Care that comes to the home in Austin and Travis, Williamson and Hays counties falls into three kinds, and Medicare publishes detailed records on two of them. This section holds those records for 52 home health agencies and 44 hospices, 36 and 37 of which have published scores.
What kinds of in-home care are there in Austin, and who pays?
Home health is medical care in visits, hospice is comfort care near the end of life, and non-medical home care is hourly help with daily living. They are licensed and paid for differently.
| Home health | Hospice | Non-medical home care | |
|---|---|---|---|
| What it is | Nursing and therapy visits ordered by a doctor | Comfort care for a terminal illness | Help with bathing, meals, company and supervision |
| What it is not | Not shifts or round-the-clock help | Not treatment aimed at a cure | Not nursing or medical care |
| Who usually pays | Medicare | Medicare | The family, long-term care insurance or a Medicaid waiver |
| Records here | 52 agencies | 44 hospices | Ask an advisor |
Which Austin home health agencies does Medicare rate 4 stars or higher?
20 of the 36 rated agencies in Austin and Travis, Williamson and Hays counties hold 4 stars or more for quality of patient care. The highest rated are:
- Royalty Care Home Health Services Inc, Round Rock — 5 of 5 stars
- Accentcare Health, Round Rock — 4.5 of 5 stars, patient survey 4 of 5
- Accentcare Home Health of Texas, Austin — 4.5 of 5 stars, patient survey 4 of 5
- Ascension at Home, Kyle — 4.5 of 5 stars, patient survey 4 of 5
- Elara Caring, Round Rock — 4.5 of 5 stars, patient survey 4 of 5
- Progressive Home Health Agency, Buda — 4.5 of 5 stars, patient survey 4 of 5
- Centerwell Home Health, Austin — 4.5 of 5 stars, patient survey 3 of 5
- Choice Austin Homecare, Austin — 4.5 of 5 stars, patient survey 3 of 5
- Gilead Home Health, Round Rock — 4.5 of 5 stars, patient survey 3 of 5
- Home Therapy Austin, Austin — 4.5 of 5 stars, patient survey 2 of 5
See all 52 home health agencies
Which Austin hospices score a full 10 on Medicare's Hospice Care Index?
16 of the 37 scored hospices in Austin and Travis, Williamson and Hays counties meet all ten of the index's visit and discharge indicators. They include:
- Hospice Austin, Austin — index 10 of 10, family survey 4 of 5, about 279 patients a day
- Comforts of Home Healthcare LLC, Cedar Park — index 10 of 10, family survey 4 of 5, about 148 patients a day
- Altus Hospice, Georgetown — index 10 of 10, family survey 4 of 5, about 125 patients a day
- St. David's Hospice & Family Care, Austin — index 10 of 10, family survey 4 of 5, about 71 patients a day
- New Century Hospice of Austin, Austin — index 10 of 10, family survey 3 of 5, about 142 patients a day
- Silverado Hospice- Austin, Austin — index 10 of 10, family survey 3 of 5, about 97 patients a day
- Halcyon Home LLC, Austin — index 10 of 10, family survey 3 of 5, about 96 patients a day
- Suncrest Hospice, Austin — index 10 of 10, family survey 2 of 5, about 202 patients a day
- Accentcare Hospice & Palliative Care - Austin, Austin — index 10 of 10, family survey 2 of 5, about 113 patients a day
- Gentiva, San Marcos — index 10 of 10, about 47 patients a day
Last verified: November 2026, against Medicare provider data released 2026-09-21.
Common questions
How many home health agencies are in Austin?
52 Medicare-certified home health agencies are based in Austin and Travis, Williamson and Hays counties, and 36 have a published quality star rating.
How many hospices are in Austin?
44 Medicare-certified hospices are based in Austin and Travis, Williamson and Hays counties, and 37 have a published Hospice Care Index score.
Does Medicare pay for a caregiver at home?
Not on its own. Medicare pays for skilled home health visits and for hospice. Hourly help with bathing, meals and supervision is paid privately, by long-term care insurance, or by Medicaid.