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

Local figures

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

15%

of residents 65+ have difficulty dressing or bathing (19% in Frio County)

96

residents 85 or older (1.1% of all residents)

71%

of residents 65+ report a disability (59% in Frio County)

1,070

residents 65 or older (12% of Pearsall)

145 Pearsall residents 65 or older have difficulty dressing or bathing (15%; 19% in Frio County), and 342 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 96 residents are 85 or older (1.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Pearsall Nursing And Rehabilitation Center in Pearsall (1.2 mi) and Devine Health & Rehabilitation in Devine (22 mi).

Pearsall compared with Frio County and Texas

Census figure	Pearsall	Frio County	Texas
Residents 65+ with difficulty dressing or bathing	15%	19%	8.0%
Residents 65+ with serious difficulty walking	35%	34%	23%
Residents 65+ with serious difficulty remembering	23%	15%	8.5%
Residents 85 or older	1.1%	1.6%	1.4%
Residents 65+ in households who live alone	37%	32%	25%
Residents 65+ below the poverty line (approx.)	40%	27%	12%

Older residents in towns around Pearsall

Town	Distance	Residents 65+	Self-care difficulty (65+)
Dilley, TX	16 mi	419	33%
Devine, TX	21 mi	1,156	20%
Hondo, TX	32 mi	1,231	9.3%
Cotulla, TX	33 mi	583	14%
Poteet, TX	33 mi	601	12%
Jourdanton, TX	34 mi	466	7.5%

Home health agencies serving Pearsall

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Medical Home Health Services - San Antonio LLC	San Antonio, TX	50 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 735-6225
Capitol Home Health	San Antonio, TX	56 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	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(830) 216-7111
Elite Home Health	Jourdanton, TX	34 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(830) 281-8136
Provista Healthcare	Dallas, TX	305 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(214) 965-0431

Nursing homes near Pearsall (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pearsall Nursing And Rehabilitation Center	Pearsall, TX	1.2 mi	4 of 5	150	(830) 334-3371
Devine Health & Rehabilitation	Devine, TX	22 mi	5 of 5	96	(830) 663-4451

Straight-line miles from the center of Pearsall. 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 Pearsall

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. 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 Pearsall: common questions

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

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. 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 Pearsall

More senior care near Pearsall

24-Hour Home Care in nearby cities

Other care in Pearsall

More for Pearsall 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 Pearsall, TX