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

Local figures

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

6.8%

of residents 65+ have difficulty dressing or bathing (5.4% in Williamson County)

1,507

residents 85 or older (1.2% of all residents)

32%

of residents 65+ report a disability (29% in Williamson County)

$68,000

median yearly income of households headed by someone 65+

941 Round Rock residents 65 or older have difficulty dressing or bathing (6.8%; 5.4% in Williamson County), and 3,056 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,507 residents are 85 or older (1.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are San Gabriel Rehabilitation And Care Center in Round Rock (0.8 mi) and Trinity Care Center in Round Rock (1.0 mi).

Round Rock compared with Williamson County and Texas

Census figure	Round Rock	Williamson County	Texas
Residents 65+ with difficulty dressing or bathing	6.8%	5.4%	8.0%
Residents 65+ with serious difficulty walking	22%	19%	23%
Residents 65+ with serious difficulty remembering	7.8%	5.9%	8.5%
Residents 85 or older	1.2%	1.2%	1.4%
Residents 65+ in households who live alone	25%	23%	25%
Residents 65+ below the poverty line (approx.)	5.9%	7.0%	12%
Median income, households headed by someone 65+	$68,000	$75,134	—

Older residents in towns around Round Rock

Town	Distance	Residents 65+	Self-care difficulty (65+)
Brushy Creek, TX	4.6 mi	2,133	3.9%
Wells Branch, TX	5.8 mi	1,451	6.8%
Pflugerville, TX	6.5 mi	5,995	7.0%
Hutto, TX	7.2 mi	2,376	5.5%
Cedar Park, TX	9.3 mi	8,846	6.4%
Georgetown, TX	10 mi	22,534	3.9%

Home health agencies serving Round Rock

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Royalty Care Home Health Services Inc	Round Rock, TX	0.8 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 244-4254
Paradigm Home Health	Whitney, TX	102 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(254) 694-1447
Gilead Home Health	Round Rock, TX	0.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 323-5858
Accentcare Health	Round Rock, TX	0.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(512) 238-6000
Elara Caring	Round Rock, TX	1.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 733-1515

Nursing homes near Round Rock (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
San Gabriel Rehabilitation And Care Center	Round Rock, TX	0.8 mi	1 of 5	142	(512) 334-8000
Trinity Care Center	Round Rock, TX	1.0 mi	3 of 5	179	(512) 634-3000
Bel Air At Teravista	Round Rock, TX	2.9 mi	3 of 5	112	(512) 310-3700
Hearthstone Nursing And Rehabilitation	Round Rock, TX	3.0 mi	3 of 5	120	(512) 388-7494

Straight-line miles from the center of Round Rock. 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 Round Rock

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, 150% of the $5,667 monthly median income of Round Rock 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 Round Rock: common questions

How much does 24-hour home care cost in Round Rock?

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, 150% of the $5,667 monthly median income of Round Rock 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 Round Rock

More senior care near Round Rock

24-Hour Home Care in nearby cities

Other care in Round Rock

More for Round Rock 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 Round Rock, TX