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

Local figures

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

3.4%

of residents 65+ have difficulty dressing or bathing (3.4% in Kerr County)

1,245

residents 85 or older (5.0% of all residents)

33%

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

$54,040

median yearly income of households headed by someone 65+

223 Kerrville residents 65 or older have difficulty dressing or bathing (3.4%; 3.4% in Kerr County), and 1,105 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,245 residents are 85 or older (5.0% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Arbor View Nursing & Rehabilitation in Kerrville (0.4 mi) and Avir At Kerrville in Kerrville (0.9 mi).

Kerrville compared with Kerr County and Texas

Census figure	Kerrville	Kerr County	Texas
Residents 65+ with difficulty dressing or bathing	3.4%	3.4%	8.0%
Residents 65+ with serious difficulty walking	17%	17%	23%
Residents 65+ with serious difficulty remembering	7.1%	6.0%	8.5%
Residents 85 or older	5.0%	4.0%	1.4%
Residents 65+ in households who live alone	36%	27%	25%
Residents 65+ below the poverty line (approx.)	9.1%	10%	12%
Median income, households headed by someone 65+	$54,040	$58,323	—

Older residents in towns around Kerrville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Fredericksburg, TX	22 mi	3,653	6.3%
Boerne, TX	30 mi	3,516	8.0%
Lakehills, TX	31 mi	1,402	2.2%
Fair Oaks Ranch, TX	36 mi	2,385	6.9%
Scenic Oaks, TX	36 mi	1,736	1.4%
Cross Mountain, TX	39 mi	452	11%

Home health agencies serving Kerrville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	San Antonio, TX	50 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Enhabit Home Health	Fredericksburg, TX	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(830) 990-2423
Prime Home Health, LLC	San Antonio, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 251-4973
Capitol Home Health	San Antonio, TX	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Adoration Home Health	San Antonio, TX	50 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 216-7111

Nursing homes near Kerrville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Arbor View Nursing & Rehabilitation	Kerrville, TX	0.4 mi	1 of 5	179	(830) 896-2411
Avir At Kerrville	Kerrville, TX	0.9 mi	1 of 5	130	(830) 412-2366
River Hills Health And Rehabilitation Center	Kerrville, TX	1.6 mi	1 of 5	150	(830) 257-9900
Hilltop Village Nursing And Rehabilitation	Kerrville, TX	3.1 mi	2 of 5	150	(830) 895-3200

Straight-line miles from the center of Kerrville. 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 Kerrville

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, 188% of the $4,503 monthly median income of Kerrville 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 Kerrville: common questions

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

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, 188% of the $4,503 monthly median income of Kerrville 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 Kerrville

More senior care near Kerrville

24-Hour Home Care in nearby cities

Other care in Kerrville

More for Kerrville 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 Kerrville, TX