In terms of housing, Houston was rated the second-best in the state by Caring’s Senior Living Report. An estimated 77.8% of properties in the city are easily accessible to seniors thanks to entryways without steps. Health care prices in the city are below the national average and there are many hospitals serving Houston residents, including the Houston Methodist Hospital, the Baylor St. Luke’s Medical Center and the Memorial Hermann Hospital.

The average monthly price of $4,576 in Houston is the same for both home care and home health care. Both provider types assist seniors with activities of daily living. However, home health care aides can also help seniors manage medical conditions such as diabetes.

Below we’ve compiled a comprehensive directory of every home care provider in the Houston area – complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in Houston, TX

2019, 2020, 2021, 2022

Right at Home Northwest Houston

9538 Huffmeister Rd, Houston, TX, 77095

The caregivers are qualified and they do a good job. The caregivers are good and they follow up.
The caregivers are qualified and they do a good job. The caregivers are good and they follow up.

2017, 2018, 2019, 2021, 2022

Right at Home Galveston

‌1409 39th St, Galveston, TX, 77550

They provide my care needs. They seem to be reliable and the caregiver and they seem to be competent.
They provide my care needs. They seem to be reliable and the caregiver and they seem to be competent.

2020, 2021, 2022

At Your Side Home Care – The Woodlands, TX

10200 Grogan’s Mill Rd # 360, The Woodlands, TX, 77380

Our company missions is to Improve the Quality of Life and Level of Independence for every Client and Family receiving our services. Our philosophy is simple – Live Your Best Lift Possible. <p></p> … (read more)
Our company missions is to Improve the Quality of Life and Level of Independence for every Client and Family receiving our services. Our philosophy is simple – Live Your Best Lift Possible. <p></p> … (read more)

2017, 2021, 2022

Life Foundation Home Care

12808 W Airport Blvd, Ste 260L , Sugar Land, TX, 77478

Finding the appropriate home care for your loved ones can be stressful, at Life Foundation Home Care, our award winning team of home care professionals works with the clients to assess their home care … (read more)
Finding the appropriate home care for your loved ones can be stressful, at Life Foundation Home Care, our award winning team of home care professionals works with the clients to assess their home care … (read more)

2017

Right at Home Kingwood

1214 Stonehollow Drive, Suite A, Kingwood, TX, 77339

She is very helpful. They do light cleaning, and she offered to fix meals. They help moving things for me. They work with the VA and got me services quickly.
She is very helpful. They do light cleaning, and she offered to fix meals. They help moving things for me. They work with the VA and got me services quickly.

2022

Home Instead West and Southwest Houston

11201 Richmond Ave, Suite A110, Houston, TX, 77082

Home Instead were life savers in making sure our uncle had eyes on him in the hospital while we were taking care of our aunt &amp; trying to furnish a memory care room for him. The sitters reported o … (read more)
Home Instead were life savers in making sure our uncle had eyes on him in the hospital while we were taking care of our aunt &amp; trying to furnish a memory care room for him. The sitters reported o … (read more)

2019, 2020, 2022

Right at Home West Houston and Sugar Land

12808 West Airport Blvd., Suite 316, Sugar Land, TX, 77478

It helps me a lot. I was able to get a very good person.
It helps me a lot. I was able to get a very good person.

2019, 2020, 2022

Home Instead – Houston Northwest, TX

13105 Northwest Fwy, Suite 103, Houston, TX, 77040

The server for "Home Instead" is very punctual and her service is outstanding. She is very attentive to all our needs and requires very little supervision in taking care of us.
The server for "Home Instead" is very punctual and her service is outstanding. She is very attentive to all our needs and requires very little supervision in taking care of us.


Home Instead of Houston – Serving Bellaire, Missouri City, and Sugar Land TX

8313 Southwest Fwy, Suite 705 , Houston, TX, 77074

My friend has been using Home Instead for about five months now. I’ve been very satisfied with the service of the caregivers and the reliability of the staff, professionalism, and friendliness. I have … (read more)
My friend has been using Home Instead for about five months now. I’ve been very satisfied with the service of the caregivers and the reliability of the staff, professionalism, and friendliness. I have … (read more)

Angels Over Us, LLC

8323 Southwest Fwy, Suite 561, Houston, TX, 77074

They have found good people for me. I like that the agency is very friendly.
They have found good people for me. I like that the agency is very friendly.

