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Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.

The 7 Best In-Home Care Agencies in Mission, TX

Few agencies are based in Mission, TX itself, so this list ranks the top-rated licensed in-home care agencies serving Mission, TX and the surrounding towns, ordered by the Care Close to Home Score. Each holds an active Texas Home and Community Support Services Agency (Personal Assistance Services) license and has at least 10 public reviews. Universal Provider Service ranks first with 4.9 stars from 106 reviews. Ask any agency to confirm it covers your address.

Updated November 2026 · Data: state license rosters, checked October 27, 2026 · How we list agencies

7 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Mission City Partner

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These are the top 7, ranked by the Care Close to Home Score. 51 other licensed agencies serve Mission, TX and are not listed. How we rank

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Cost of care in Texas

Median hourly rate$30
20 hrs / week$2,600/mo
40 hrs / week$5,200/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in Texas

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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Licensed in-home care in Mission, TX: how to compare agencies

We ranked the top seven in-home care agencies serving Mission, 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 51 licensed agencies serving Mission, 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 58 agencies on this list are based in 3 ZIP codes; the busiest are 78572 (47 agencies), 78574 (8 agencies) and 78573 (1 agency). If Mission has too few choices for your needs, the closest other cities we list are Palmview (14 agencies, about 3 miles away), Pharr (31 agencies, about 8 miles away) and Mcallen (80 agencies, about 9 miles away).

Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay

Aging at home in Mission

Mission is a Hidalgo County city of about 86,000 on the Rio Grande, known as the home of the Ruby Red grapefruit and the Texas Citrus Fiesta. The median age is just 34, yet the city also has a large seasonal retiree presence, with roughly 30 RV parks inside city limits that fill with Winter Texans from November through March. Families here often look for companionship, meals, and transportation help so a parent can stay in a familiar neighborhood close to relatives.

14% of residents are 65 or older. Source: 2020 Census, city of Mission (via Wikipedia).

Neighborhoods and nearby towns

In Mission, families ask about care in Shary Heights Historic District, Oblate Park Historic District, Sharyland and Historic downtown Mission.

Shary Heights Historic DistrictOblate Park Historic DistrictSharylandHistoric downtown Mission

Agencies listed here also commonly serve nearby McAllen, Palmhurst, Palmview, Alton, Edinburg and Pharr. Confirm each agency's service area before you sign.

Familiar places in Mission

Care that fits the routines of home often means getting to the places that matter: La Lomita Chapel, National Butterfly Center, Shary Heights Historic District, Speer Memorial Library and Texas Citrus Exchange.

Planning care in Mission

Summers in Mission are long and hot, so cooling, hydration, and keeping a parent out of afternoon heat are practical concerns, and the Rio Grande Valley sits in the Gulf hurricane region. Distances are manageable but most trips are by car, so transportation to appointments is a common need. Housing ranges from mid-century one-story ranch houses in Shary Heights to newer subdivisions and winter RV and park-model communities, which are mostly single level and friendly to walkers.

Local resources

Questions Mission families ask

How many licensed in-home care agencies are there in Mission?

The state roster dated October 27, 2026 lists 58 agencies in Mission with an active Texas license. Agencies based in nearby towns may also serve Mission.

How do I choose an in-home care agency in Mission?

Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.

How are these agencies ranked?

Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.

How do families pay for in-home care in Mission?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.

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