CNA Home Care in Castroville, TX: Nursing Assistants

Local figures

Nursing Assistants in Castroville, TX: the local picture

6+

Medicare-certified nursing homes within 25 miles

654

certified beds in the 6 nearest nursing homes

$11.65

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

$7.25

Texas minimum wage per hour

The nearest Medicare-certified nursing homes to Castroville are Medina Valley Health & Rehabilitation Center in Castroville (3.9 mi), Lytle Nursing Home in Lytle (9.5 mi), Westover Hills Rehabilitation And Healthcare in San Antonio (12 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.

Aides in Texas earn a median $11.65 an hour (BLS, May 2025, home health and personal care aides). Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Castroville has about 119 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Castroville compared with Medina County and Texas

Census figure	Castroville	Medina County	Texas
Residents 85 or older	3.8%	2.3%	1.4%
Residents 65+ with a disability	46%	40%	35%
Residents 65 or older	23%	18%	13%
Residents 65+ in households who live alone	21%	28%	25%
Residents 65+ below the poverty line (approx.)	6.1%	11%	12%
Households with no vehicle	8.1%	3.5%	5.4%
Median income, households headed by someone 65+	$65,625	$47,474	—

Older residents in towns around Castroville

Town	Distance	Residents 65+	Residents 85+
Lackland AFB, TX	14 mi	0	0
Devine, TX	15 mi	1,156	307
Leon Valley, TX	17 mi	1,993	224
Helotes, TX	18 mi	1,789	295
Hondo, TX	18 mi	1,231	132
Lakehills, TX	19 mi	1,402	27

Nursing homes near Castroville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Medina Valley Health & Rehabilitation Center	Castroville, TX	3.9 mi	3 of 5	116	(830) 931-2900
Lytle Nursing Home	Lytle, TX	9.5 mi	1 of 5	70	(830) 772-3557
Westover Hills Rehabilitation And Healthcare	San Antonio, TX	12 mi	4 of 5	124	(210) 546-2273
Legend Oaks Healthcare And Rehabilitation - West S	San Antonio, TX	13 mi	3 of 5	124	(210) 673-1700
The Mission At Blue Skies Of Texas East	San Antonio, TX	13 mi	5 of 5	80	(210) 568-5100
Las Colinas Of Westover	San Antonio, TX	13 mi	2 of 5	140	(210) 305-5730

Home health agencies serving Castroville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Healthcare Solutions, Inc.	San Antonio, TX	20 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	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	19 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
S. A. Nurses Home Health Agency	San Antonio, TX	19 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 798-2199

Straight-line miles from the center of Castroville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a nursing assistant can help with

Bathing, dressing, grooming and toileting
Safe transfers, repositioning and walking
Help with eating and fluids
Taking and noting vital signs if asked

Cost

What CNAs costs in Castroville

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 18% of the $5,469 monthly median income of Castroville 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 nursing assistant

To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.

Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Nursing Assistants in Castroville: common questions

What nursing homes are near Castroville?

The closest Medicare-certified nursing homes are Medina Valley Health & Rehabilitation Center in Castroville (3.9 mi, 3 of 5 overall); Lytle Nursing Home in Lytle (9.5 mi, 1 of 5 overall); Westover Hills Rehabilitation And Healthcare in San Antonio (12 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Castroville?

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 18% of the $5,469 monthly median income of Castroville 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).

Can a CNA give medication?

Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.

More near Castroville

More senior care near Castroville

Nursing Assistants in nearby cities

Other care in Castroville

More for Castroville 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.

Certified Nursing Assistants (CNAs) for Home Care in Castroville, TX