Home Health Care in Texas

What home health agencies in Texas provide

Home Health Care in Texas provide skilled nursing visits, physical and occupational therapy, and aide support delivered in the senior's own home. We track 57 home health agencies statewide, alongside 2,691 other providers — nursing homes, assisted living, memory care, hospice and home health — that families often compare before deciding.

Home health agencies in Texas are Medicare-certified and rated on quality of patient care and patient survey results. They are often the least expensive way to delay a move into one of the state's 1,167 nursing homes, provided the senior is safe at home between visits.

Typical pricing for home health agencies in Texas runs $5,200 to $6,800 per month. Medicare-covered skilled visits are free to the patient; the range above reflects private-pay around-the-clock aide coverage. Expect the higher end of that range in Houston and other high-cost metros, and the lower end in rural counties.

How to choose a home health agency in Texas

With 57 home health agencies in Texas, families need a repeatable way to narrow the list. These six steps work in any county.

• 1. Check the government inspection reports first

  Every Clear Care Connect profile shows the real CMS inspection record — deficiencies cited, their scope and severity, and how fast they were corrected. Read that before any brochure.

• 2. Compare star ratings across a shortlist, not in isolation

  A three-star facility reads differently next to the Texas average of 2.77. Line up four or five home health agencies side by side instead of judging one alone.

• 3. Visit at least three facilities, including one unannounced

  Tour options in Houston plus one nearby community, then drop in once outside tour hours to see normal staffing and resident engagement.

• 4. Ask about staff-to-resident ratios and turnover

  Ask for nursing hours per resident per day and annual turnover in writing. High turnover is the strongest predictor of inconsistent care in Texas facilities.

• 5. Understand exactly what the monthly price includes

  Get the base rate, care-level surcharges, medication fees and past annual increases. Two Texas communities quoting the same headline number can differ by thousands once care tiers apply.

• 6. Read the most recent inspection findings, not just the score

  One old citation matters far less than a repeated pattern. Clear Care Connect publishes the full history so you can compare Texas providers on that record in one place.

Top cities for home health agencies in Texas

Senior care in Texas clusters around its largest population centers. These 8 cities hold the highest concentration of home health agencies statewide, and each links to a local directory with ratings and costs.

• Houston — 521 facilities, 57 of them home health agencies, averaging 2.3 CMS stars.
• Houston — 213 facilities, 0 of them home health agencies, averaging 3.2 CMS stars.
• San Antonio — 183 facilities, 0 of them home health agencies, averaging 2.6 CMS stars.
• Dallas — 75 facilities, 0 of them home health agencies, averaging 3.0 CMS stars.
• Austin — 41 facilities, 0 of them home health agencies, averaging 2.6 CMS stars.
• Fort Worth — 37 facilities, 0 of them home health agencies, averaging 3.0 CMS stars.
• El Paso — 37 facilities, 0 of them home health agencies, averaging 1.9 CMS stars.
• Plano — 30 facilities, 0 of them home health agencies, averaging 3.0 CMS stars.

Understanding CMS ratings for home health agencies in Texas

The Centers for Medicare & Medicaid Services scores certified facilities from one to five stars using three inputs: on-site health inspections, payroll-reported staffing levels, and clinical quality measures. Five stars means much above average within that state's peer group; one star means much below.

In Texas, 1,166 of the 2,748 providers we track carry a published CMS rating, and 378 — roughly 32% — hold four or five stars. The statewide average is 2.77 stars. That average is below the national midpoint, which makes checking each facility's individual inspection record especially important.

Weight the health inspection component most heavily: it is the only piece built from unannounced on-site visits by state surveyors. Staffing is the next best signal, and quality measures are partly self-reported. Clear Care Connect shows all three sub-scores, the inspection date and any penalties on every Texas profile.

Home Health Care costs in Texas

Home Health Care in Texas typically runs $5,200 to $6,800 per month. Medicare-covered skilled visits are free to the patient; the range above reflects private-pay around-the-clock aide coverage. Pricing tracks local housing and wage costs closely, so expect Houston to price above the Texas median while rural counties come in below it.

For comparison, Texas families budget $7,900–$11,200 a month for a nursing home, $4,500–$7,500 for assisted living, $6,000–$9,000 for memory care, and little to nothing for Medicare-covered home health or hospice. Clear Care Connect publishes an estimated monthly range on each facility page so you can sanity-check any quote.

Frequently asked questions

Ready to find the right home health agency in Texas?

Clear Care Connect shows real government inspection data, CMS star ratings and cost information for all 57 home health agencies in Texas. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.

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