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

Local figures

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

2.4%

of residents 65+ have difficulty dressing or bathing (7.3% in Van Zandt County)

22

residents 85 or older (0.8% of all residents)

19%

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

$36,000

median yearly income of households headed by someone 65+

8 Van residents 65 or older have difficulty dressing or bathing (2.4%; 7.3% in Van Zandt County), and 39 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 22 residents are 85 or older (0.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Van Healthcare in Van (0.3 mi) and Avir At Bradburn in Grand Saline (11 mi).

Van compared with Van Zandt County and Texas

Census figure	Van	Van Zandt County	Texas
Residents 65+ with difficulty dressing or bathing	2.4%	7.3%	8.0%
Residents 65+ with serious difficulty walking	11%	20%	23%
Residents 65+ with serious difficulty remembering	10%	7.2%	8.5%
Residents 85 or older	0.8%	2.2%	1.4%
Residents 65+ in households who live alone	32%	26%	25%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Median income, households headed by someone 65+	$36,000	$44,462	—

Older residents in towns around Van

Town	Distance	Residents 65+	Self-care difficulty (65+)
Hideaway, TX	11 mi	1,059	2.2%
Grand Saline, TX	11 mi	730	12%
Mineola, TX	13 mi	1,412	21%
Canton, TX	13 mi	819	6.7%
Lindale, TX	14 mi	1,182	2.7%
Chandler, TX	18 mi	1,368	0.0%

Home health agencies serving Van

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Reliant At Home	Tyler, TX	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-3374
Vitalcaring Group	Tyler, TX	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 509-4555
Paradigm Homecare	Tyler, TX	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(903) 581-1223
Elara Caring	Mount Vernon, TX	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(903) 537-2445
Centerwell Home Health	Temple, TX	142 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(254) 778-6334

Nursing homes near Van (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Van Healthcare	Van, TX	0.3 mi	4 of 5	60	(903) 963-8641
Avir At Bradburn	Grand Saline, TX	11 mi	1 of 5	76	(903) 962-4234
Azalea Trail Nursing And Rehabilitation Center	Grand Saline, TX	11 mi	4 of 5	72	(903) 962-4226
Avir At Grand Saline	Grand Saline, TX	12 mi	2 of 5	120	(903) 962-7595

Straight-line miles from the center of Van. 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 Van

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, 283% of the $3,000 monthly median income of Van 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 Van: common questions

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

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, 283% of the $3,000 monthly median income of Van 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 Van

More senior care near Van

24-Hour Home Care in nearby cities

Other care in Van

More for Van families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Van, TX