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

Local figures

Home Health Aides in Pearsall, TX: the local picture

15

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

$11.65

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

1,070

residents 65 or older (12% of Pearsall)

71%

of residents 65+ report a disability (59% in Frio County)

15 Medicare-certified home health agencies list Pearsall ZIP codes in their service area; the highest-rated are below, and 4 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.

Pearsall has about 1,070 residents aged 65 or older, 71% of whom report a disability.

Pearsall compared with Frio County and Texas

Census figure	Pearsall	Frio County	Texas
Residents 65+ with a disability	71%	59%	35%
Residents 65 or older	12%	12%	13%
Residents 85 or older	1.1%	1.6%	1.4%
Residents 65+ in households who live alone	37%	32%	25%
Residents 65+ below the poverty line (approx.)	40%	27%	12%
Residents 5+ who speak a language other than English at home	51%	46%	35%

Older residents in towns around Pearsall

Town	Distance	Residents 65+	65+ with a disability
Dilley, TX	16 mi	419	44%
Devine, TX	21 mi	1,156	60%
Hondo, TX	32 mi	1,231	29%
Cotulla, TX	33 mi	583	33%
Poteet, TX	33 mi	601	32%
Jourdanton, TX	34 mi	466	38%

Medicare-certified home health agencies serving Pearsall

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	50 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
Capitol Home Health	San Antonio, TX	56 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Adoration Home Health	San Antonio, TX	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 216-7111
Elite Home Health	Jourdanton, TX	34 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(830) 281-8136
Provista Healthcare	Dallas, TX	305 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(214) 965-0431
Carter Healthcare	San Antonio, TX	56 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(210) 688-4876
Carter Healthcare	New Braunfels, TX	84 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(281) 379-7052
Frio Hospital Home Health	Pearsall, TX	0.2 mi	3 of 5	nursing, physical therapy, speech therapy	(830) 334-2058

Straight-line miles from the center of Pearsall. 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 Pearsall

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. 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 Pearsall: common questions

Which home health agencies serve Pearsall?

Medicare lists 15 certified agencies whose service area includes Pearsall ZIP codes. The highest-rated on Medicare’s quality stars include American Medical Home Health Services - San Antonio LLC (4.5 of 5), Capitol Home Health (4.5 of 5), Adoration Home Health (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Pearsall?

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. 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 Pearsall

More senior care near Pearsall

Home Health Aides in nearby cities

Other care in Pearsall

More for Pearsall 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 Pearsall, TX