The Hills, Texas

Companion Care for Seniors in The Hills, TX

Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in The Hills for free and hire a caregiver directly, with no agency mark-up.

A woman and an older man talking across a wooden table at home
Local figures

Companion Care in The Hills, TX: the local picture

861
residents 65 or older (34% of The Hills)
16%
of residents 65+ in households live alone (27% in Travis County)
7.0%
of residents 5+ speak a language other than English at home
0.0%
of households have no vehicle (5.9% in Travis County)

About 137 residents of The Hills aged 65 or older live alone, 16% of older residents in households (27% in Travis County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

0.0% of The Hills households have no vehicle (5.9% in Travis County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 861 The Hills residents aged 65 or older, 54 are 85 or older (6.3%). 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.

454 The Hills households headed by someone 65 or older own their home and 4 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 22 older The Hills residents (2.6%) live below the poverty line (9.7% in Travis 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 7.0% of The Hills residents aged 5 and over speak a language other than English at home. The most common are Spanish (60), other Indo-European languages (51), Tagalog (18). 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.

The Hills compared with Travis County and Texas

Census figureThe HillsTravis CountyTexas
Residents 65+ in households who live alone16%27%25%
Residents 65 or older34%11%13%
Residents 5+ who speak a language other than English at home7.0%30%35%
Households with no vehicle0.0%5.9%5.4%
Residents 65+ below the poverty line (approx.)2.6%9.7%12%
Residents 65+ with a disability14%28%35%
Median income, households headed by someone 65+$136,034$77,381—

Older residents in towns around The Hills

TownDistanceResidents 65+Live alone (65+)
Lakeway, TX0.6 mi4,44715%
Bee Cave, TX3.0 mi1,59024%
Briarcliff, TX5.6 mi54422%
Steiner Ranch, TX5.6 mi1,69124%
Hudson Bend, TX5.9 mi86436%
Lago Vista, TX7.3 mi2,76716%

Hospitals near The Hills (for rides to appointments)

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Ascension Seton SouthwestAustin, TX9.7 minot rated(512) 324-9000
The Hospital At Westlake Medical CenterAustin, TX11 minot rated(512) 327-0000
Northwest Hills Surgical HospitalAustin, TX13 minot rated(512) 346-1994

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 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 The Hills

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 9% of the $11,336 monthly median income of The Hills 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 The Hills: common questions

How many seniors live alone in The Hills?

About 137 residents aged 65 or older, 16% of older residents in households (Census ACS 2020–2024) (27% in Travis County).

How much does companion care cost in The Hills?

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 9% of the $11,336 monthly median income of The Hills 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 The Hills?

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.

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.

Find companion care in The Hills

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