16 in-home care agencies serving Abilene, TX hold an active Texas Home and Community Support Services Agency (Personal Assistance Services) license, as listed in the Texas Health and Human Services Commission public roster dated October 27, 2026. They are shown in alphabetical order. We do not rank them, because no fair public quality data exists for in-home care agencies and we will not invent a score.
In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.
In Texas, the median rate for in-home care is $30 an hour, about $2,600 a month for 20 hours a week (CareScout 2025).
The 16 agencies on this list are based in 5 ZIP codes; the busiest are 79602 (5 agencies), 79605 (2 agencies) and 79606 (1 agency). If Abilene has too few choices for your needs, the closest other cities we list are San Angelo (11 agencies, about 54 miles away), Brownwood (1 agency, about 94 miles away) and Midland (9 agencies, about 103 miles away).