Companion Care in Palestine, TX: Senior Companions at Home

Local figures

Companion Care in Palestine, TX: the local picture

2,907

residents 65 or older (15% of Palestine)

43%

of residents 65+ in households live alone (25% in Anderson County)

18%

of residents 5+ speak a language other than English at home

9.2%

of households have no vehicle (5.8% in Anderson County)

About 1,161 residents of Palestine aged 65 or older live alone, 43% of older residents in households (25% in Anderson County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

9.2% of Palestine households have no vehicle (5.8% in Anderson County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 2,907 Palestine residents aged 65 or older, 262 are 85 or older (9.0%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.

1,543 Palestine households headed by someone 65 or older own their home and 490 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.

About 340 older Palestine residents (12%) live below the poverty line (10% in Anderson County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.

About 18% of Palestine residents aged 5 and over speak a language other than English at home. The most common are Spanish (2,584), other languages (478), French, Haitian or Cajun (87). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.

Palestine compared with Anderson County and Texas

Census figure	Palestine	Anderson County	Texas
Residents 65+ in households who live alone	43%	25%	25%
Residents 65 or older	15%	15%	13%
Residents 5+ who speak a language other than English at home	18%	14%	35%
Households with no vehicle	9.2%	5.8%	5.4%
Residents 65+ below the poverty line (approx.)	12%	10%	12%
Residents 65+ with a disability	38%	39%	35%
Median income, households headed by someone 65+	$44,281	$54,710	—

Older residents in towns around Palestine

Town	Distance	Residents 65+	Live alone (65+)
Jacksonville, TX	26 mi	1,988	30%
Shadybrook, TX	28 mi	540	20%
Rusk, TX	29 mi	676	21%
Fairfield, TX	31 mi	631	43%
Crockett, TX	32 mi	1,281	32%
Athens, TX	33 mi	2,563	34%

Hospitals near Palestine (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Palestine Regional Medical Center	Palestine, TX	0.8 mi	1 of 5	(903) 731-1000
UT Health East Texas Jacksonville Hospital	Jacksonville, TX	26 mi	not rated	(903) 541-5000
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	26 mi	not rated	(903) 541-4500

Straight-line miles from the center of Palestine. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a companion caregiver can help with

Conversation, cards, puzzles and shared hobbies
Walks and outings to the park, library or senior center
Company at meals, and help preparing them
Rides or escort to appointments, church and visits

Cost

What companion care costs in Palestine

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 27% of the $3,690 monthly median income of Palestine households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 companion caregiver

Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).

Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Companion Care in Palestine: common questions

How many seniors live alone in Palestine?

About 1,161 residents aged 65 or older, 43% of older residents in households (Census ACS 2020–2024) (25% in Anderson County).

How much does companion care cost in Palestine?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 27% of the $3,690 monthly median income of Palestine households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

What does a companion caregiver do in Palestine?

A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.

More near Palestine

More senior care near Palestine

Companion Care in nearby cities

Other care in Palestine

More for Palestine 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.

Companion Care for Seniors in Palestine, TX