Big Spring, Texas

24-Hour Home Care in Big Spring, TX

Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Big Spring for free and hire a caregiver directly, with no agency mark-up.

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Local figures

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

9.7%
of residents 65+ have difficulty dressing or bathing (7.9% in Howard County)
420
residents 85 or older (1.8% of all residents)
42%
of residents 65+ report a disability (42% in Howard County)
$44,104
median yearly income of households headed by someone 65+

250 Big Spring residents 65 or older have difficulty dressing or bathing (9.7%; 7.9% in Howard County), and 832 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 420 residents are 85 or older (1.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Parkview Skilled Care And Rehabilitation in Big Spring (1.4 mi) and Big Spring Center For Skilled Care in Big Spring (2.0 mi).

Big Spring compared with Howard County and Texas

Census figureBig SpringHoward CountyTexas
Residents 65+ with difficulty dressing or bathing9.7%7.9%8.0%
Residents 65+ with serious difficulty walking32%33%23%
Residents 65+ with serious difficulty remembering6.7%5.8%8.5%
Residents 85 or older1.8%1.7%1.4%
Residents 65+ in households who live alone33%31%25%
Residents 65+ below the poverty line (approx.)17%14%12%
Median income, households headed by someone 65+$44,104$44,581—

Older residents in towns around Big Spring

TownDistanceResidents 65+Self-care difficulty (65+)
Stanton, TX19 mi2110.0%
Colorado City, TX38 mi70810%
Midland, TX40 mi13,8478.5%
Lamesa, TX44 mi1,3459.0%
Snyder, TX47 mi1,78717%
Odessa, TX56 mi11,6427.3%

Home health agencies serving Big Spring

AgencyOfficeDistanceCMS quality starsServices listedPhone
Centerwell Home HealthBig Spring, TX3.2 mi5 of 5nursing, physical therapy, home health aides(432) 714-4510
Midland Health At HomeMidland, TX38 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(432) 218-7996
St Josephs Home Health IncMidland, TX38 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(432) 684-5858
Home Preferred Senior CareSan Angelo, TX82 mi4.5 of 5nursing, physical therapy, occupational therapy(325) 703-2999
Excelacare Home HealthBig Spring, TX3.2 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(432) 235-1164

Nursing homes near Big Spring (to compare)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Parkview Skilled Care And RehabilitationBig Spring, TX1.4 mi2 of 5117(432) 263-4041
Big Spring Center For Skilled CareBig Spring, TX2.0 mi3 of 5120(432) 606-5012
Lamun-Lusk-Sanchez Texas State Veterans HomeBig Spring, TX2.3 mi5 of 5160(432) 268-8387

Straight-line miles from the center of Big Spring. 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 Big Spring

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, 231% of the $3,675 monthly median income of Big Spring 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 Big Spring: common questions

How much does 24-hour home care cost in Big Spring?

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, 231% of the $3,675 monthly median income of Big Spring 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.

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.

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