Caring’s 2021 Senior Living Report includes Houston in the top 20 best places to retire in Texas. Seniors who make it their home find a vibrant and culturally diverse city teeming with entertainment venues that regularly host concerts and shows involving local and international talent. The 2020 Genworth Cost of Care Survey reveals the typical monthly fee for home care services in Houston to be $4,290, which is $95 per month more than the Texas average of $4,195. Although home care is similar to home health care, the latter also provides basic medical care — which is another of the city’s attractions, boasting many nationally ranked medical facilities, such as the Houston Methodist Hospital

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

They are there and everyone they have sent, he has liked. I like that they are very responsive.
They are there and everyone they have sent, he has liked. I like that they are very responsive.

2017, 2018, 2019, 2021, 2022

Right at Home Galveston

‌1409 39th St, Galveston, TX, 77550

It’s had a great impact. We actually don’t have someone today, and I am missing it. The caregivers have helped the most by just taking care of the client so that I can work. I like that they are nic … (read more)
It’s had a great impact. We actually don’t have someone today, and I am missing it. The caregivers have helped the most by just taking care of the client so that I can work. I like that they are nic … (read more)

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

They care about how my sister is doing. I like that they keep us informed of what is going on and all the caregivers have been nice and easy to work with.
They care about how my sister is doing. I like that they keep us informed of what is going on and all the caregivers have been nice and easy to work with.

2022

Home Instead West and Southwest Houston

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

Used Home Instead to care for my elderly father after knee replacement surgery. The care giver Carol was great. She was always prompt and entered with a smile. She was very helpful and always asked … (read more)
Used Home Instead to care for my elderly father after knee replacement surgery. The care giver Carol was great. She was always prompt and entered with a smile. She was very helpful and always asked … (read more)

2019, 2020, 2022

Right at Home West Houston and Sugar Land

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

They are very pleasant to be around. The people who come are good.
They are very pleasant to be around. The people who come are good.

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.

2018

Senior Helpers of North and South Houston

11106 Bammel N Houston Rd Ste. A, Suite 390, Houston, TX, 77066

We used Senior Helpers for my mom. It was easy and simple. They were able to work with me on the hours that we needed for my mom. All in all, it was all pretty good. The lady who ended up coming to vi … (read more)
We used Senior Helpers for my mom. It was easy and simple. They were able to work with me on the hours that we needed for my mom. All in all, it was all pretty good. The lady who ended up coming to vi … (read more)

2021

Home Instead – Houston Central, Medical Center, TX

2656 S Loop W Fwy, Suite 565, Houston, TX, 77054

Home Instead currently serves my mother-in-law and they have worked diligently to find caregivers that best fit her needs and personality. They are always responsive to our requests and are sincer … (read more)
Home Instead currently serves my mother-in-law and they have worked diligently to find caregivers that best fit her needs and personality. They are always responsive to our requests and are sincer … (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

We’re using Kindred at Home. We’re with them for two weeks now. The caregiver’s name is Aileen. She’s been punctual, she keeps Mom very busy, she helps her around the house, and they’ve run errands to … (read more)
We’re using Kindred at Home. We’re with them for two weeks now. The caregiver’s name is Aileen. She’s been punctual, she keeps Mom very busy, she helps her around the house, and they’ve run errands to … (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)

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

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

Home Instead allows me to continue to work full time and have my mom in my home where she is safe and cared for. Here caregiver is very reliable and always alert to her varied needs. She is very frien … (read more)
Home Instead allows me to continue to work full time and have my mom in my home where she is safe and cared for. Here caregiver is very reliable and always alert to her varied needs. She is very frien … (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.

PamCare – Sugar Land, TX

1811 Rippling Water Ct., Sugar Land, TX, 77479

I’ve been searching for routine daily care for my mother who is 86 years young. I received high recommendations from Pamcare and decided to set up a free consultation in my mothers home. I was immed … (read more)
I’ve been searching for routine daily care for my mother who is 86 years young. I received high recommendations from Pamcare and decided to set up a free consultation in my mothers home. I was immed … (read more)

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)

Paying for Home Care in Houston, TX

The Cost of Home Care in Houston, TX

The results of the 2020 Genworth Cost of Care Survey show Houston’s average costs of $4,290 to be above the state average, but below the national mean of $4,481. When compared to the nearest cities included in the survey, Houston is more costly than Beaumont’s $3,623 average fees and College Station’s $4,195. However, the city’s seniors typically save $95 per month — or $1,140 per year — when compared to Austin’s typical home care costs of $4,385.

