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

Local figures

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

15%

of residents 65+ have difficulty dressing or bathing (5.7% in Collin County)

40

residents 85 or older (0.7% of all residents)

49%

of residents 65+ report a disability (26% in Collin County)

$55,822

median yearly income of households headed by someone 65+

108 Josephine residents 65 or older have difficulty dressing or bathing (15%; 5.7% in Collin County), and 246 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 40 residents are 85 or older (0.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Royse City Medical Lodge in Royse City (6.2 mi) and Farmersville Health And Rehabilitation in Farmersville (7.0 mi).

Josephine compared with Collin County and Texas

Census figure	Josephine	Collin County	Texas
Residents 65+ with difficulty dressing or bathing	15%	5.7%	8.0%
Residents 65+ with serious difficulty walking	35%	17%	23%
Residents 65+ with serious difficulty remembering	10%	6.5%	8.5%
Residents 85 or older	0.7%	1.1%	1.4%
Residents 65+ in households who live alone	15%	21%	25%
Residents 65+ below the poverty line (approx.)	13%	7.1%	12%
Median income, households headed by someone 65+	$55,822	$79,147	—

Older residents in towns around Josephine

Town	Distance	Residents 65+	Self-care difficulty (65+)
Caddo Mills, TX	5.3 mi	452	4.0%
Royse City, TX	6.0 mi	1,817	4.9%
Farmersville, TX	7.2 mi	610	2.5%
Lavon, TX	7.3 mi	501	0.0%
Fate, TX	8.8 mi	1,504	10.0%
Rockwall, TX	12 mi	8,082	5.5%

Home health agencies serving Josephine

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Angels Care Home Health	Royse City, TX	7.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 454-6001
Elara Caring	Sherman, TX	44 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 892-3163
Home Care Network	Palestine, TX	99 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(972) 270-2000
Healing Touch Homecare LLC	Greenville, TX	14 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 455-8191
Amatus Health Care East Texas Inc	Sulphur Springs, TX	42 mi	3.5 of 5	—	(903) 231-0402

Nursing homes near Josephine (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Royse City Medical Lodge	Royse City, TX	6.2 mi	3 of 5	124	(972) 636-9100
Farmersville Health And Rehabilitation	Farmersville, TX	7.0 mi	4 of 5	74	(972) 784-6191
Lexington Medical Lodge	Farmersville, TX	7.6 mi	3 of 5	128	(972) 784-7770
Greenville Health & Rehabilitation Center	Greenville, TX	12 mi	1 of 5	120	(903) 454-3772

Straight-line miles from the center of Josephine. 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 Josephine

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, 182% of the $4,652 monthly median income of Josephine 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 Josephine: common questions

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

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, 182% of the $4,652 monthly median income of Josephine 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 Josephine

More senior care near Josephine

24-Hour Home Care in nearby cities

Other care in Josephine

More for Josephine 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 Josephine, TX