Kindred at Home – Personal Home Care Assistance – Houston, TX

2600 S. Gessner Road, Suite 320, Houston, TX, 77063

I have a caregiver from Kindred at Home and I like her. She is a really nice, concerned person. She takes time with you and observe you and she pays attention to what your needs are and I like that ab … (read more)
I have a caregiver from Kindred at Home and I like her. She is a really nice, concerned person. She takes time with you and observe you and she pays attention to what your needs are and I like that ab … (read more)

Always Best Care of Spring & Tomball

20038 Castlegreen Drive, Spring, TX, 77388

Wire hired Always Best Care of Spring &amp; Tomball to help me. They mainly provide assistance with light housekeeping and very minimal help with meal preparation. I hired this agency because they wer … (read more)
Wire hired Always Best Care of Spring &amp; Tomball to help me. They mainly provide assistance with light housekeeping and very minimal help with meal preparation. I hired this agency because they wer … (read more)

Always Best Care of Fort Bend

Three Sugar Creek Center Blvd, Suite 100, Sugar Land, TX, 77478

I hired Always Best Care of Fort Bend because they’re the ones close to me. They’re the ones who responded to me quickly, and they have a good offer. Their work is very good, so my wife is also happy … (read more)
I hired Always Best Care of Fort Bend because they’re the ones close to me. They’re the ones who responded to me quickly, and they have a good offer. Their work is very good, so my wife is also happy … (read more)

Always Best Care of West Houston

9225 Katy Freeway, Suite 112, Houston, TX, 77024

Karena, Roxane and the team of Always Best Care, provide excellent service in a time where quality care is hard to find. I would highly recommend their service if you have a loved one who needs person … (read more)
Karena, Roxane and the team of Always Best Care, provide excellent service in a time where quality care is hard to find. I would highly recommend their service if you have a loved one who needs person … (read more)

SYNERGY HomeCare of Houston

1225 N. Loop West Suite #322, Houston, TX, 77008

Synergy Home Care came to my home to assist with light housekeeping and meal preparation. Brittany was very attentive to all my needs before I moved. The office staff were a joy to deal with.
Synergy Home Care came to my home to assist with light housekeeping and meal preparation. Brittany was very attentive to all my needs before I moved. The office staff were a joy to deal with.

SYNERGY HomeCare North Houston

14425 Torrey Chase Blvd, Houston, TX, 77014

Ms. Margaret and others at Synergy have been most helpful and caring. The caregivers they furnished have been efficient and also caring.
Ms. Margaret and others at Synergy have been most helpful and caring. The caregivers they furnished have been efficient and also caring.

Godly Hearts Home Healthcare Agency

2720 Holly Hall St, Unit C, Houston, TX, 77069

I would like to mention the great service I received from Godly Hearts Home Health Services while recovering from brain surgery. Becky the manager has been always available to speak with me and very … (read more)
I would like to mention the great service I received from Godly Hearts Home Health Services while recovering from brain surgery. Becky the manager has been always available to speak with me and very … (read more)

Platinum Senior Care Solutions – Sugar Land, TX

77 Sugar Creek Center Blvd, Suite 600 , Sugar Land, TX, 77478

I hired Platinum Senior Care for my husband. They come four hours a day and three days a week. No medication help, but they help with bathing, and they help watch him when he is moving around. Staffin … (read more)
I hired Platinum Senior Care for my husband. They come four hours a day and three days a week. No medication help, but they help with bathing, and they help watch him when he is moving around. Staffin … (read more)

Homewatch CareGivers of Cypress & NW Houston

7171 Hwy 6 N Suite 201 , Houston, TX, 77095

Providing premier in-home care services with our professionally trained caregivers backed by over 30 years of in-field experience, Homewatch CareGivers is recognized as a home care leader worldwide. O … (read more)
Providing premier in-home care services with our professionally trained caregivers backed by over 30 years of in-field experience, Homewatch CareGivers is recognized as a home care leader worldwide. O … (read more)

Paying for Home Care in Houston, TX

The Cost of Home Care in Houston, TX

The average Houston home care rate of $4,576 is equal to the Texas norm and substantially lower than the national median of $4,957. Home care agencies in Houston are a couple of hundred dollars more expensive than in the nearby cities of Victoria ($4,338) and Beaumont ($4,385). Older adults in College Station pay $147 less for their in-home care than seniors in Houston. The average monthly home care rate of $5,196 in Austin is significantly higher than in Houston.

