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

Local figures

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

7.2%

of residents 65+ have difficulty dressing or bathing (8.8% in Bexar County)

93

residents 85 or older (2.4% of all residents)

34%

of residents 65+ report a disability (40% in Bexar County)

$64,750

median yearly income of households headed by someone 65+

53 Castle Hills residents 65 or older have difficulty dressing or bathing (7.2%; 8.8% in Bexar County), and 158 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 93 residents are 85 or older (2.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Castle Hills Rehabilitation And Care Center in San Antonio (1.1 mi) and The Lev At San Antonio in San Antonio (2.2 mi).

Castle Hills compared with Bexar County and Texas

Census figure	Castle Hills	Bexar County	Texas
Residents 65+ with difficulty dressing or bathing	7.2%	8.8%	8.0%
Residents 65+ with serious difficulty walking	21%	27%	23%
Residents 65+ with serious difficulty remembering	12%	10%	8.5%
Residents 85 or older	2.4%	1.4%	1.4%
Residents 65+ in households who live alone	27%	27%	25%
Residents 65+ below the poverty line (approx.)	4.6%	13%	12%
Median income, households headed by someone 65+	$64,750	$56,300	—

Older residents in towns around Castle Hills

Town	Distance	Residents 65+	Self-care difficulty (65+)
Balcones Heights, TX	3.0 mi	339	2.7%
Alamo Heights, TX	4.2 mi	1,315	3.8%
San Antonio, TX	4.3 mi	198,597	9.3%
Shavano Park, TX	4.7 mi	965	9.8%
Terrell Hills, TX	5.4 mi	878	2.5%
Hollywood Park, TX	5.5 mi	596	7.9%

Home health agencies serving Castle Hills

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	San Antonio, TX	3.4 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Comprehensive Home Health Inc	San Antonio, TX	3.4 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(210) 614-0200
Texas Healthcare Solutions, Inc.	San Antonio, TX	3.4 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Amedisys Home Health	San Antonio, TX	1.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606
Accentcare Home Health Of Texas	San Antonio, TX	2.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(210) 349-7355

Nursing homes near Castle Hills (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Castle Hills Rehabilitation And Care Center	San Antonio, TX	1.1 mi	1 of 5	143	(210) 344-4553
The Lev At San Antonio	San Antonio, TX	2.2 mi	1 of 5	106	(210) 341-6121
The Heights At Medical Center	San Antonio, TX	2.5 mi	1 of 5	134	(210) 614-4888
Golden Estates Rehabilitation Center	San Antonio, TX	3.0 mi	2 of 5	93	(210) 736-4544

Straight-line miles from the center of Castle Hills. 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 Castle Hills

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, 157% of the $5,396 monthly median income of Castle Hills 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 Castle Hills: common questions

How much does 24-hour home care cost in Castle Hills?

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, 157% of the $5,396 monthly median income of Castle Hills 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 Castle Hills

More senior care near Castle Hills

24-Hour Home Care in nearby cities

Other care in Castle Hills

More for Castle Hills 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 Castle Hills, TX