About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Find Home Care Agencies in Houston, TX

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In Houston, seniors can age safely at home with support from an in-home caregiver. The average hourly cost of home care in Houston is $28, though total costs vary based on care needs. Home care agencies can personalize care for each senior’s needs and work with your family’s schedule to provide the services you need. Services range from help with daily personal care tasks to skilled nursing. In this guide, you’ll find information about local costs, payment options, licensing and regulations, what questions to ask home care agencies, and reviews from families who have worked with Houston’s 494 home care agencies.

Home Care Agencies near Houston, TX

Showing 197 home care providers
Last Updated: 12/6/25
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1 review
Proficient, professional detail oriented staff. Great communication, Reliable and dependable. My care team has been Creative and supportive. I look forward to their arrival. I couldn’t be in better...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
Very reliable, starting care was a big decision for me but [name removed] made it easy. Very very friendly, care is so great. I have nothing to compare cost, but for the quality of care it seems reasonable....
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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2 reviews
The owners were exceptional and helped me out in a very difficult situation before we hired them . I talked to him on the phone to explain my situation and he showed up at the house within an hour .
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
The only thing that we did not like is they do not have an office, they work out of their home. But we did have a good experience with them, they were always very friendly and I would recommend them.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
1 review
I recently had the pleasure of visiting Clayton Assisted Living, and I was truly impressed by the exceptional care and warm atmosphere. As a family member of a resident, I was blown away by the dedication...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Company was definitely a big help to our family with the sudden death of my mom came right in and assisted with my dads needs and was not only caring but consoling to his emotional needs. Thanks for having...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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2 reviews
[name removed] is wonderful. She walked us through every step of the way and checks in with us often. She listened and understood her needs. She found someone who was perfect for my mom. We had gone through...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
Once in a while someone makes a significant impact in your life. My bride and I grew up together since the 3rd grade and going on 55 years married. A brittle diabetic for 52 yrs (adopted), had 2 brain...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
The reason I chose Right At Home south is as follows: I received number of phone calls from a variety of of companies that provide the service. A representative came to my house and I was impressed with a...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
12 reviews
Griswold Home Care provided excellent service for my wife who was suffering from congestive heart failure, stroke, and the onset of dementia. The caretaker assigned had performed all of her duties in a...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
GRISWOLD SPECIAL CARE is a non-medical home care company serving Houston and the surrounding communities. We refer Caregivers who provide care services in the client's home or facility of choice including personal care, homemaking, companionship, and other home care services in Houston, Texas and...
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4 reviews
They filed the paperwork with mom's long term insurance company for me. They set up all of the arrangements. Truly, I worried about nothing. They are in constant communication with me about issues they feel...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
What we like the most about BrightStart is the accessibility, care , flexibility , patience about my scheduling. Caregiver helpful & very good! Yes, we would recommend the community to other families based...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
Admin team is responsive and pleasant. Caregivers seem mixed is skill levels and customer service. Interview the proposed caregiver and keep doing so until you are pleased.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
Everyone we interacted with was professional and helpful, but it really wasn't a good fit for us. Their minimum weekly hours was really more than was necessary for us.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
Avid Health Care Solutions had caregivers staff that came to our house to care for my "late" husband during the last 7 months of his life. They helped feeding manually and also used the feeding tube for him....
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
3 reviews
Encore Caregivers helped us with my mom and they were great. They helped with her care and feeding and made sure she had her prescriptions correct. They were very caring and great to work with. I highly...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Serving Seniors Throughout the Greater Houston Area Hourly or Live-in Caregiver Services Respite, Long-term, and Post Surgical Care Trustworthy, Experienced, Competent, and Compassionate
1 review
We went with Karing and Passionate Home Care Services because of their swift response at the time, it was something we needed to get started quickly.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
1 review
My family was looking for in-home care for our loved one. We were referred to Homebridge Care and to make a long story short we were skeptical of course but the sincere professionalism and care received
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Knowledgeable and kind.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
We used home care services through Angels Over Us for my loved one and the experience was very good. Unfortunately, my loved one has passed away. However, I will be sure to call again if the need for home...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
We've appreciated the warmth and listening offered by staff, a good sense of reliability. It's frustrating that they cannot offer shifts shorter than four hours and sometimes it feels like the communication...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of St. James Home Care
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Bridge Solutions - Houston, TX
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.

