Certified Nursing Assistants (CNAs) for Home Care in Horseshoe Bay, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Horseshoe Bay for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Horseshoe Bay, TX: the local picture
The nearest Medicare-certified nursing homes to Horseshoe Bay are The Brixton At Horseshoe Bay in Horseshoe Bay (1.9 mi), Granite Mesa Health Center in Marble Falls (7.2 mi), Avir At Kingsland in Kingsland (10 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).
Horseshoe Bay has about 247 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Horseshoe Bay compared with Llano County and Texas
| Census figure | Horseshoe Bay | Llano County | Texas |
|---|---|---|---|
| Residents 85 or older | 5.1% | 4.4% | 1.4% |
| Residents 65+ with a disability | 24% | 33% | 35% |
| Residents 65 or older | 48% | 37% | 13% |
| Residents 65+ in households who live alone | 18% | 26% | 25% |
| Residents 65+ below the poverty line (approx.) | 2.8% | 7.2% | 12% |
| Households with no vehicle | 1.8% | 4.2% | 5.4% |
| Median income, households headed by someone 65+ | $101,635 | $59,781 | — |
Older residents in towns around Horseshoe Bay
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Granite Shoals, TX | 3.4 mi | 1,031 | 76 |
| Marble Falls, TX | 6.3 mi | 1,315 | 253 |
| Kingsland, TX | 9.7 mi | 2,058 | 326 |
| Burnet, TX | 17 mi | 1,324 | 138 |
| Briarcliff, TX | 22 mi | 544 | 39 |
| Llano, TX | 23 mi | 927 | 94 |
Nursing homes near Horseshoe Bay
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| The Brixton At Horseshoe Bay | Horseshoe Bay, TX | 1.9 mi | 4 of 5 | 120 | (713) 553-1321 |
| Granite Mesa Health Center | Marble Falls, TX | 7.2 mi | 2 of 5 | 124 | (830) 693-0022 |
| Avir At Kingsland | Kingsland, TX | 10 mi | 2 of 5 | 122 | (325) 388-4538 |
| Avir At Burnet | Burnet, TX | 17 mi | 3 of 5 | 112 | (512) 756-6044 |
| Avir At Johnson City | Johnson City, TX | 19 mi | 1 of 5 | 60 | (830) 868-4093 |
| Llano Nursing And Rehabilitation Center | Llano, TX | 23 mi | 1 of 5 | 96 | (325) 247-4194 |
Home health agencies serving Horseshoe Bay
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Home Therapy Austin | Austin, TX | 39 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 637-1550 |
| Capitol Home Health | San Antonio, TX | 70 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 538-9090 |
| Accentcare Home Health Of Texas | Beaumont, TX | 253 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (409) 899-9979 |
| Accentcare Home Health Of Marble Falls | Marble Falls, TX | 6.8 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (830) 798-8272 |
Straight-line miles from the center of Horseshoe Bay. 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 Horseshoe Bay
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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay: common questions
What nursing homes are near Horseshoe Bay?
The closest Medicare-certified nursing homes are The Brixton At Horseshoe Bay in Horseshoe Bay (1.9 mi, 4 of 5 overall); Granite Mesa Health Center in Marble Falls (7.2 mi, 2 of 5 overall); Avir At Kingsland in Kingsland (10 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Horseshoe Bay?
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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay
Nursing Assistants in nearby cities
- Nursing Assistants in Granite Shoals, TX
- Nursing Assistants in Marble Falls, TX
- Nursing Assistants in Kingsland, TX
- Nursing Assistants in Burnet, TX
- Nursing Assistants in Briarcliff, TX
- Nursing Assistants in Llano, TX
- Nursing Assistants in Lago Vista, TX
- Nursing Assistants in Lakeway, TX
- Nursing Assistants in Jonestown, TX
- Nursing Assistants in The Hills, TX
- Nursing Assistants in Hudson Bend, TX
- Nursing Assistants in Dripping Springs, TX
- Nursing Assistants in Liberty Hill, TX
- Nursing Assistants in Bee Cave, TX
- Nursing Assistants in Leander, TX
- Nursing Assistants in Steiner Ranch, TX
Other care in Horseshoe Bay
- Companion Care in Horseshoe Bay
- Dementia Care in Horseshoe Bay
- Respite Care in Horseshoe Bay
- Live-In Caregivers in Horseshoe Bay
- Post-Surgery Care in Horseshoe Bay
- Senior Transportation in Horseshoe Bay
- Home Health Aides in Horseshoe Bay
- Personal Care in Horseshoe Bay
- Overnight Caregivers in Horseshoe Bay
- 24-Hour Home Care in Horseshoe Bay
- Mobility Assistance in Horseshoe Bay
- Parkinson’s Care in Horseshoe Bay
- Stroke Recovery Support in Horseshoe Bay
- Disability Care for Adults in Horseshoe Bay
- Hospice Support in Horseshoe Bay
- Senior Meal Preparation in Horseshoe Bay
- Senior Housekeeping in Horseshoe Bay
- Medication Reminders in Horseshoe Bay
- Veterans’ Home Care in Horseshoe Bay
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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