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

Local figures

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

11%

of residents 65+ have difficulty dressing or bathing (6.4% in Hill County)

107

residents 85 or older (1.3% of all residents)

50%

of residents 65+ report a disability (41% in Hill County)

$33,571

median yearly income of households headed by someone 65+

123 Hillsboro residents 65 or older have difficulty dressing or bathing (11%; 6.4% in Hill County), and 490 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 107 residents are 85 or older (1.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Avir At Hillsboro in Hillsboro (0.8 mi) and Town Hall Estates in Hillsboro (1.1 mi).

Hillsboro compared with Hill County and Texas

Census figure	Hillsboro	Hill County	Texas
Residents 65+ with difficulty dressing or bathing	11%	6.4%	8.0%
Residents 65+ with serious difficulty walking	42%	27%	23%
Residents 65+ with serious difficulty remembering	14%	7.4%	8.5%
Residents 85 or older	1.3%	1.8%	1.4%
Residents 65+ in households who live alone	41%	30%	25%
Residents 65+ below the poverty line (approx.)	12%	12%	12%
Median income, households headed by someone 65+	$33,571	$44,946	—

Older residents in towns around Hillsboro

Town	Distance	Residents 65+	Self-care difficulty (65+)
West, TX	14 mi	522	8.4%
Lacy-Lakeview, TX	26 mi	800	11%
Bellmead, TX	28 mi	1,485	6.1%
Alvarado, TX	28 mi	778	41%
Venus, TX	29 mi	236	11%
Keene, TX	29 mi	1,069	13%

Home health agencies serving Hillsboro

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Paradigm Home Health	Whitney, TX	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(254) 694-1447
Elara Caring	Teague, TX	56 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 723-1657
Amedisys Home Health	San Antonio, TX	190 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606
Magnolia Home Health	Waco, TX	33 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(254) 751-9393
Centerwell Home Health	Waco, TX	33 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work	(254) 405-6800

Nursing homes near Hillsboro (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Hillsboro	Hillsboro, TX	0.8 mi	1 of 5	105	(254) 582-8416
Town Hall Estates	Hillsboro, TX	1.1 mi	1 of 5	138	(254) 582-8482
Avir At Itasca	Itasca, TX	11 mi	4 of 5	51	(254) 687-2383
Whitney Nursing And Rehabilitation Center	Whitney, TX	13 mi	2 of 5	88	(254) 694-2233

Straight-line miles from the center of Hillsboro. 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 Hillsboro

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, 303% of the $2,798 monthly median income of Hillsboro 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 Hillsboro: common questions

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

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, 303% of the $2,798 monthly median income of Hillsboro 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 Hillsboro

More senior care near Hillsboro

24-Hour Home Care in nearby cities

Other care in Hillsboro

More for Hillsboro 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 Hillsboro, TX