Home Care in Houston and Surrounding Areas for Seniors, Veterans, and Families
Help at home with bathing and dressing, meals, light housekeeping, companionship, and a break for family caregivers. You talk to our founder first. VA benefits or long-term care insurance may cover the cost, and private pay is welcome too.Help at home with bathing, meals, housekeeping, and companionship. VA benefits or insurance may cover it. Private pay welcome.
We come to you in Houston, Conroe, Huntsville, and communities across Harris, Montgomery, Walker, Liberty, and Fort Bend counties, and nearby counties.


“Ms. Waddy was incredibly kind, professional, and attentive. She took the time to listen carefully to our needs.”
- 5.0Google rating from 16 families
- 24hrsOur founder calls you back herself
- 8Houston-area counties served
- 12Kinds of care, from daily help to respite
Care may cost you less than you expect
Many families we serve pay little or nothing out of pocket, because a benefit they already have covers home care. Check these before you assume you can’t afford help.

VA benefits can pay for care at home
Programs such as Aid and Attendance help eligible veterans and spouses cover the cost of home care. Tieasha will walk you through how families use them.
See veterans home care70 hours of care
Medicare may cover in-home care
Through the Medicare GUIDE program, people living with dementia who have traditional Medicare Part A and Part B may get up to 70 hours of care at home.
See if you qualifyAlready have a policy? It may cover this.
- Genworth
- John Hancock
- MassMutual
- Mutual of Omaha
- New York Life
- Northwestern Mutual
- Physicians Mutual
- and more
Paying on your own? Care packages start at $304. Not sure what applies to you? Ask Tieasha in a free first conversation.
Coverage depends on your benefits and policy. The VA, Medicare, and your insurer decide eligibility; we help you understand what applies to you.
Help at home, built around your family
Start with what you need now. Care can change as needs change.

Personal Care
Hands-on help with bathing, dressing, and daily routines.
Learn more
Companion Care
Company, conversation, and a steady presence at home.
Learn more
Respite Care
A break for the family member who does the caregiving.
Learn more- Light HousekeepingLaundry, tidying, and meals so the home stays livable.
- Bath and Grooming CareSafe, dignified help with bathing and grooming.
- Sunrise and Sunset VisitsHelp getting the day started and settling in at night.
- Specialized CareSupport for Alzheimer’s, dementia, ALS, and MS.
- End-of-Life CareComfort and presence for your loved one and your family.
- Private Duty Home CareOne-to-one care on the schedule your family needs.
- In-Home Care ServicesOngoing non-medical care in the comfort of home.
- At-Home Wellness and SpaRelaxation and wellness services brought to the home.
- Pet CareHelp caring for the pets your loved one depends on.

You talk to the owner, not a call center
Tieasha Tashay Waddy founded 21st Century Quality Home Care and still takes the first conversation with every family herself.
- She listens first. What is happening at home, what has been hard, and what would help most.
- She tells you what may pay for it. VA benefits, long-term care insurance, or private pay.
- No pressure. The first conversation does not book an appointment or start services.
What families say
5.0 from 16 Google reviews. Swipe to read them all.
Home care in Houston and the surrounding areas
From our office in Arcola, we serve families in Harris, Fort Bend, Brazoria, Galveston, Montgomery, Waller, Walker, and Liberty counties.
Don’t see your city? Call 832-308-0776 and ask. We likely serve your area.
Request a first care conversation
Share your name and the best way to reach you. Tieasha will follow up personally within 24 hours to learn what your family needs.
Serving Houston and surrounding Texas counties, with specialized support for seniors and veterans.
What happens after you send this
- This form requests a first conversation. It does not book an appointment.
- Your first conversation is with Tieasha, our founder.
- If you have VA benefits or a long-term care policy, tell her and she will help you look at what it may cover.
Prefer to call? 832-308-0776
21st Century Quality Home Care LLC · License #021589
What happens next
Tell us what you need
Share your contact details and the kind of help you’re looking for.
Speak with Tieasha
She follows up personally within 24 hours, answers your questions, and looks at what benefits may cover.
Choose the next step
If the service fits, you discuss timing, care options, and whether an assessment makes sense.
Questions families ask first
Still unsure? Call 832-308-0776 and ask Tieasha directly.
What is non-medical home care?
Non-medical home care is help with everyday life at home: bathing and dressing, meals, light housekeeping, company, and relief for family caregivers. It is not nursing or clinical care.
Where does 21st Century Quality Home Care provide care?
We are based in Arcola, Texas, and serve the Houston area, including Houston, Sugar Land, Missouri City, Pearland, Katy, Conroe, Huntsville, across Harris, Fort Bend, Brazoria, Galveston, Montgomery, Waller, Walker, Liberty counties.
Does the VA help pay for home care?
The VA has programs, such as Aid and Attendance, that can help eligible veterans and surviving spouses pay for care at home. The VA decides who is eligible.
We do not determine eligibility, but Tieasha can explain how families use these benefits for the kind of care we provide.
Does long-term care insurance cover home care?
Many long-term care policies cover non-medical home care. We work with families who hold policies from Genworth, John Hancock, MassMutual, Mutual of Omaha, New York Life, Northwestern Mutual, and others, and we help you check what your policy covers before care starts.
Does Medicare pay for home care?
Medicare generally does not pay for ongoing non-medical home care such as help with bathing, meals, or companionship. Families usually pay privately, through long-term care insurance, or with VA benefits.
How do I get started?
Request a first care conversation or call 832-308-0776. Tieasha, our founder, follows up personally within 24 hours to learn what your family needs. The first conversation does not book an appointment or start services.
Is 21st Century Quality Home Care licensed?
We operate as 21st Century Quality Home Care LLC under Texas license #021589.
Tell us what your family needs
Share a few details and Tieasha will follow up within 24 hours to talk through the next step with you.
