging Gracefully Home Health (5 of 5), Caring Angels Home Health (5 of 5), Elara Caring (5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Needville?
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 33% of the $3,035 monthly median income of Needville 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 Needville
Home Health Aides in nearby cities
- Home Health Aides in Rosenberg, TX
- Home Health Aides in Cumings, TX
- Home Health Aides in Richmond, TX
- Home Health Aides in East Bernard, TX
- Home Health Aides in Wharton, TX
- Home Health Aides in Pecan Grove, TX
- Home Health Aides in Sugar Land, TX
- Home Health Aides in Weston Lakes, TX
- Home Health Aides in Fulshear, TX
- Home Health Aides in West Columbia, TX
- Home Health Aides in Sienna, TX
- Home Health Aides in Missouri City, TX
- Home Health Aides in Four Corners, TX
- Home Health Aides in Stafford, TX
- Home Health Aides in Mission Bend, TX
- Home Health Aides in Meadows Place, TX
Other care in Needville
- Companion Care in Needville
- Dementia Care in Needville
- Respite Care in Needville
- Live-In Caregivers in Needville
- Post-Surgery Care in Needville
- Senior Transportation in Needville
- Nursing Assistants in Needville
- Personal Care in Needville
- Overnight Caregivers in Needville
- 24-Hour Home Care in Needville
- Mobility Assistance in Needville
- Parkinson’s Care in Needville
- Stroke Recovery Support in Needville
- Disability Care for Adults in Needville
- Hospice Support in Needville
- Senior Meal Preparation in Needville
- Senior Housekeeping in Needville
- Medication Reminders in Needville
- Veterans’ Home Care in Needville
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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