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

Local figures

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

9.3%

of residents 65+ have difficulty dressing or bathing (9.3% in Medina County)

132

residents 85 or older (1.5% of all residents)

29%

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

$39,907

median yearly income of households headed by someone 65+

105 Hondo residents 65 or older have difficulty dressing or bathing (9.3%; 9.3% in Medina County), and 134 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 132 residents are 85 or older (1.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Community Care Center Of Hondo in Hondo (3.6 mi) and Devine Health & Rehabilitation in Devine (21 mi).

Hondo compared with Medina County and Texas

Census figure	Hondo	Medina County	Texas
Residents 65+ with difficulty dressing or bathing	9.3%	9.3%	8.0%
Residents 65+ with serious difficulty walking	12%	27%	23%
Residents 65+ with serious difficulty remembering	11%	11%	8.5%
Residents 85 or older	1.5%	2.3%	1.4%
Residents 65+ in households who live alone	30%	28%	25%
Residents 65+ below the poverty line (approx.)	13%	11%	12%
Median income, households headed by someone 65+	$39,907	$47,474	—

Older residents in towns around Hondo

Town	Distance	Residents 65+	Self-care difficulty (65+)
Castroville, TX	18 mi	698	7.2%
Devine, TX	21 mi	1,156	20%
Lakehills, TX	23 mi	1,402	2.2%
Pearsall, TX	32 mi	1,070	15%
Helotes, TX	33 mi	1,789	2.0%
Lackland AFB, TX	33 mi	0	—

Home health agencies serving Hondo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Healthcare Solutions, Inc.	San Antonio, TX	37 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Elara Caring	San Antonio, TX	37 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
S. A. Nurses Home Health Agency	San Antonio, TX	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 798-2199
Prime Home Health, LLC	San Antonio, TX	39 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 251-4973

Nursing homes near Hondo (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Community Care Center Of Hondo	Hondo, TX	3.6 mi	1 of 5	75	(830) 426-3087
Devine Health & Rehabilitation	Devine, TX	21 mi	5 of 5	96	(830) 663-4451
Medina Valley Health & Rehabilitation Center	Castroville, TX	22 mi	3 of 5	116	(830) 931-2900
Lytle Nursing Home	Lytle, TX	23 mi	1 of 5	70	(830) 772-3557

Straight-line miles from the center of Hondo. 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 Hondo

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, 255% of the $3,326 monthly median income of Hondo 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 Hondo: common questions

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

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, 255% of the $3,326 monthly median income of Hondo 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 Hondo

More senior care near Hondo

24-Hour Home Care in nearby cities

Other care in Hondo

More for Hondo 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 Hondo, TX