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

Local figures

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

10%

of residents 65+ have difficulty dressing or bathing (7.4% in Hays County)

790

residents 85 or older (1.1% of all residents)

43%

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

$53,772

median yearly income of households headed by someone 65+

772 San Marcos residents 65 or older have difficulty dressing or bathing (10%; 7.4% in Hays County), and 1,912 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 790 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 San Marcos Rehabilitation And Healthcare Center in San Marcos (0.8 mi) and Hays Nursing And Rehabilitation Center in San Marcos (1.4 mi).

San Marcos compared with Hays County and Texas

Census figure	San Marcos	Hays County	Texas
Residents 65+ with difficulty dressing or bathing	10%	7.4%	8.0%
Residents 65+ with serious difficulty walking	26%	19%	23%
Residents 65+ with serious difficulty remembering	12%	7.9%	8.5%
Residents 85 or older	1.1%	1.0%	1.4%
Residents 65+ in households who live alone	31%	23%	25%
Residents 65+ below the poverty line (approx.)	19%	9.0%	12%
Median income, households headed by someone 65+	$53,772	$73,773	—

Older residents in towns around San Marcos

Town	Distance	Residents 65+	Self-care difficulty (65+)
Redwood, TX	4.7 mi	342	5.0%
Kyle, TX	8.9 mi	4,526	5.9%
Uhland, TX	11 mi	150	4.7%
Wimberley, TX	12 mi	820	0.8%
Buda, TX	15 mi	1,080	2.4%
Lockhart, TX	15 mi	2,580	10%

Home health agencies serving San Marcos

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Healthcare Solutions, Inc.	San Antonio, TX	46 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 877-5222
Elara Caring	San Antonio, TX	46 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(210) 342-9922
Ascension At Home	Kyle, TX	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 549-3490
Soar Home Care LLC	New Braunfels, TX	13 mi	4.5 of 5	nursing, physical therapy	(830) 214-6806
Progressive Home Health Agency	Buda, TX	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 312-5222

Nursing homes near San Marcos (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
San Marcos Rehabilitation And Healthcare Center	San Marcos, TX	0.8 mi	2 of 5	129	(512) 353-5026
Hays Nursing And Rehabilitation Center	San Marcos, TX	1.4 mi	3 of 5	116	(512) 396-1888
Cypress Healthcare And Rehabilitation Center	San Marcos, TX	2.0 mi	1 of 5	174	(512) 805-5000
Legend Oaks Healthcare And Rehabilitation-Kyle	Kyle, TX	11 mi	3 of 5	126	(512) 268-1003

Straight-line miles from the center of San Marcos. 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 San Marcos

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, 189% of the $4,481 monthly median income of San Marcos 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 San Marcos: common questions

How much does 24-hour home care cost in San Marcos?

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, 189% of the $4,481 monthly median income of San Marcos 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 San Marcos

More senior care near San Marcos

24-Hour Home Care in nearby cities

Other care in San Marcos

More for San Marcos 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 San Marcos, TX