Home Health Aides in San Marcos, TX: Hire In-Home Help

Local figures

Home Health Aides in San Marcos, TX: the local picture

60

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

$11.65

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

7,637

residents 65 or older (11% of San Marcos)

43%

of residents 65+ report a disability (33% in Hays County)

60 Medicare-certified home health agencies list San Marcos 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.

San Marcos has about 7,637 residents aged 65 or older, 43% of whom report a disability.

San Marcos compared with Hays County and Texas

Census figure	San Marcos	Hays County	Texas
Residents 65+ with a disability	43%	33%	35%
Residents 65 or older	11%	12%	13%
Residents 85 or older	1.1%	1.0%	1.4%
Residents 65+ in households who live alone	31%	23%	25%
Residents 65+ below the poverty line (approx.)	19%	9.0%	12%
Residents 5+ who speak a language other than English at home	27%	25%	35%
Median income, households headed by someone 65+	$53,772	$73,773	—

Older residents in towns around San Marcos

Town	Distance	Residents 65+	65+ with a disability
Redwood, TX	4.7 mi	342	18%
Kyle, TX	8.9 mi	4,526	41%
Uhland, TX	11 mi	150	48%
Wimberley, TX	12 mi	820	20%
Buda, TX	15 mi	1,080	30%
Lockhart, TX	15 mi	2,580	47%

Medicare-certified home health agencies serving San Marcos

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Healthcare Solutions, Inc.	San Antonio, TX	46 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Elara Caring	San Antonio, TX	46 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Ascension At Home	Kyle, TX	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 549-3490
Soar Home Care LLC	New Braunfels, TX	13 mi	4.5 of 5	nursing, physical therapy	(830) 214-6806
Progressive Home Health Agency	Buda, TX	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 312-5222
Accentcare Home Health Of Texas	Austin, TX	22 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 634-1850
Choice Austin Homecare	Austin, TX	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 637-1550
Centerwell Home Health	Austin, TX	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 342-0331

Straight-line miles from the center of San Marcos. 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 San Marcos

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 23% of the $4,481 monthly median income of San Marcos 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 San Marcos: common questions

Which home health agencies serve San Marcos?

Medicare lists 60 certified agencies whose service area includes San Marcos ZIP codes. The highest-rated on Medicare’s quality stars include Texas Healthcare Solutions, Inc. (5 of 5), Elara Caring (5 of 5), Ascension At Home (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in San Marcos?

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 23% of the $4,481 monthly median income of San Marcos 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 San Marcos

More senior care near San Marcos

Home Health Aides in nearby cities

Other care in San Marcos

More for San Marcos 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 San Marcos, TX