In-Home Personal Care in Fredericksburg, TX

Local figures

Personal Care in Fredericksburg, TX: the local picture

6.3%

of residents 65+ have difficulty dressing or bathing (4.8% in Gillespie County)

15%

of residents 65+ have serious difficulty walking or climbing stairs (13% in Gillespie County)

388

residents 85 or older (3.4% of all residents)

10

Medicare-certified home health agencies list Fredericksburg ZIP codes in their service area

About 217 Fredericksburg residents aged 65 or older have difficulty dressing or bathing (6.3%; 4.8% in Gillespie County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.

517 have serious difficulty walking or climbing stairs (15%), so many personal care visits also mean help getting to the bathroom or shower safely.

388 of the 3,653 older residents are 85 or older; needs for hands-on help rise with age.

Fredericksburg compared with Gillespie County and Texas

Census figure	Fredericksburg	Gillespie County	Texas
Residents 65+ with difficulty dressing or bathing	6.3%	4.8%	8.0%
Residents 65+ with serious difficulty walking	15%	13%	23%
Residents 85 or older	3.4%	3.4%	1.4%
Residents 65+ with a disability	25%	26%	35%
Residents 65+ in households who live alone	37%	25%	25%
Residents 65+ below the poverty line (approx.)	13%	12%	12%
Median income, households headed by someone 65+	$54,771	$65,909	—

Older residents in towns around Fredericksburg

Town	Distance	Residents 65+	Self-care difficulty (65+)
Kerrville, TX	22 mi	6,992	3.4%
Boerne, TX	34 mi	3,516	8.0%
Horseshoe Bay, TX	35 mi	2,338	4.1%
Llano, TX	36 mi	927	12%
Kingsland, TX	37 mi	2,058	9.6%
Granite Shoals, TX	38 mi	1,031	2.2%

Home health agencies with aides serving Fredericksburg

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adoration Home Health	San Antonio, TX	53 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 216-7111
Capitol Home Health	San Antonio, TX	54 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Christus Vna Homecare San Antonio	San Antonio, TX	54 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 785-5200
Peterson Home Care	Kerrville, TX	22 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 258-7400
Methodist Healthcare Hill Country Healthcare At Home	Fredericksburg, TX	1.1 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 997-1336

Straight-line miles from the center of Fredericksburg. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a personal care aide can help with

Bathing or showering, with a shower chair if needed
Dressing and undressing
Toileting and incontinence care
Grooming: hair, shaving and oral care

Cost

What personal care costs in Fredericksburg

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 $4,564 monthly median income of Fredericksburg 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 personal care aide

The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.

Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Personal Care in Fredericksburg: common questions

How much does personal care cost in Fredericksburg?

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 $4,564 monthly median income of Fredericksburg 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).

What is the difference between personal care and companion care?

Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.

More near Fredericksburg

More senior care near Fredericksburg

Personal Care in nearby cities

Other care in Fredericksburg

More for Fredericksburg 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.