Certified Nursing Assistants (CNAs) for Home Care in Fresno, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Fresno for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Fresno, TX: the local picture
The nearest Medicare-certified nursing homes to Fresno are The Colonnades At Reflection Bay in Pearland (5.0 mi), Tuscany Village in Pearland (5.9 mi), Windsor Quail Valley Post-Acute Healthcare in Missouri City (6.0 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).
Fresno has about 46 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Fresno compared with Fort Bend County and Texas
| Census figure | Fresno | Fort Bend County | Texas |
|---|---|---|---|
| Residents 85 or older | 0.2% | 1.0% | 1.4% |
| Residents 65+ with a disability | 40% | 28% | 35% |
| Residents 65 or older | 7.0% | 13% | 13% |
| Residents 65+ in households who live alone | 12% | 15% | 25% |
| Residents 65+ below the poverty line (approx.) | 7.0% | 9.0% | 12% |
| Households with no vehicle | 1.3% | 3.2% | 5.4% |
| Median income, households headed by someone 65+ | $64,119 | $78,465 | — |
Older residents in towns around Fresno
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Sienna, TX | 4.3 mi | 2,146 | 31 |
| Missouri City, TX | 4.4 mi | 13,050 | 954 |
| Iowa Colony, TX | 7.2 mi | 1,005 | 0 |
| Manvel, TX | 7.3 mi | 1,416 | 194 |
| Stafford, TX | 8.4 mi | 1,870 | 136 |
| Pearland, TX | 8.8 mi | 15,739 | 1,934 |
Nursing homes near Fresno
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| The Colonnades At Reflection Bay | Pearland, TX | 5.0 mi | 1 of 5 | 180 | (713) 434-3800 |
| Tuscany Village | Pearland, TX | 5.9 mi | 4 of 5 | 132 | (713) 770-5300 |
| Windsor Quail Valley Post-Acute Healthcare | Missouri City, TX | 6.0 mi | 3 of 5 | 120 | (281) 778-5144 |
| Chelsea Gardens | Missouri City, TX | 6.5 mi | 1 of 5 | 60 | (281) 499-5040 |
| Park Manor Of Quail Valley | Missouri City, TX | 6.6 mi | 2 of 5 | 125 | (281) 499-9333 |
| Avir At Orem | Houston, TX | 6.6 mi | 4 of 5 | 120 | (832) 799-6484 |
Home health agencies serving Fresno
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Xtra-Care Home Health Inc | Houston, TX | 12 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 270-1160 |
| Providian Health Care Inc | Houston, TX | 16 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (281) 997-6272 |
| Tawl Health Care Inc | Houston, TX | 17 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (713) 777-9171 |
| All About Home Care, Inc. | Houston, TX | 18 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (713) 802-1211 |
Straight-line miles from the center of Fresno. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What CNAs costs in Fresno
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 19% of the $5,343 monthly median income of Fresno 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.
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.
Nursing Assistants in Fresno: common questions
What nursing homes are near Fresno?
The closest Medicare-certified nursing homes are The Colonnades At Reflection Bay in Pearland (5.0 mi, 1 of 5 overall); Tuscany Village in Pearland (5.9 mi, 4 of 5 overall); Windsor Quail Valley Post-Acute Healthcare in Missouri City (6.0 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Fresno?
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 19% of the $5,343 monthly median income of Fresno 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 senior care near Fresno
Nursing Assistants in nearby cities
- Nursing Assistants in Sienna, TX
- Nursing Assistants in Missouri City, TX
- Nursing Assistants in Iowa Colony, TX
- Nursing Assistants in Manvel, TX
- Nursing Assistants in Stafford, TX
- Nursing Assistants in Pearland, TX
- Nursing Assistants in Meadows Place, TX
- Nursing Assistants in Sugar Land, TX
- Nursing Assistants in Bellaire, TX
- Nursing Assistants in West University Place, TX
- Nursing Assistants in Four Corners, TX
- Nursing Assistants in Piney Point Village, TX
- Nursing Assistants in Mission Bend, TX
- Nursing Assistants in Bunker Hill Village, TX
- Nursing Assistants in Friendswood, TX
- Nursing Assistants in Hunters Creek Village, TX
Other care in Fresno
- Companion Care in Fresno
- Dementia Care in Fresno
- Respite Care in Fresno
- Live-In Caregivers in Fresno
- Post-Surgery Care in Fresno
- Senior Transportation in Fresno
- Home Health Aides in Fresno
- Personal Care in Fresno
- Overnight Caregivers in Fresno
- 24-Hour Home Care in Fresno
- Mobility Assistance in Fresno
- Parkinson’s Care in Fresno
- Stroke Recovery Support in Fresno
- Disability Care for Adults in Fresno
- Hospice Support in Fresno
- Senior Meal Preparation in Fresno
- Senior Housekeeping in Fresno
- Medication Reminders in Fresno
- Veterans’ Home Care in Fresno
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.
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