$4290

Houston

$4195

Texas

$4481

United States

$3623

Beaumont

$4195

College Station

$4385

Austin

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 includes accommodation with care services at $4,750. Due to the intensive levels of care provided with accommodation, nursing homes typically have the highest fees, which in Houston average at $5,627 per month.

$4290

Home Care

$4290

Home Health Care

$1138

Adult Day Health

$4750

Assisted Living

$5627

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

(713) 533-4978

Interfaith Ministries for Greater Houston delivers nutritionally balanced meals five times per week to seniors throughout Harris County unable to make their own or have someone cook for them. All meals are prepared on the day of delivery and frequently cater to specific dietary requirements. The nonprofit can deliver meals on weekends for particularly vulnerable seniors, in addition to breakfasts for the entire week. Interfaith Ministries also delivers food for pets.

(512) 475-3800

Houston residents aged 60 and over with incomes on or below the federal poverty guidelines for their household size can apply for support from the Texas Weatherization Assistance Program. For 2021, the poverty guideline for a one-person household, before taxes, is $19,320 per year. The program's purpose is to reduce seniors' energy bills by making their homes more energy-efficient. Based on the results of the home's audit, this may mean insulating walls, crawl spaces, and attics, replacing irreparable doors and windows and fixing faulty boilers and furnaces.

(832) 927-4957

Harris County residents aged 62 and older can get help from the Home Repair Program if they are unable to cover repair costs from their own funds. To be eligible, their countable assets, as of 2021, should not exceed $40,000 and annual income be no more than 80% of the Texas median income — in the case of major repairs — and 50% — for minor repairs. Work can be funded by low-interest loans or grants, depending on the applicant's level of income.

(713) 957-7800

There are several tax exemptions available to seniors who own the homes in Harris County in which they reside. For example, those aged 65 and older receive the school district exemption of $10,000 automatically. Also, their school taxes won't increase unless their home is modified. There's an optional 20% exemption for all homeowners too, and veterans registered 100% disabled because of their military service can claim 100% tax exemption on their homes.

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 should I look for in a good home care agency near me in Houston?


The first task before comparing home care agencies in Houston is to write a list of the services needed. Each agency is unique, with some offering more comprehensive care than others. The next step is to ensure the agencies on your shortlist are licensed and certified to offer home care services in Houston by checking their status with the Texas Health and Human Services Department.

Once you’re satisfied, read reviews by current and past customers on Caring.com as these will give you a feel for the agency’s approach to care and customer service. When you make a call, be sure to ask lots of questions, particularly relating to staff recruitment and training policies. Does the agency conduct comprehensive background checks? Is training ongoing — keeping up with industry improvements and regulatory changes?


What is the difference between in-home care and home health care?


Agencies offering home and home health care services share some similarities. The former’s services can include something as basic as companionship, with the caregiver escorting the senior during grocery trips, for example. However, it more commonly involves care inside the home too, such as making meals, basic housekeeping and personal grooming, which often includes dressing and bathing. Home health care agencies additionally provide some medical services that can be delivered in the home, such as intravenous injections and physical therapies.


How do you pay for senior care at home?


Private pay is the most common method and usually involves the senior using their savings and liquidizing their assets to meet home care fees. Seniors on low incomes who are eligible for Medicaid can apply for support from the program. U.S. military veterans who qualify for the VA pension may be able to apply for a Housebound Allowance. Due to the complex rules surrounding the application, it may be beneficial to get help from a free nonprofit service that aids veterans, such as VeteranAid.org.


What is in-home respite care?


In-home respite care is support provided within the senior’s home by a qualified caregiver. Houston’s Home Health Department manages a Caregiver Support Program, which, in addition to providing caregivers with information and advice about their roles, can also supply, on a temporary basis, in-home respite care. The purpose of the service is to give unpaid caregivers the opportunity to catch up on aspects of their own lives they may be neglecting because of their caregiving duties.


Assisted living homes vs. home care: How to decide


The decision is likely to come down to whether the senior considers living in an assisted living facility more enjoyable than living at home. This is because both options provide basically the same services, such as caregivers managing medications and providing housekeeping and personal grooming services. Living at home enables the senior to enjoy home comforts with regular visits from caregivers, while assisted living allows for 24/7 care and socializing daily with other seniors.