#1
Homewell Care Services
11104 West Airport Blvd #148, Stafford, TX 77477
★★★★★ 5.0 from 72 Google reviews · Licensed in Texas
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
The 9 top-ranked in-home care agencies serving Richmond, 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

One agency per city and care type can hold this space, with photos, their story and a consultation form. It doesn't affect the rankings below.
#1
11104 West Airport Blvd #148, Stafford, TX 77477
★★★★★ 5.0 from 72 Google reviews · Licensed in Texas
#2
11201 Richmond Ave Bldg A Suite 110, Houston, TX 77082
★★★★½ 4.9 from 87 Google reviews · Licensed in Texas
#3
12808 W Airport Blvd, Ste 260L, Sugar Land, TX 77478
★★★★★ 5.0 from 46 Caring.com reviews · Licensed in Texas
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
101 Southwestern Blvd Suite 250, Sugar Land, TX 77478
★★★★★ 5.0 from 35 Google reviews · Licensed in Texas
#5
52 Sugar Creek Center Blvd. Suite 275, Sugar Land, TX 77478
★★★★★ 5.0 from 29 Google reviews · Licensed in Texas
#6
3 Sugar Creek Center Blvd Ste 100, Sugar Land, TX 77478
★★★★★ 5.0 from 28 Google reviews · Licensed in Texas
#7
19855 Southwest Fwy Ste 310, Sugar Land, TX 77479
★★★★★ 5.0 from 27 Google reviews · Licensed in Texas
#8
9538 Huffmeister Road, Houston, TX 77095
★★★★★ 5.0 from 24 Google reviews · Licensed in Texas
#9
4141 Southwest Freeway, Suite 200, Houston, TX 77027
★★★★★ 5.0 from 24 Google reviews · Licensed in Texas
Tell us the ZIP code and the care you need. We pass your request to up to three agencies that serve your area. Free, no obligation.
Request free helpNon-medical in-home care. Source: CareScout 2025 Cost of Care Survey.
Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.
Ways to payFree, no obligation
Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.
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We ranked the top nine in-home care agencies serving Richmond, 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 136 licensed agencies serving Richmond, 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 145 agencies on this list are based in 4 ZIP codes; the busiest are 77407 (73 agencies), 77406 (44 agencies) and 77469 (27 agencies). If Richmond has too few choices for your needs, the closest other cities we list are Sugarland (18 agencies, about 6 miles away), Sugar Land (87 agencies, about 7 miles away) and Rosenberg (20 agencies, about 8 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
Richmond is the small county seat of Fort Bend County, about 30 miles southwest of Houston, and it still feels like an old river town. Oak-shaded streets and mid-century bungalows in places like Winston Terrace sit near the courthouse district, while huge master-planned communities such as Aliana, Harvest Green and Pecan Grove surround the city with a Richmond address. Older residents may live in a long-held home near the center or in one of the family-oriented subdivisions on the edge. Home care here often means traveling across a spread-out service area.
16.7% of residents are 65 or older. Source: Census QuickFacts for Richmond city, TX comparison tables; vintage not labeled.
In Richmond, families ask about care in Hillcrest, Winston Terrace, Mud Alley, Pecan Grove, Aliana, Harvest Green, Long Meadow Farms and Lakemont.
Agencies listed here also commonly serve nearby Rosenberg, Sugar Land, East Bernard, Houston and Katy. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: St. John's United Methodist Church, George Memorial Library, John M. and Lottie D. Moore House and Graves of Jane Long, Deaf Smith and Mirabeau Lamar.
Richmond has hot, humid summers and a wet climate, with about 50 inches of rain a year and heaviest rain in late spring and early fall, so storm and flooding season deserves a plan. US 90A is the main road through town, with US 59, the Grand Parkway and the Westpark Tollway serving the outlying communities. Distances between master-planned neighborhoods and the old center can be significant. Housing mixes mid-century single-story homes with newer two-story suburban houses.
The state roster dated October 27, 2026 lists 145 agencies in Richmond with an active Texas license. Agencies based in nearby towns may also serve Richmond.
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.
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.
Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.
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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