Costs of home care in Houston, Texas

Average home care costs in Houston, TX

Average hourly rate
$28/hr
Average overnight rate
$24/hr
Average weekend rate
$26/hr

Home care costs vs. senior living costs in Houston, TX

44 hours of home care/wk
$5,335/mo
$5,126/mo

Home care costs in Houston vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Houston, TX$28$112$2,425$29,120
Texas$29$116$2,511$30,160
National$30$120$2,598$31,200
Houston, TX
Hourly cost:$28
Daily cost:$112
Monthly cost:$2,425
Annual cost:$29,120
Texas
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Houston.

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Paying for home care in Houston, Texas

Most seniors and families pay for home care through their personal funds. This is also known as private pay, and it can include retirement savings, personal income, a long-term care (LTC) insurance policy, health savings accounts (HSA), converting a life insurance policy, and more.

While this is a starting point, it isn’t necessarily the only option. Some veterans or spouses of veterans may qualify for benefits through the Department of Veterans Affairs (VA) that can help with the cost of home care. Additionally, some public pay resources could be available for eligible seniors, usually through Medicare or Medicaid.

Paying for home care
Get an overview of all payment options for home care.

VA home care benefits
See how VA benefits can help veterans and their spouses pay for home care.

Home care and LTC insurance
Learn how to use long-term care (LTC) insurance to cover home care costs.

Does Medicare pay for home care in Houston?

Yes, Medicare will pay for some home care services if they’re considered medically necessary. Medicare coverage for home health care services requires care to be prescribed by a doctor. Home care agencies must also be Medicare-certified for Medicare to pay for the cost of home care.[01]

Texas offers a Medicare savings program that can help eligible individuals pay for the following costs:[02]

  • Medicare premiums
  • Deductibles
  • Coinsurance fees

Does Medicaid pay for home care in Houston?

Yes, Medicaid helps pay for in-home care services as long as they’re deemed medically necessary by a doctor. However, Medicaid may only cover costs of nonmedical home care services if they’re part of a medical care plan.

In Texas, Medicaid is known as STAR+PLUS. STAR+PLUS offers the following long-term services and supports as part of their home and community based services (HCBS) waiver program for seniors living at home:[03]

  • In-home help with daily tasks
  • Home modifications for safety and ease of movement
  • Short-term respite care
  • Service coordination between family, caregivers, and medical team

Seniors can apply for STAR+PLUS online by visiting Your Texas Benefits or by calling 211. During the application process, seniors can find out if they’re eligible for the STAR+PLUS home and community based services program, also known as the STAR+PLUS Waiver.[03] This waiver helps seniors who need a high-level of care services stay in their homes rather than move to a nursing home.

Is there state assistance for home care in Houston?

Texas offers an additional state program for seniors aging at home. This can help supplement your loved one’s care. The Texas Community Care for Aged/Disabled (CCAD) offers the following:[04]

  • Homemaking services, such as help with errands, laundry, and housework
  • Personal care services, such as help with dressing
  • Meal delivery or meal preparation assistance
  • Adult day programs for social stimulation outside the home
  • Respite care for family caregivers
  • Adult family care for caregivers who share a home with their senior loved one
  • Case management from a licensed social worker
  • Personal emergency response system for emergency assistance

In Houston, seniors can apply for CCAD through the Harris County Area Agency on Aging office.

Houston seniors can also receive support and advocacy services through the following programs:

Where do I get information about veterans benefits in Houston?

The Department of Veterans Affairs (VA) offers benefits to eligible veterans, their spouses, and their dependents. We recommend working with benefits counselors to understand benefits your family may be eligible for, get help with the application process, and even appeal denied claims.

For benefits counseling or application assistance, the following organizations can help:

Many veterans or their families may not realize the full number of benefits they’re eligible for. The application process is often complicated, too. Benefits counseling from the VA or a vetted veterans service organization (VSO) can make this process easier, so reach out to one of the above offices in Houston for guidance.

