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

Local figures

Home Health Aides in Palestine, TX: the local picture

32

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

$11.65

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

2,907

residents 65 or older (15% of Palestine)

38%

of residents 65+ report a disability (39% in Anderson County)

32 Medicare-certified home health agencies list Palestine ZIP codes in their service area; the highest-rated are below, and 5 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.

Palestine has about 2,907 residents aged 65 or older, 38% of whom report a disability.

Palestine compared with Anderson County and Texas

Census figure	Palestine	Anderson County	Texas
Residents 65+ with a disability	38%	39%	35%
Residents 65 or older	15%	15%	13%
Residents 85 or older	1.4%	0.9%	1.4%
Residents 65+ in households who live alone	43%	25%	25%
Residents 65+ below the poverty line (approx.)	12%	10%	12%
Residents 5+ who speak a language other than English at home	18%	14%	35%
Median income, households headed by someone 65+	$44,281	$54,710	—

Older residents in towns around Palestine

Town	Distance	Residents 65+	65+ with a disability
Jacksonville, TX	26 mi	1,988	30%
Shadybrook, TX	28 mi	540	40%
Rusk, TX	29 mi	676	38%
Fairfield, TX	31 mi	631	44%
Crockett, TX	32 mi	1,281	32%
Athens, TX	33 mi	2,563	47%

Medicare-certified home health agencies serving Palestine

Agency	Office	Distance	CMS quality stars	Services listed	Phone
New Vision Home Health Services Inc	Desoto, TX	92 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 227-3000
Choice Homecare	Palestine, TX	0.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(844) 266-5319
Home Care Network	Palestine, TX	0.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 270-2000
Centerwell Home Health	Athens, TX	33 mi	4.5 of 5	nursing, physical therapy	(903) 675-5184
Elara Caring	Teague, TX	38 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 723-1657
Vitalcaring Group	Tyler, TX	41 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-4555
Paradigm Homecare	Tyler, TX	41 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223
Reliant At Home	Tyler, TX	45 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-3374

Straight-line miles from the center of Palestine. 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 Palestine

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 27% of the $3,690 monthly median income of Palestine 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 Palestine: common questions

Which home health agencies serve Palestine?

Medicare lists 32 certified agencies whose service area includes Palestine ZIP codes. The highest-rated on Medicare’s quality stars include New Vision Home Health Services Inc (5 of 5), Choice Homecare (4.5 of 5), Home Care Network (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Palestine?

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 27% of the $3,690 monthly median income of Palestine 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 Palestine

More senior care near Palestine

Home Health Aides in nearby cities

Other care in Palestine

More for Palestine 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 Palestine, TX