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

Local figures

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

9.4%

of residents 65+ have difficulty dressing or bathing (8.0% in Harris County)

31,808

residents 85 or older (1.4% of all residents)

36%

of residents 65+ report a disability (34% in Harris County)

$50,324

median yearly income of households headed by someone 65+

26,499 Houston residents 65 or older have difficulty dressing or bathing (9.4%; 8.0% in Harris County), and 68,885 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 31,808 residents are 85 or older (1.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are West Janisch Health Care Center in Houston (3.8 mi) and Highland Park Rehabilitation & Nursing Center in Houston (3.9 mi).

Houston compared with Harris County and Texas

Census figure	Houston	Harris County	Texas
Residents 65+ with difficulty dressing or bathing	9.4%	8.0%	8.0%
Residents 65+ with serious difficulty walking	24%	22%	23%
Residents 65+ with serious difficulty remembering	8.9%	8.3%	8.5%
Residents 85 or older	1.4%	1.1%	1.4%
Residents 65+ in households who live alone	31%	25%	25%
Residents 65+ below the poverty line (approx.)	17%	14%	12%
Median income, households headed by someone 65+	$50,324	$58,641	—

Older residents in towns around Houston

Town	Distance	Residents 65+	Self-care difficulty (65+)
West University Place, TX	5.5 mi	2,533	1.3%
Hunters Creek Village, TX	6.6 mi	760	1.3%
Spring Valley Village, TX	6.9 mi	678	3.4%
Bellaire, TX	7.1 mi	3,186	3.0%
Piney Point Village, TX	7.9 mi	660	4.5%
Bunker Hill Village, TX	8.7 mi	635	1.6%

Home health agencies serving Houston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
All About Home Care, Inc.	Houston, TX	1.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(713) 802-1211
Xtra-Care Home Health Inc	Houston, TX	11 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 270-1160
Tawl Health Care Inc	Houston, TX	13 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 777-9171
Providian Health Care Inc	Houston, TX	14 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(281) 997-6272
St Clare Home Care, Inc.	Houston, TX	15 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(713) 572-4663

Nursing homes near Houston (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
West Janisch Health Care Center	Houston, TX	3.8 mi	1 of 5	116	(713) 696-9093
Highland Park Rehabilitation & Nursing Center	Houston, TX	3.9 mi	2 of 5	120	(713) 862-1616
The Hallmark	Houston, TX	4.8 mi	5 of 5	32	(713) 622-6633
The Methodist Hospital SNF	Houston, TX	5.2 mi	5 of 5	25	(713) 441-7828

Straight-line miles from the center of Houston. 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 Houston

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, 202% of the $4,194 monthly median income of Houston 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 Houston: common questions

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

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, 202% of the $4,194 monthly median income of Houston 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 Houston

More senior care near Houston

24-Hour Home Care in nearby cities

Other care in Houston

More for Houston 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 Houston, TX