The 9 Best In-Home Care Agencies in Fresno, TX

We ranked the top nine in-home care agencies serving Fresno, TX. Every one holds an active Texas Home and Community Support Services Agency (Personal Assistance Services) license in the Texas Health and Human Services Commission public roster dated October 27, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 0 licensed agencies serving Fresno, TX are not listed here.

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 6 agencies on this list are based in 1 ZIP code; the busiest are 77545 (6 agencies). If Fresno has too few choices for your needs, the closest other cities we list are Missouri City (58 agencies, about 4 miles away), Rosharon (8 agencies, about 5 miles away) and Manvel (8 agencies, about 6 miles away).