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

Local figures

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

4.1%

of residents 65+ have difficulty dressing or bathing (6.0% in Llano County)

247

residents 85 or older (5.1% of all residents)

24%

of residents 65+ report a disability (33% in Llano County)

$101,635

median yearly income of households headed by someone 65+

96 Horseshoe Bay residents 65 or older have difficulty dressing or bathing (4.1%; 6.0% in Llano County), and 222 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 247 residents are 85 or older (5.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are The Brixton At Horseshoe Bay in Horseshoe Bay (1.9 mi) and Granite Mesa Health Center in Marble Falls (7.2 mi).

Horseshoe Bay compared with Llano County and Texas

Census figure	Horseshoe Bay	Llano County	Texas
Residents 65+ with difficulty dressing or bathing	4.1%	6.0%	8.0%
Residents 65+ with serious difficulty walking	9.5%	16%	23%
Residents 65+ with serious difficulty remembering	4.4%	6.8%	8.5%
Residents 85 or older	5.1%	4.4%	1.4%
Residents 65+ in households who live alone	18%	26%	25%
Residents 65+ below the poverty line (approx.)	2.8%	7.2%	12%
Median income, households headed by someone 65+	$101,635	$59,781	—

Older residents in towns around Horseshoe Bay

Town	Distance	Residents 65+	Self-care difficulty (65+)
Granite Shoals, TX	3.4 mi	1,031	2.2%
Marble Falls, TX	6.3 mi	1,315	13%
Kingsland, TX	9.7 mi	2,058	9.6%
Burnet, TX	17 mi	1,324	6.0%
Briarcliff, TX	22 mi	544	1.5%
Llano, TX	23 mi	927	12%

Home health agencies serving Horseshoe Bay

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ascension At Home	Burnet, TX	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 756-7511
Home Therapy Austin	Austin, TX	39 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 637-1550
Elara Caring	Round Rock, TX	42 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 733-1515
Capitol Home Health	San Antonio, TX	70 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Accentcare Home Health Of Texas	Beaumont, TX	253 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(409) 899-9979

Nursing homes near Horseshoe Bay (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Brixton At Horseshoe Bay	Horseshoe Bay, TX	1.9 mi	4 of 5	120	(713) 553-1321
Granite Mesa Health Center	Marble Falls, TX	7.2 mi	2 of 5	124	(830) 693-0022
Avir At Kingsland	Kingsland, TX	10 mi	2 of 5	122	(325) 388-4538
Avir At Burnet	Burnet, TX	17 mi	3 of 5	112	(512) 756-6044

Straight-line miles from the center of Horseshoe Bay. 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 Horseshoe Bay

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, 100% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay: common questions

How much does 24-hour home care cost in Horseshoe Bay?

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, 100% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay

More senior care near Horseshoe Bay

24-Hour Home Care in nearby cities

Other care in Horseshoe Bay

More for Horseshoe Bay 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 Horseshoe Bay, TX