24-Hour Home Care in The Hills, 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 The Hills for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in The Hills, TX: the local picture
21 The Hills residents 65 or older have difficulty dressing or bathing (2.4%; 5.9% in Travis County), and 74 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 54 residents are 85 or older (2.1% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Vista Ridge Senior Care in Lakeway (0.6 mi) and Park Manor Bee Cave in Bee Cave (3.5 mi).
The Hills compared with Travis County and Texas
| Census figure | The Hills | Travis County | Texas |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 2.4% | 5.9% | 8.0% |
| Residents 65+ with serious difficulty walking | 8.6% | 17% | 23% |
| Residents 65+ with serious difficulty remembering | 1.7% | 6.7% | 8.5% |
| Residents 85 or older | 2.1% | 1.0% | 1.4% |
| Residents 65+ in households who live alone | 16% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 2.6% | 9.7% | 12% |
| Median income, households headed by someone 65+ | $136,034 | $77,381 | — |
Older residents in towns around The Hills
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Lakeway, TX | 0.6 mi | 4,447 | 2.8% |
| Bee Cave, TX | 3.0 mi | 1,590 | 10% |
| Briarcliff, TX | 5.6 mi | 544 | 1.5% |
| Steiner Ranch, TX | 5.6 mi | 1,691 | 5.2% |
| Hudson Bend, TX | 5.9 mi | 864 | 3.4% |
| Lago Vista, TX | 7.3 mi | 2,767 | 6.0% |
Home health agencies serving The Hills
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Paradigm Home Health | Whitney, TX | 119 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (254) 694-1447 |
| Choice Austin Homecare | Austin, TX | 13 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 637-1550 |
| Centerwell Home Health | Austin, TX | 13 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (512) 342-0331 |
| Home Therapy Austin | Austin, TX | 13 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 637-1550 |
| Accentcare Home Health Of Texas | Austin, TX | 15 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (512) 634-1850 |
Nursing homes near The Hills (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Vista Ridge Senior Care | Lakeway, TX | 0.6 mi | 2 of 5 | 98 | (512) 261-3211 |
| Park Manor Bee Cave | Bee Cave, TX | 3.5 mi | 1 of 5 | 140 | (512) 872-8170 |
| Longhorn Village | Austin, TX | 4.5 mi | 5 of 5 | 60 | (512) 382-4664 |
| Querencia At Barton Creek | Austin, TX | 8.1 mi | 5 of 5 | 42 | (512) 610-9400 |
Straight-line miles from the center of The Hills. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in The Hills
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, 75% of the $11,336 monthly median income of The Hills 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.
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.
24-Hour Home Care in The Hills: common questions
How much does 24-hour home care cost in The Hills?
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, 75% of the $11,336 monthly median income of The Hills 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 senior care near The Hills
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Lakeway, TX
- 24-Hour Home Care in Bee Cave, TX
- 24-Hour Home Care in Briarcliff, TX
- 24-Hour Home Care in Steiner Ranch, TX
- 24-Hour Home Care in Hudson Bend, TX
- 24-Hour Home Care in Lago Vista, TX
- 24-Hour Home Care in Barton Creek, TX
- 24-Hour Home Care in Jonestown, TX
- 24-Hour Home Care in Belterra, TX
- 24-Hour Home Care in West Lake Hills, TX
- 24-Hour Home Care in Dripping Springs, TX
- 24-Hour Home Care in Austin, TX
- 24-Hour Home Care in Shady Hollow, TX
- 24-Hour Home Care in Cedar Park, TX
- 24-Hour Home Care in Leander, TX
- 24-Hour Home Care in Brushy Creek, TX
Other care in The Hills
- Companion Care in The Hills
- Dementia Care in The Hills
- Respite Care in The Hills
- Live-In Caregivers in The Hills
- Post-Surgery Care in The Hills
- Senior Transportation in The Hills
- Home Health Aides in The Hills
- Nursing Assistants in The Hills
- Personal Care in The Hills
- Overnight Caregivers in The Hills
- Mobility Assistance in The Hills
- Parkinson’s Care in The Hills
- Stroke Recovery Support in The Hills
- Disability Care for Adults in The Hills
- Hospice Support in The Hills
- Senior Meal Preparation in The Hills
- Senior Housekeeping in The Hills
- Medication Reminders in The Hills
- Veterans’ Home Care in The Hills
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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