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Home care · ZIP 78861

4 home care agencies near ZIP 78861

Agencies the state shows as licensed, registered or certified on Texas’s list with an office in your county or within about 15 miles. Many agencies travel farther, so call to ask.

Many of these agencies also provide licensed home health care.

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Type of help

Agencies near ZIP 78861

Nearest first by straight-line distance between ZIP centers, not ranked. Listing here is not an endorsement.

Showing all 4 agencies

About this list

  • Texas lists its license as active.
  • Medicare doesn't rate home care agencies.
  • About Texas's list: Many of these agencies also provide licensed home health care.
  • Tri County Home Health

    Hondo, TX · Under a mile away

    Texas lists its license as active. Medicare doesn't rate home care agencies.

    • ✓In its favor: License active on the state's listExpires Mar 31, 2028.
    • ⚠Worth asking about: About Texas's list
    Call (830) 278-3391 to reach Tri County Home Health
    See the details for Tri County Home Health
    • License typeHome care agency (personal care)License 018823
    • State statusLicensed by the stateFrom the state's own list
    • ExpiresMar 31, 2028As listed by the state

    Services

    • Licensed and Certified Home Health Services
    • Licensed Home Health Services
    • Personal Assistance Services

    See full details for Tri County Home Health

  • Adventia Healthcare Associates, Inc

    Castroville, TX · About 16 miles away

    In your county

    Texas lists its license as active. Medicare doesn't rate home care agencies.

    • ✓In its favor: License active on the state's listExpires Nov 30, 2028.
    • ⚠Worth asking about: About Texas's list
    Call (830) 538-5050 to reach Adventia Healthcare Associates, Inc
    See the details for Adventia Healthcare Associates, Inc
    • License typeHome care agency (personal care)License 012460
    • State statusLicensed by the stateFrom the state's own list
    • ExpiresNov 30, 2028As listed by the state

    Services

    • Licensed and Certified Home Health Services
    • Licensed Home Health Services
    • Personal Assistance Services

    See full details for Adventia Healthcare Associates, Inc

  • Home Instead of Castroville

    Castroville, TX · About 16 miles away

    In your county

    Texas lists its license as active. Medicare doesn't rate home care agencies.

    • ✓In its favor: License active on the state's listExpires Sep 17, 2027.
    • ⚠Worth asking about: About Texas's list
    Call (210) 827-8628 to reach Home Instead of Castroville
    See the details for Home Instead of Castroville
    • License typeHome care agency (personal care)License 023498
    • State statusLicensed by the stateFrom the state's own list
    • ExpiresSep 17, 2027As listed by the state

    Services

    • Personal Assistance Services

    See full details for Home Instead of Castroville

  • Texas Caregivers Inc

    Castroville, TX · About 16 miles away

    In your county

    Texas lists its license as active. Medicare doesn't rate home care agencies.

    • ✓In its favor: License active on the state's listExpires Oct 14, 2027.
    • ⚠Worth asking about: About Texas's list
    Call (619) 867-4574 to reach Texas Caregivers Inc
    See the details for Texas Caregivers Inc
    • License typeHome care agency (personal care)License 023571
    • State statusLicensed by the stateFrom the state's own list
    • ExpiresOct 14, 2027As listed by the state

    Services

    • Personal Assistance Services

    See full details for Texas Caregivers Inc

How to choose

  1. Check the state still lists the agency as licensed or registered — the source link on each listing goes to the state's own record.
  2. Call two or three agencies and ask the same questions, so you can compare answers.
  3. Ask for the price in writing. Rates vary a lot and we don't publish them.
  4. Medicare doesn't pay for home care on its own. Long-term care insurance, Medicaid waivers or VA benefits sometimes do.

Questions to ask a home care agency

  • Do you run criminal background checks on every caregiver?
  • What training do caregivers get, and who supervises them?
  • Are caregivers your employees, and are you insured and bonded?
  • Is there a minimum number of hours per visit or per week?
  • What is your hourly rate, and what changes it (nights, weekends, two people)?
  • What happens if our regular caregiver is sick or doesn't show up?

Independent and free

PlanScout is not paid by any agency and nothing here is paid placement. States publish no ratings for home care agencies, so we show none.

How to choose

  1. Check the state still lists the agency as licensed or registered — the source link on each listing goes to the state's own record.
  2. Call two or three agencies and ask the same questions, so you can compare answers.
  3. Ask for the price in writing. Rates vary a lot and we don't publish them.
  4. Medicare doesn't pay for home care on its own. Long-term care insurance, Medicaid waivers or VA benefits sometimes do.

Questions to ask a home care agency

  • Do you run criminal background checks on every caregiver?
  • What training do caregivers get, and who supervises them?
  • Are caregivers your employees, and are you insured and bonded?
  • Is there a minimum number of hours per visit or per week?
  • What is your hourly rate, and what changes it (nights, weekends, two people)?
  • What happens if our regular caregiver is sick or doesn't show up?

Independent and free

PlanScout is not paid by any agency and nothing here is paid placement. States publish no ratings for home care agencies, so we show none.

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What home care is

Non-medical help at home: bathing, dressing, meals, light housework, errands and companionship. Families usually pay for it themselves.

Not the same as home health

Skilled nursing or therapy a doctor orders is home health, which Medicare can cover. Find home health agencies →

What a state license means

The state says the agency met its rules to operate. It is not a rating — states publish no quality scores or prices for home care.

2 more agencies nearby are on the state’s list with an expired, pending or closed status. Show them, labelled

Local pay and Medicare payment figures for ZIP 78861

What aides are paid near you

Typical hourly wage for home health and personal care aides near you
$12.48 an hour
San Antonio-New Braunfels, TX metro area, May 2025
Middle half of aides earn $11.02 to $13.31 an hour

This is what aides are paid, from the U.S. Bureau of Labor Statistics. It is not what an agency charges. Agencies charge more than the wage to cover payroll taxes, insurance, training, scheduling and their own costs, so ask any agency for its rates.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025; retrieved 2026-10-08.

Other care worker wages
Nursing assistants
$17.69 an hour
Licensed practical nurses
$29.94 an hour

Median hourly wages in the same area and period.

Source: Texas Health and Human Services Commission, HCSSA license with Personal Assistance Services list (active licenses as of 10/08/2026), retrieved 2026-10-09. States publish no ratings or prices for home care agencies, so we show none. PlanScout is independent and not paid by any agency.

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