Certified Nursing Assistants (CNAs) for Home Care in Howe, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Howe for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Howe, TX: the local picture
The nearest Medicare-certified nursing homes to Howe are Cedar Hollow Rehabilitation Center in Sherman (5.3 mi), Meadowbrook Care Center in Van Alstyne (6.1 mi), Focused Care At Sherman in Sherman (8.3 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).
Howe has about 35 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Howe compared with Grayson County and Texas
| Census figure | Howe | Grayson County | Texas |
|---|---|---|---|
| Residents 85 or older | 0.9% | 2.2% | 1.4% |
| Residents 65+ with a disability | 41% | 34% | 35% |
| Residents 65 or older | 7.5% | 18% | 13% |
| Residents 65+ in households who live alone | 30% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 24% | 10% | 12% |
| Households with no vehicle | 5.3% | 3.7% | 5.4% |
| Median income, households headed by someone 65+ | $38,107 | $54,577 | — |
Older residents in towns around Howe
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Van Alstyne, TX | 6.2 mi | 1,091 | 174 |
| Sherman, TX | 8.4 mi | 7,338 | 1,093 |
| Anna, TX | 12 mi | 1,358 | 116 |
| Melissa, TX | 15 mi | 1,344 | 277 |
| Celina, TX | 17 mi | 3,231 | 157 |
| Denison, TX | 18 mi | 5,178 | 778 |
Nursing homes near Howe
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Cedar Hollow Rehabilitation Center | Sherman, TX | 5.3 mi | 3 of 5 | 142 | (903) 771-2000 |
| Meadowbrook Care Center | Van Alstyne, TX | 6.1 mi | 3 of 5 | 60 | (903) 482-6455 |
| Focused Care At Sherman | Sherman, TX | 8.3 mi | 1 of 5 | 116 | (903) 893-6348 |
| Texoma Healthcare Center | Sherman, TX | 11 mi | 1 of 5 | 179 | (903) 893-9636 |
| Avir At Sherman | Sherman, TX | 12 mi | 2 of 5 | 132 | (903) 891-1730 |
| Settlers Ridge Care Center | Celina, TX | 15 mi | 4 of 5 | 128 | (972) 382-8600 |
Home health agencies serving Howe
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Abundant Home Health LLC | Arlington, TX | 57 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (817) 633-3152 |
| Remarkable Home Health | Sherman, TX | 9.0 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (903) 357-5704 |
| Elara Caring | Sherman, TX | 9.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (903) 892-3163 |
| First Texas Home Health | Whitesboro, TX | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (903) 564-9111 |
Straight-line miles from the center of Howe. 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 Howe
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 32% of the $3,176 monthly median income of Howe 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 Howe: common questions
What nursing homes are near Howe?
The closest Medicare-certified nursing homes are Cedar Hollow Rehabilitation Center in Sherman (5.3 mi, 3 of 5 overall); Meadowbrook Care Center in Van Alstyne (6.1 mi, 3 of 5 overall); Focused Care At Sherman in Sherman (8.3 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Howe?
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 32% of the $3,176 monthly median income of Howe 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 Howe
Nursing Assistants in nearby cities
- Nursing Assistants in Van Alstyne, TX
- Nursing Assistants in Sherman, TX
- Nursing Assistants in Anna, TX
- Nursing Assistants in Melissa, TX
- Nursing Assistants in Celina, TX
- Nursing Assistants in Denison, TX
- Nursing Assistants in Pottsboro, TX
- Nursing Assistants in Whitesboro, TX
- Nursing Assistants in Pilot Point, TX
- Nursing Assistants in McKinney, TX
- Nursing Assistants in Prosper, TX
- Nursing Assistants in Leonard, TX
- Nursing Assistants in Princeton, TX
- Nursing Assistants in Aubrey, TX
- Nursing Assistants in Bonham, TX
- Nursing Assistants in Fairview, TX
Other care in Howe
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.
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