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

Local figures

Home Health Aides in West, TX: the local picture

16

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

$11.65

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

522

residents 65 or older (20% of West)

44%

of residents 65+ report a disability (37% in McLennan County)

16 Medicare-certified home health agencies list West 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.

West has about 522 residents aged 65 or older, 44% of whom report a disability.

West compared with McLennan County and Texas

Census figure	West	McLennan County	Texas
Residents 65+ with a disability	44%	37%	35%
Residents 65 or older	20%	15%	13%
Residents 85 or older	3.2%	1.7%	1.4%
Residents 65+ in households who live alone	41%	25%	25%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Residents 5+ who speak a language other than English at home	15%	20%	35%
Median income, households headed by someone 65+	$44,688	$56,849	—

Older residents in towns around West

Town	Distance	Residents 65+	65+ with a disability
Lacy-Lakeview, TX	12 mi	800	46%
Bellmead, TX	14 mi	1,485	25%
Hillsboro, TX	14 mi	1,306	50%
Waco, TX	18 mi	19,292	40%
Woodway, TX	23 mi	2,201	24%
Robinson, TX	24 mi	1,865	30%

Medicare-certified home health agencies serving West

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Paradigm Home Health	Whitney, TX	19 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(254) 694-1447
Elara Caring	Teague, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 723-1657
Texmed Home Health Inc	Killeen, TX	60 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(254) 526-8188
Amedisys Home Health	San Antonio, TX	178 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606
Magnolia Home Health	Waco, TX	19 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(254) 751-9393
Centerwell Home Health	Waco, TX	19 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work	(254) 405-6800
Accentcare Home Health Of Waco	Waco, TX	22 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(254) 755-6179
Adaptive Home Health	Temple, TX	52 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(214) 440-1394

Straight-line miles from the center of West. 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 West

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 $3,724 monthly median income of West 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 West: common questions

Which home health agencies serve West?

Medicare lists 16 certified agencies whose service area includes West ZIP codes. The highest-rated on Medicare’s quality stars include Paradigm Home Health (5 of 5), Elara Caring (4.5 of 5), Texmed Home Health Inc (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in West?

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 $3,724 monthly median income of West 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 West

More senior care near West

Home Health Aides in nearby cities

Other care in West

More for West 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 West, TX