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

Local figures

Home Health Aides in Van, TX: the local picture

22

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

$11.65

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

361

residents 65 or older (13% of Van)

19%

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

22 Medicare-certified home health agencies list Van 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.

Van has about 361 residents aged 65 or older, 19% of whom report a disability.

Van compared with Van Zandt County and Texas

Census figure	Van	Van Zandt County	Texas
Residents 65+ with a disability	19%	33%	35%
Residents 65 or older	13%	20%	13%
Residents 85 or older	0.8%	2.2%	1.4%
Residents 65+ in households who live alone	32%	26%	25%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Residents 5+ who speak a language other than English at home	5.7%	10%	35%
Median income, households headed by someone 65+	$36,000	$44,462	—

Older residents in towns around Van

Town	Distance	Residents 65+	65+ with a disability
Hideaway, TX	11 mi	1,059	14%
Grand Saline, TX	11 mi	730	42%
Mineola, TX	13 mi	1,412	50%
Canton, TX	13 mi	819	31%
Lindale, TX	14 mi	1,182	39%
Chandler, TX	18 mi	1,368	36%

Medicare-certified home health agencies serving Van

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Reliant At Home	Tyler, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-3374
Vitalcaring Group	Tyler, TX	26 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	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223
Elara Caring	Mount Vernon, TX	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 537-2445
Centerwell Home Health	Temple, TX	142 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(254) 778-6334
Home Therapy Austin	Austin, TX	196 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 637-1550
UT Health East Texas Home Health Services	Athens, TX	23 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 675-8882
Choice Homecare	Tyler, TX	24 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 363-9932

Straight-line miles from the center of Van. 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 Van

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 34% of the $3,000 monthly median income of Van 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 Van: common questions

Which home health agencies serve Van?

Medicare lists 22 certified agencies whose service area includes Van ZIP codes. The highest-rated on Medicare’s quality stars include Reliant At Home (4.5 of 5), Vitalcaring Group (4.5 of 5), Paradigm Homecare (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Van?

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 34% of the $3,000 monthly median income of Van 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 Van

More senior care near Van

Home Health Aides in nearby cities

Other care in Van

More for Van families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Van, TX