Roma, Texas

24-Hour Home Care in Roma, TX

Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Roma for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

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

31%
of residents 65+ have difficulty dressing or bathing (27% in Starr County)
272
residents 85 or older (2.4% of all residents)
63%
of residents 65+ report a disability (57% in Starr County)
$15,177
median yearly income of households headed by someone 65+

531 Roma residents 65 or older have difficulty dressing or bathing (31%; 27% in Starr County), and 806 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 272 residents are 85 or older (2.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Rio Grande City Nursing And Rehabilitation Center in Rio Grande City (9.4 mi) and Starr County Nursing And Transitional Care in Rio Grande City (17 mi).

Roma compared with Starr County and Texas

Census figureRomaStarr CountyTexas
Residents 65+ with difficulty dressing or bathing31%27%8.0%
Residents 65+ with serious difficulty walking47%41%23%
Residents 65+ with serious difficulty remembering23%18%8.5%
Residents 85 or older2.4%1.6%1.4%
Residents 65+ in households who live alone40%30%25%
Residents 65+ below the poverty line (approx.)46%37%12%
Median income, households headed by someone 65+$15,177$22,365—

Older residents in towns around Roma

TownDistanceResidents 65+Self-care difficulty (65+)
Escobares, TX2.7 mi39624%
Rio Grande City, TX12 mi1,55225%
Sullivan City, TX29 mi54615%
La Joya, TX34 mi50430%
Salida del Sol Estates, TX35 mi22718%
Penitas, TX37 mi69638%

Home health agencies serving Roma

AgencyOfficeDistanceCMS quality starsServices listedPhone
Health Care Unlimited, Inc.Mcallen, TX50 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(956) 994-9911
New Life Home Health ServicesDonna, TX61 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy(956) 783-4746
A Healing Touch Home HealthWeslaco, TX65 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(956) 447-1803
Caridad Healthcare IncRoma, TX0.5 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(956) 519-3227
With Open Arms Healthcare LLCMcallen, TX50 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(956) 994-9898

Nursing homes near Roma (to compare)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Rio Grande City Nursing And Rehabilitation CenterRio Grande City, TX9.4 mi4 of 5110(956) 487-3996
Starr County Nursing And Transitional CareRio Grande City, TX17 mi4 of 5120(888) 707-8277

Straight-line miles from the center of Roma. 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 Roma

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, 671% of the $1,265 monthly median income of Roma 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 Roma: common questions

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

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, 671% of the $1,265 monthly median income of Roma 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.

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.

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