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

Local figures

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

39%

of residents 65+ have difficulty dressing or bathing (18% in Zapata County)

55

residents 85 or older (1.3% of all residents)

47%

of residents 65+ report a disability (45% in Zapata County)

$36,742

median yearly income of households headed by someone 65+

114 Medina residents 65 or older have difficulty dressing or bathing (39%; 18% in Zapata County), and 137 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 55 residents are 85 or older (1.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Falcon Lake Nursing Home, LLC in Zapata (2.4 mi).

Medina compared with Zapata County and Texas

Census figure	Medina	Zapata County	Texas
Residents 65+ with difficulty dressing or bathing	39%	18%	8.0%
Residents 65+ with serious difficulty walking	47%	35%	23%
Residents 65+ with serious difficulty remembering	38%	21%	8.5%
Residents 85 or older	1.3%	2.4%	1.4%
Residents 65+ in households who live alone	1.7%	32%	25%
Residents 65+ below the poverty line (approx.)	23%	34%	12%
Median income, households headed by someone 65+	$36,742	$26,967	—

Older residents in towns around Medina

Town	Distance	Residents 65+	Self-care difficulty (65+)
Zapata, TX	2.3 mi	987	11%
Rio Bravo, TX	33 mi	467	23%
Roma, TX	39 mi	1,712	31%
Escobares, TX	41 mi	396	24%
Hebbronville, TX	45 mi	381	15%
Laredo, TX	45 mi	25,820	18%

Home health agencies serving Medina

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Capitol Home Health	San Antonio, TX	185 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 538-9090
Enhabit Home Health	Fredericksburg, TX	232 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(830) 990-2423
Christus Vna Homecare San Antonio	San Antonio, TX	183 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 785-5200
Tri County Home Health	Kerrville, TX	215 mi	4 of 5	nursing, physical therapy	(830) 895-3100
Christus Homecare	San Antonio, TX	183 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 590-8886

Nursing homes near Medina (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Falcon Lake Nursing Home, LLC	Zapata, TX	2.4 mi	3 of 5	59	(956) 765-3040

Straight-line miles from the center of Medina. 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 Medina

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, 277% of the $3,062 monthly median income of Medina 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 Medina: common questions

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

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, 277% of the $3,062 monthly median income of Medina 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 Medina

More senior care near Medina

24-Hour Home Care in nearby cities

Other care in Medina

More for Medina families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Medina, TX