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

Local figures

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

9.0%

of residents 65+ have difficulty dressing or bathing (7.2% in McLennan County)

2,538

residents 85 or older (1.8% of all residents)

40%

of residents 65+ report a disability (37% in McLennan County)

$46,729

median yearly income of households headed by someone 65+

1,651 Waco residents 65 or older have difficulty dressing or bathing (9.0%; 7.2% in McLennan County), and 5,188 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 2,538 residents are 85 or older (1.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Ivy Creek Wellness & Rehabilitation in Waco (1.4 mi) and Avir At Jeffrey Place in Waco (2.2 mi).

Waco compared with McLennan County and Texas

Census figure	Waco	McLennan County	Texas
Residents 65+ with difficulty dressing or bathing	9.0%	7.2%	8.0%
Residents 65+ with serious difficulty walking	28%	24%	23%
Residents 65+ with serious difficulty remembering	8.8%	7.2%	8.5%
Residents 85 or older	1.8%	1.7%	1.4%
Residents 65+ in households who live alone	32%	25%	25%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Median income, households headed by someone 65+	$46,729	$56,849	—

Older residents in towns around Waco

Town	Distance	Residents 65+	Self-care difficulty (65+)
Woodway, TX	4.8 mi	2,201	3.5%
Bellmead, TX	6.6 mi	1,485	6.1%
Lacy-Lakeview, TX	7.1 mi	800	11%
Hewitt, TX	7.4 mi	3,097	2.7%
Robinson, TX	8.3 mi	1,865	7.7%
McGregor, TX	17 mi	858	9.2%

Home health agencies serving Waco

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Texas Quality Home Health	Marlin, TX	25 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(254) 803-3000
Paradigm Home Health	Whitney, TX	30 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(254) 694-1447
Texmed Home Health Inc	Killeen, TX	44 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(254) 526-8188
Elara Caring	Teague, TX	54 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(903) 723-1657
Amedisys Home Health	San Antonio, TX	160 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(210) 558-9606

Nursing homes near Waco (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Ivy Creek Wellness & Rehabilitation	Waco, TX	1.4 mi	1 of 5	162	(254) 752-0311
Avir At Jeffrey Place	Waco, TX	2.2 mi	3 of 5	95	(254) 772-9480
Lakeshore Village Nursing And Rehabilitation	Waco, TX	2.4 mi	1 of 5	151	(254) 752-1075
Crestview Healthcare Residence	Waco, TX	2.6 mi	4 of 5	192	(254) 753-0291

Straight-line miles from the center of Waco. 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 Waco

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, 218% of the $3,894 monthly median income of Waco 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 Waco: common questions

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

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, 218% of the $3,894 monthly median income of Waco 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 Waco

More senior care near Waco

24-Hour Home Care in nearby cities

Other care in Waco

More for Waco 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 Waco, TX