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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 9 Best In-Home Care Agencies in Missouri City, TX

The 9 top-ranked in-home care agencies serving Missouri City, TX, 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. HomeWell Care Services ranks first with 5.0 stars from 72 reviews.

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

9 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
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Missouri City Partner

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These are the top 9, ranked by the Care Close to Home Score. 49 other licensed agencies serve Missouri City, 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 Missouri City, TX: how to compare agencies

We ranked the top nine in-home care agencies serving Missouri City, 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 49 licensed agencies serving Missouri City, 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 2 ZIP codes; the busiest are 77459 (42 agencies) and 77489 (16 agencies). If Missouri City has too few choices for your needs, the closest other cities we list are Fresno (6 agencies, about 4 miles away), Sugar Land (87 agencies, about 7 miles away) and Sugarland (18 agencies, about 7 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 Missouri City

Missouri City began as a railroad stop and grew into a Houston bedroom suburb of roughly 74,000 people. It has been a zoned city since 1981, so apartments and condos are uncommon and most seniors live in single-family homes, many in master-planned neighborhoods such as Quail Valley and Lakes of Brightwater. About 17 percent of residents are 65 or older, and many are longtime homeowners who raised families here in the 1980s. Aging in place is the default, and families often need help with housekeeping, meals, and rides.

17.2% of residents are 65 or older. Source: 2020 Census, city of Missouri City (via Wikipedia).

Neighborhoods and nearby towns

In Missouri City, families ask about care in Quail Valley, Lakes of Brightwater, Riverstone, Sienna Plantation, Olympia Estates and Lake Olympia.

Quail ValleyLakes of BrightwaterRiverstoneSienna PlantationOlympia EstatesLake Olympia

Agencies listed here also commonly serve nearby Sugar Land, Stafford, Houston, Arcola, Pearland and Richmond. Confirm each agency's service area before you sign.

Familiar places in Missouri City

Care that fits the routines of home often means getting to the places that matter: Freedom Tree Park, Missouri City Recreation and Tennis Center, Ridgeview Park, Quail Valley and Riverstone.

Planning care in Missouri City

The Houston area has long, humid summers and a hurricane and flood season, so families should plan for heat, power outages, and storm evacuations. Missouri City is car-dependent, with commutes along Highway 6 and US 59 toward Sugar Land and Houston that affect caregiver arrival times. Because zoning keeps most housing single-family, homes are typically one or two stories with garages and yards, and stairs in two-story houses are a frequent concern. The city's 20 developed parks and trail network offer easy outdoor time.

Local resources

Questions Missouri City families ask

How many licensed in-home care agencies are there in Missouri City?

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

How do I choose an in-home care agency in Missouri City?

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 Missouri City?

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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