In-Home Personal Care in Nacogdoches, TX

Local figures

Personal Care in Nacogdoches, TX: the local picture

8.4%

of residents 65+ have difficulty dressing or bathing (7.4% in Nacogdoches County)

18%

of residents 65+ have serious difficulty walking or climbing stairs (19% in Nacogdoches County)

516

residents 85 or older (1.6% of all residents)

26

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

About 334 Nacogdoches residents aged 65 or older have difficulty dressing or bathing (8.4%; 7.4% in Nacogdoches County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.

714 have serious difficulty walking or climbing stairs (18%), so many personal care visits also mean help getting to the bathroom or shower safely.

516 of the 4,195 older residents are 85 or older; needs for hands-on help rise with age.

Nacogdoches compared with Nacogdoches County and Texas

Census figure	Nacogdoches	Nacogdoches County	Texas
Residents 65+ with difficulty dressing or bathing	8.4%	7.4%	8.0%
Residents 65+ with serious difficulty walking	18%	19%	23%
Residents 85 or older	1.6%	1.4%	1.4%
Residents 65+ with a disability	34%	35%	35%
Residents 65+ in households who live alone	32%	27%	25%
Residents 65+ below the poverty line (approx.)	19%	12%	12%
Median income, households headed by someone 65+	$41,525	$52,436	—

Older residents in towns around Nacogdoches

Town	Distance	Residents 65+	Self-care difficulty (65+)
Lufkin, TX	21 mi	5,215	14%
Hudson, TX	22 mi	588	13%
Huntington, TX	23 mi	622	21%
Diboll, TX	30 mi	924	4.8%
Center, TX	30 mi	772	9.0%
Rusk, TX	32 mi	676	5.3%

Home health agencies with aides serving Nacogdoches

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Pasadena, TX	139 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 780-2390
Abundant Home Health LLC	Arlington, TX	163 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(817) 633-3152
Advantage Plus Homecare	Nacogdoches, TX	4.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 559-9480
Accentcare Home Health Of Texas	Nacogdoches, TX	7.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(936) 715-9625
Doctor's Choice Home Care	Lufkin, TX	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(833) 365-2464
Reliant At Home	Lufkin, TX	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 344-2821

Straight-line miles from the center of Nacogdoches. 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 Nacogdoches

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 29% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches: common questions

How much does personal care cost in Nacogdoches?

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 29% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches

More senior care near Nacogdoches

Personal Care in nearby cities

Other care in Nacogdoches

More for Nacogdoches 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.