CNA Home Care in West, TX: Nursing Assistants

Local figures

Nursing Assistants in West, TX: the local picture

6+

Medicare-certified nursing homes within 25 miles

832

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 West are West Rest Haven in West (1.0 mi), Town Hall Estates in Hillsboro (15 mi), Avir At Hillsboro in Hillsboro (15 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).

West has about 83 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

West compared with McLennan County and Texas

Census figure	West	McLennan County	Texas
Residents 85 or older	3.2%	1.7%	1.4%
Residents 65+ with a disability	44%	37%	35%
Residents 65 or older	20%	15%	13%
Residents 65+ in households who live alone	41%	25%	25%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Households with no vehicle	5.6%	5.3%	5.4%
Median income, households headed by someone 65+	$44,688	$56,849	—

Older residents in towns around West

Town	Distance	Residents 65+	Residents 85+
Lacy-Lakeview, TX	12 mi	800	94
Bellmead, TX	14 mi	1,485	144
Hillsboro, TX	14 mi	1,306	107
Waco, TX	18 mi	19,292	2,538
Woodway, TX	23 mi	2,201	272
Robinson, TX	24 mi	1,865	273

Nursing homes near West

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
West Rest Haven	West, TX	1.0 mi	1 of 5	120	(254) 826-5354
Town Hall Estates	Hillsboro, TX	15 mi	1 of 5	138	(254) 582-8482
Avir At Hillsboro	Hillsboro, TX	15 mi	1 of 5	105	(254) 582-8416
Crestview Healthcare Residence	Waco, TX	15 mi	4 of 5	192	(254) 753-0291
Lakeshore Village Nursing And Rehabilitation	Waco, TX	16 mi	1 of 5	151	(254) 752-1075
The Atrium Of Bellmead	Bellmead, TX	16 mi	1 of 5	126	(254) 296-8976

Home health agencies serving West

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Teague, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 723-1657
Amedisys Home Health	San Antonio, TX	178 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606
Magnolia Home Health	Waco, TX	19 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(254) 751-9393
Accentcare Home Health Of Waco	Waco, TX	22 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(254) 755-6179

Straight-line miles from the center of West. 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 West

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 27% of the $3,724 monthly median income of West 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 West: common questions

What nursing homes are near West?

The closest Medicare-certified nursing homes are West Rest Haven in West (1.0 mi, 1 of 5 overall); Town Hall Estates in Hillsboro (15 mi, 1 of 5 overall); Avir At Hillsboro in Hillsboro (15 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in West?

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 27% of the $3,724 monthly median income of West 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 West

More senior care near West

Nursing Assistants in nearby cities

Other care in West

More for West 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 West, TX