24-Hour Home Care in Alamo, TX: Round-the-Clock Care

Local figures

24-Hour Home Care in Alamo, TX: the local picture

8.6%

of residents 65+ have difficulty dressing or bathing (17% in Hidalgo County)

278

residents 85 or older (1.4% of all residents)

40%

of residents 65+ report a disability (47% in Hidalgo County)

$39,816

median yearly income of households headed by someone 65+

272 Alamo residents 65 or older have difficulty dressing or bathing (8.6%; 17% in Hidalgo County), and 764 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 278 residents are 85 or older (1.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are The Heights Of Alamo in Alamo (1.4 mi) and San Juan Nursing Home, Inc. in San Juan (2.4 mi).

Alamo compared with Hidalgo County and Texas

Census figure	Alamo	Hidalgo County	Texas
Residents 65+ with difficulty dressing or bathing	8.6%	17%	8.0%
Residents 65+ with serious difficulty walking	24%	32%	23%
Residents 65+ with serious difficulty remembering	10%	14%	8.5%
Residents 85 or older	1.4%	1.3%	1.4%
Residents 65+ in households who live alone	15%	22%	25%
Residents 65+ below the poverty line (approx.)	13%	22%	12%
Median income, households headed by someone 65+	$39,816	$35,326	—

Older residents in towns around Alamo

Town	Distance	Residents 65+	Self-care difficulty (65+)
South Alamo, TX	2.1 mi	518	26%
San Juan, TX	2.2 mi	4,490	18%
North Alamo, TX	2.5 mi	538	12%
Pharr, TX	4.9 mi	8,674	12%
Donna, TX	5.1 mi	2,434	17%
Scissors, TX	5.5 mi	344	39%

Home health agencies serving Alamo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Health Care Unlimited, Inc.	Mcallen, TX	7.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(956) 994-9911
United Home Care	Harlingen, TX	27 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(956) 423-4747
New Life Home Health Services	Donna, TX	4.1 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(956) 783-4746
A Healing Touch Home Health	Weslaco, TX	8.0 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(956) 447-1803
Rio Grande Home Health Agency Inc	Harlingen, TX	27 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(956) 423-7100

Nursing homes near Alamo (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Heights Of Alamo	Alamo, TX	1.4 mi	5 of 5	130	(956) 715-8600
San Juan Nursing Home, Inc.	San Juan, TX	2.4 mi	4 of 5	114	(956) 787-1771
Windsor Las Palmas Nursing And Rehabilitation Cent	Mcallen, TX	5.7 mi	5 of 5	120	(956) 972-0049
Mcallen Transitional Care Center	Mcallen, TX	5.8 mi	4 of 5	100	(956) 686-9100

Straight-line miles from the center of Alamo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Alamo

24-hour care is 168 paid hours a week. At $11.65 an hour (the Texas median aide wage) that is about $8,481 a month in wages before any overtime, 256% of the $3,318 monthly median income of Alamo households headed by someone 65+. Rates are agreed with each caregiver. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Alamo: common questions

How much does 24-hour home care cost in Alamo?

24-hour care is 168 paid hours a week. At $11.65 an hour (the Texas median aide wage) that is about $8,481 a month in wages before any overtime, 256% of the $3,318 monthly median income of Alamo households headed by someone 65+. Rates are agreed with each caregiver. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Alamo

More senior care near Alamo

24-Hour Home Care in nearby cities

Other care in Alamo

More for Alamo families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Alamo, TX