What families are saying about home care in Houston

Recent reviews for home care in Houston

Home Helpers Home Care of Cypress, TX in Houston, TX

5.0
We use home care services through Home Helpers Home Care for my loved one and everything has been great for us so far. The friendliness and staff are great. The quality of care is great. Our experience and care has been awesome in every respect. I just wish that we could afford more hours and ...
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Sweet In-Home Care in Sugar Land, TX

5.0
If you let them know a couple of days ahead you have something scheduled and you need some extra hours of help, they will really come through. They have been very flexible with us and our schedules. I have had the same caregiver since we started, her name is [name removed] and she is heaven ...
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Synergy HomeCare - Northwest Houston

5.0
Last year one of our good friends needed more care then any of us would provide so we reached out to Synergy Homecare for help .From the initial phone call to the last day our friend said bye, Synergy Homecare was there . One thing that really stood out was everytime we called someone would ...
Read more

How to choose the right Houston home care agency

Hiring an in-home caregiver isn’t an easy task, but knowing what to look for in a home care agency can help. As you review Houston agencies, be sure to thoroughly research how the agencies hire their caregivers. Check whether the agency is licensed and accredited, and how care fees are assessed. Comparing home care agencies can help you understand which agency will be best for your loved one.

Budget and care needs are often the most critical criteria when deciding on a home care agency in Houston. If you or your loved one needs medical care, speak with their doctor and/or social worker to ensure the most complete picture of care needs. This will help you select the best home care agency for your family’s needs.

Licensure and accreditation

In Texas, home care agencies are licensed as home and community support services agencies (HCSSA). All HCSSAs need to be licensed, and requirements for licensing may vary depending on the care provided. If your loved one needs help with activities of daily living (ADLs) such as bathing, grooming, and dressing, you’d want to look for an HCSSA licensed agency to provide these nonmedical, personal assistance services.

To become licensed, a home care agency must complete the following steps:[05]

  • Complete computer-based training
  • Complete an application
  • Pay the licensing fee
  • Register and remain in good standing with the State Comptroller of Public Accounts and the Secretary of State of Texas
  • Receive approval from the licensure and certification unit

Home care agencies also need to become accredited. Accreditation is important as it signifies that a home care agency has been vetted and provides a high quality of care. Licensed HCSSA’s should be accredited by one of the following agencies:[05]

  • Community Health Accreditation Partner
  • The Joint Commission
  • Accreditation Commission for Health Care, Inc.

Texas maintains a list of HCSSA providers, which includes a directory and a list of HCSSA closures. When viewing the provider directory, you can see what the HCSSA is licensed to provide, as well as their current licensing status.

Hiring practices

Texas home care agencies that provide personal assistance services hold an HCSSA license. However, they aren’t required to hire caregivers that hold a specific license or certification. Caregivers can help with activities such as bathing or dressing, as long as they’ve demonstrated to the agency that they’re able to do so and have a high school diploma.[06] Some home care agencies, however, may wish to hire caregivers with proven experience or education. Check with prospective agencies on what kinds of certifications they require of their caregiving staff.

Home care agencies may differ in their hiring practices. Here are some questions you may want to ask a prospective home care agency:

  • Do you conduct background checks?
  • Do you require any certifications or training programs for caregivers?
  • Do you offer any on-the-job training?

Fees and minimums

Outside of an hourly rate, home care agencies in Houston may have additional fees or minimum requirements. You may want to ask the following questions:

  • Do you have an hourly minimum that caregivers need to work?
  • How do you charge for overnight or weekend care?
  • Do you charge for a care assessment or consultation?
  • Do you require a deposit for care services?
  • Is there a minimum age for seniors to receive care?

Other questions to ask Houston home care agencies

Ask these 10 questions to help you find the right home care agency.

References

  1. Medicare.gov. Home health services.

  2. Texas Health and Human Services. (2024, March 1). Appendix IX, Medicare savings program information.

  3. Texas Health and Human Services. (2024). STAR+PLUS.

  4. National Council on Aging. Benefits Checkup. Texas Community Care for Aged/Disabled (CCAD).

  5. Texas Health and Human Services. How to become a licensed HCSSA provider.

  6. Health and Human Services Commission. RULE §558.404 Standards Specific to Agencies Licensed to Provide Personal Assistance Services. Texas Administrative Code.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

Medicare.gov. Home health services.

2.

Texas Health and Human Services. (2024, March 1). Appendix IX, Medicare savings program information.

3.

Texas Health and Human Services. (2024). STAR+PLUS.

4.

National Council on Aging. Benefits Checkup. Texas Community Care for Aged/Disabled (CCAD).

5.

Texas Health and Human Services. How to become a licensed HCSSA provider.

6.

Health and Human Services Commission. RULE §558.404 Standards Specific to Agencies Licensed to Provide Personal Assistance Services. Texas Administrative Code.