Hospice Support in Cotulla, TX: Caregivers at Home

Local figures

Hospice Support in Cotulla, TX: the local picture

10

Medicare-certified hospices serve Cotulla ZIP codes

80

residents 85 or older (2.2% of all residents)

13%

of residents 65+ in households live alone (14% in La Salle County)

33%

of residents 65+ report a disability (27% in La Salle County)

Medicare lists 10 hospices whose service area includes Cotulla ZIP codes, the nearest offices being Heart To Heart Hospice Of South Texas in Pearsall (33 mi) and Altus Hospice in Laredo (63 mi).

73 Cotulla residents 65 or older live alone (13% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

Cotulla compared with La Salle County and Texas

Census figure	Cotulla	La Salle County	Texas
Residents 85 or older	2.2%	1.8%	1.4%
Residents 65+ in households who live alone	13%	14%	25%
Residents 65+ with a disability	33%	27%	35%
Residents 65+ with difficulty dressing or bathing	14%	8.0%	8.0%
Residents 65 or older	16%	16%	13%
Residents 65+ below the poverty line (approx.)	23%	15%	12%
Median income, households headed by someone 65+	$41,464	$50,219	—

Older residents in towns around Cotulla

Town	Distance	Residents 65+	Live alone (65+)
Dilley, TX	16 mi	419	43%
Pearsall, TX	33 mi	1,070	37%
Carrizo Springs, TX	38 mi	699	20%
Crystal City, TX	40 mi	1,024	17%
Devine, TX	53 mi	1,156	49%
Jourdanton, TX	54 mi	466	16%

Hospices serving Cotulla

Hospice	Office	Distance	Phone
Heart To Heart Hospice Of South Texas	Pearsall, TX	33 mi	(830) 505-5600
Altus Hospice	Laredo, TX	63 mi	(956) 718-3000
Uvalde Hospice	Uvalde, TX	64 mi	(830) 278-6691
Nightingale Hospice Care, Inc.	San Antonio, TX	81 mi	(210) 797-7321
Nightingale Hospice Care Of Texas Inc.	San Antonio, TX	84 mi	(210) 449-6572
River City Hospice & Palliative Care	San Antonio, TX	84 mi	(210) 858-9138

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

What it covers

What a caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support costs in Cotulla

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 29% of the $3,455 monthly median income of Cotulla 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

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

Questions

Hospice Support in Cotulla: common questions

How much does hospice support cost in Cotulla?

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 29% of the $3,455 monthly median income of Cotulla 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near Cotulla

More senior care near Cotulla

Hospice Support in nearby cities

Other care in Cotulla

More for Cotulla 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.

In-Home Hospice Support in Cotulla, TX