#1
Right at Home Galveston
1409 39th Street, Galveston, TX 77550
★★★★½ 4.6 from 293 Caring.com 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.
Few agencies are based in Texas City, TX itself, so this list ranks the top-rated licensed in-home care agencies serving Texas City, 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. Right at Home Galveston ranks first with 4.6 stars from 293 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

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
1409 39th Street, Galveston, TX 77550
★★★★½ 4.6 from 293 Caring.com reviews · Licensed in Texas
#2
18333 Egret Bay Blvd, Suite 635, Houston, TX 77058
★★★★½ 4.9 from 32 Caring.com reviews · Licensed in Texas
#3
5251 Westheimer Rd #440, Houston, TX 77056
★★★★½ 4.9 from 23 Caring.com reviews · Licensed in Texas
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
6300 W Loop S #430, Bellaire, TX 77401
★★★★½ 4.8 from 26 Caring.com reviews · Licensed in Texas
#5
830 Julie Rivers Dr, Suite 604, Sugar Land, TX 77478
★★★★½ 4.6 from 38 Caring.com reviews · Licensed in Texas
#6
21212 Northwest Fwy Ste #355, Houston, TX 77429
★★★★★ 5.0 from 16 Caring.com 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 six in-home care agencies serving Texas 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 0 licensed agencies serving Texas 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 5 agencies on this list are based in 3 ZIP codes; the busiest are 77591 (2 agencies), 77568 (2 agencies) and 77590 (1 agency). If Texas City has too few choices for your needs, the closest other cities we list are Dickinson (4 agencies, about 4 miles away), League City (6 agencies, about 8 miles away) and Friendswood (5 agencies, about 12 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
The state roster dated October 27, 2026 lists 5 agencies in Texas City with an active Texas license. Agencies based in nearby towns may also serve Texas 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.
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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