Certified Nursing Assistants (CNAs) for Home Care in Smithville, TX
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Smithville for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in Smithville, TX: the local picture
The nearest Medicare-certified nursing homes to Smithville are Towers Nursing Home in Smithville (1.1 mi), Windsor Nursing And Rehabilitation Center Of Bastr in Bastrop (13 mi), Bastrop Lost Pines Nursing And Rehabilitation Cent in Bastrop (13 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).
Smithville has about 107 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Smithville compared with Bastrop County and Texas
| Census figure | Smithville | Bastrop County | Texas |
|---|---|---|---|
| Residents 85 or older | 2.5% | 1.2% | 1.4% |
| Residents 65+ with a disability | 26% | 29% | 35% |
| Residents 65 or older | 23% | 15% | 13% |
| Residents 65+ in households who live alone | 33% | 21% | 25% |
| Residents 65+ below the poverty line (approx.) | 11% | 9.2% | 12% |
| Households with no vehicle | 3.6% | 3.4% | 5.4% |
| Median income, households headed by someone 65+ | $54,896 | $65,730 | — |
Older residents in towns around Smithville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Circle D-KC Estates, TX | 12 mi | 347 | 14 |
| Bastrop, TX | 12 mi | 1,625 | 204 |
| Camp Swift, TX | 15 mi | 915 | 42 |
| La Grange, TX | 18 mi | 857 | 120 |
| Giddings, TX | 18 mi | 995 | 155 |
| Wyldwood, TX | 21 mi | 468 | 42 |
Nursing homes near Smithville
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Towers Nursing Home | Smithville, TX | 1.1 mi | 4 of 5 | 120 | (512) 237-4606 |
| Windsor Nursing And Rehabilitation Center Of Bastr | Bastrop, TX | 13 mi | 2 of 5 | 96 | (512) 321-2529 |
| Bastrop Lost Pines Nursing And Rehabilitation Cent | Bastrop, TX | 13 mi | 1 of 5 | 120 | (512) 321-3527 |
| Silver Pines Nursing And Rehabilitation Center | Bastrop, TX | 13 mi | 4 of 5 | 114 | (512) 321-6220 |
| Avir At La Grange | La Grange, TX | 18 mi | 3 of 5 | 98 | (979) 968-5865 |
| Giddings Nursing And Rehabilitation | Giddings, TX | 18 mi | 1 of 5 | 84 | (979) 542-3611 |
Home health agencies serving Smithville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Accentcare Home Health Of Texas | Austin, TX | 42 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 634-1850 |
| Gilead Home Health | Round Rock, TX | 47 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 323-5858 |
| Amedisys Home Health | San Antonio, TX | 87 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 558-9606 |
| Accentcare Home Health Of Texas | Austin, TX | 43 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 343-9690 |
Straight-line miles from the center of Smithville. 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 Smithville
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 22% of the $4,575 monthly median income of Smithville 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 Smithville: common questions
What nursing homes are near Smithville?
The closest Medicare-certified nursing homes are Towers Nursing Home in Smithville (1.1 mi, 4 of 5 overall); Windsor Nursing And Rehabilitation Center Of Bastr in Bastrop (13 mi, 2 of 5 overall); Bastrop Lost Pines Nursing And Rehabilitation Cent in Bastrop (13 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Smithville?
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 22% of the $4,575 monthly median income of Smithville 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 Smithville
Nursing Assistants in nearby cities
- Nursing Assistants in Circle D-KC Estates, TX
- Nursing Assistants in Bastrop, TX
- Nursing Assistants in Camp Swift, TX
- Nursing Assistants in La Grange, TX
- Nursing Assistants in Giddings, TX
- Nursing Assistants in Wyldwood, TX
- Nursing Assistants in Cedar Creek, TX
- Nursing Assistants in Schulenburg, TX
- Nursing Assistants in Elgin, TX
- Nursing Assistants in Hornsby Bend, TX
- Nursing Assistants in Weimar, TX
- Nursing Assistants in Lockhart, TX
- Nursing Assistants in Manor, TX
- Nursing Assistants in Luling, TX
- Nursing Assistants in Uhland, TX
- Nursing Assistants in Gonzales, TX
Other care in Smithville
- Companion Care in Smithville
- Dementia Care in Smithville
- Respite Care in Smithville
- Live-In Caregivers in Smithville
- Post-Surgery Care in Smithville
- Senior Transportation in Smithville
- Home Health Aides in Smithville
- Personal Care in Smithville
- Overnight Caregivers in Smithville
- 24-Hour Home Care in Smithville
- Mobility Assistance in Smithville
- Parkinson’s Care in Smithville
- Stroke Recovery Support in Smithville
- Disability Care for Adults in Smithville
- Hospice Support in Smithville
- Senior Meal Preparation in Smithville
- Senior Housekeeping in Smithville
- Medication Reminders in Smithville
- Veterans’ Home Care in Smithville
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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