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

Local figures

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

16%

of residents 65+ have difficulty dressing or bathing (6.7% in Fort Bend County)

46

residents 85 or older (0.2% of all residents)

40%

of residents 65+ report a disability (28% in Fort Bend County)

$64,119

median yearly income of households headed by someone 65+

283 Fresno residents 65 or older have difficulty dressing or bathing (16%; 6.7% in Fort Bend County), and 531 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 46 residents are 85 or older (0.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are The Colonnades At Reflection Bay in Pearland (5.0 mi) and Tuscany Village in Pearland (5.9 mi).

Fresno compared with Fort Bend County and Texas

Census figure	Fresno	Fort Bend County	Texas
Residents 65+ with difficulty dressing or bathing	16%	6.7%	8.0%
Residents 65+ with serious difficulty walking	31%	18%	23%
Residents 65+ with serious difficulty remembering	17%	7.3%	8.5%
Residents 85 or older	0.2%	1.0%	1.4%
Residents 65+ in households who live alone	12%	15%	25%
Residents 65+ below the poverty line (approx.)	7.0%	9.0%	12%
Median income, households headed by someone 65+	$64,119	$78,465	—

Older residents in towns around Fresno

Town	Distance	Residents 65+	Self-care difficulty (65+)
Sienna, TX	4.3 mi	2,146	4.0%
Missouri City, TX	4.4 mi	13,050	6.9%
Iowa Colony, TX	7.2 mi	1,005	0.0%
Manvel, TX	7.3 mi	1,416	3.2%
Stafford, TX	8.4 mi	1,870	6.0%
Pearland, TX	8.8 mi	15,739	7.4%

Home health agencies serving Fresno

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Xtra-Care Home Health Inc	Houston, TX	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 270-1160
Providian Health Care Inc	Houston, TX	16 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(281) 997-6272
Tawl Health Care Inc	Houston, TX	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 777-9171
All About Home Care, Inc.	Houston, TX	18 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(713) 802-1211
Elara Caring	Pasadena, TX	19 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 780-2390

Nursing homes near Fresno (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Colonnades At Reflection Bay	Pearland, TX	5.0 mi	1 of 5	180	(713) 434-3800
Tuscany Village	Pearland, TX	5.9 mi	4 of 5	132	(713) 770-5300
Windsor Quail Valley Post-Acute Healthcare	Missouri City, TX	6.0 mi	3 of 5	120	(281) 778-5144
Chelsea Gardens	Missouri City, TX	6.5 mi	1 of 5	60	(281) 499-5040

Straight-line miles from the center of Fresno. 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 Fresno

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, 159% of the $5,343 monthly median income of Fresno 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 Fresno: common questions

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

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, 159% of the $5,343 monthly median income of Fresno 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 Fresno

More senior care near Fresno

24-Hour Home Care in nearby cities

Other care in Fresno

More for Fresno 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 Fresno, TX