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

Local figures

Home Health Aides in Smithville, TX: the local picture

21

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

$11.65

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

962

residents 65 or older (23% of Smithville)

26%

of residents 65+ report a disability (29% in Bastrop County)

21 Medicare-certified home health agencies list Smithville 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.

Smithville has about 962 residents aged 65 or older, 26% of whom report a disability.

Smithville compared with Bastrop County and Texas

Census figure	Smithville	Bastrop County	Texas
Residents 65+ with a disability	26%	29%	35%
Residents 65 or older	23%	15%	13%
Residents 85 or older	2.5%	1.2%	1.4%
Residents 65+ in households who live alone	33%	21%	25%
Residents 65+ below the poverty line (approx.)	11%	9.2%	12%
Residents 5+ who speak a language other than English at home	14%	33%	35%
Median income, households headed by someone 65+	$54,896	$65,730	—

Older residents in towns around Smithville

Town	Distance	Residents 65+	65+ with a disability
Circle D-KC Estates, TX	12 mi	347	24%
Bastrop, TX	12 mi	1,625	35%
Camp Swift, TX	15 mi	915	39%
La Grange, TX	18 mi	857	23%
Giddings, TX	18 mi	995	40%
Wyldwood, TX	21 mi	468	24%

Medicare-certified home health agencies serving Smithville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ascension At Home	Kyle, TX	41 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 549-3490
Accentcare Home Health Of Texas	Austin, TX	42 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 634-1850
Progressive Home Health Agency	Buda, TX	42 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 312-5222
Gilead Home Health	Round Rock, TX	47 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 323-5858
Elara Caring	Round Rock, TX	47 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 733-1515
Amedisys Home Health	San Antonio, TX	87 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606
Accentcare Home Health Of Texas	Austin, TX	43 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 343-9690
Robinson Creek Home Health And Hospice	Austin, TX	44 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 328-7606

Straight-line miles from the center of Smithville. 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 Smithville

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 22% of the $4,575 monthly median income of Smithville 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 Smithville: common questions

Which home health agencies serve Smithville?

Medicare lists 21 certified agencies whose service area includes Smithville ZIP codes. The highest-rated on Medicare’s quality stars include Ascension At Home (4.5 of 5), Accentcare Home Health Of Texas (4.5 of 5), Progressive Home Health Agency (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Smithville?

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 22% of the $4,575 monthly median income of Smithville 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 Smithville

More senior care near Smithville

Home Health Aides in nearby cities

Other care in Smithville

More for Smithville 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 Smithville, TX