$4576

Houston

$4576

Texas

$4957

The United States

$4429

College Station

$5196

Austin

$4338

Victoria

$4385

Beaumont

The Cost of Home Care vs. Other Senior Care Options in Houston, TX

Home and home health care agencies provide similar services, such as housekeeping and personal grooming, with the latter also offering limited medical care delivered by registered nurses or therapists. However, the average fees for both services are identical at $4,290 per month. Adult day health services in local centers are the most affordable, at $1,138, while assisted living is the least costly option that Houston seniors pay the same average rate of $4,576 for home care and in-home health care. However, home health aides are usually trained to also provide medical monitoring services along with personal care services. Adult day health care is the cheapest senior care option in the city, at a median cost of $1,099. Older Houston residents can also opt for residential care in an assisted living facility, at an average cost of $4,245. Nursing home care is the most expensive in the area, at $5,262  per month.

$4576

Home Care

$4576

Home Health Care

$1099

Adult Day Health Care

$4245

Assisted Living

$5262

Nursing Home Care (semiprivate room)

Financial Assistance for Home Care in Houston, TX

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Free & Low-Cost Home Care Resources in Houston, TX

Houston’s seniors can access numerous programs aimed at helping them age safely and comfortably within their own homes. The following list includes samples of what’s available in Harris County and Texas. They can help seniors struggling with some daily tasks get fresh meals daily, others facing excessive energy costs reduce their bills and those who own their homes benefit from some tax exemptions.

Resource

Contact 

Service

(832) 393-4301

Houston Health Department Senior Services is the local area agency on aging for seniors in the city. Older adults can get in touch with the resource center for benefits counseling, health promotion services and home-delivered meals. The agency can also help seniors locate other local programs they might benefit from via its information and assistance line. 

(832) 394-6200



For seniors aged 62 or older, the Home Repair Program can cover the cost of minor home improvement projects. Eligibility for assistance is based on income. In some cases, the city might pay for a full rebuild of the applicant’s house. 

211



The Weatherization Assistance Program is a free, federally funded initiative to help low-income people reduce their energy spending. Seniors eligible for weatherization may benefit from home repairs including wall insulation and installation of energy-efficient appliances. 

(713) 590-2327

Low-income seniors in Houston can receive help with the cost of their gas, water and electricity bills with this program. The Utility Assistance Program gets funding from the federal government and it’s delivered locally by BakerRipley. 

(832) 504-6324



YWCA Houston is one of the largest Meals on Wheels providers in the city. Seniors aged 60 and above can request food delivery if they’re homebound, or join their nearest congregate meal sites. The nonprofit delivers to over 300,000 eligible older adults in Houston. 

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Checklist for determining the need for home care

Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.  

Talking with Family and Others about a loved one's needs

Frequently Asked Questions


What types of services can a home care agency in Houston provide?


Home care agencies offer a variety of services tailored to the client’s needs. Seniors may get help with activities of daily living (ADLs) such as mobility, bathing and grooming. In-home caregivers can drive seniors to medical appointments and to grocery shops. Care agencies often list light housekeeping and meal preparation as services they provide. 


How can I find home care agencies near me with availability?


Seniors can get a list of in-home care agencies operating in the city of Houston by searching Caring’s complete directory. Each listing contains a list of services available and reviews left by previous customers. Older adults can get in touch with individual companies and ask about their availability. 


What is the average cost for in-home elderly care in Houston?


Seniors in Houston should budget $4,576 each month for their in-home care, per the Genworth Cost of Care 2021 Survey. This median cost is calculated based on a senior receiving 44 hours of care per week, meaning the average hourly rate is $24.


Who is eligible for the veterans home care program?


Homebound seniors who are already receiving VA pensions may also qualify for the Aid and Attendance benefit, more commonly known as the Veterans Home Care Program. To be eligible, seniors must require help with day-to-day tasks, have reduced vision or be bed bound due to illness.


Assisted living homes vs. home care: How to decide


Both assisted living communities and home care agencies provide mild to moderate levels of care for older adults. The main difference is that assisted living facilities are residential and seniors need to move out of their homes. Assisted living facilities offer the benefits of living in a community setting, while home care is more convenient for aging in place. In terms of pricing, home care in Houston is a few hundred dollars more expensive than assisted living, on average.