Live-In Caregivers in Alamo Heights, TX: 24-Hour Home Care

Local figures

Live-In Caregivers in Alamo Heights, TX: the local picture

203

residents 85 or older (2.7% of all residents)

808

households headed by someone 65+ own their home (89%)

68%

of Alamo Heights homes have 3 or more bedrooms (64% in Bexar County)

$7.25

Texas minimum wage per hour

About 203 Alamo Heights residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 68% of homes in Alamo Heights have three or more bedrooms (64% in Bexar County), while 12% have one bedroom or none, where live-in care rarely works; the median home has 6.3 rooms.

Of Alamo Heights households headed by someone 65 or older, 808 own their home and 99 rent; among householders 85 and older it is 126 owners and 22 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Alamo Heights compared with Bexar County and Texas

Census figure	Alamo Heights	Bexar County	Texas
Residents 85 or older	2.7%	1.4%	1.4%
Residents 65+ in households who live alone	40%	27%	25%
Residents 65+ with a disability	32%	40%	35%
Residents 65+ below the poverty line (approx.)	4.3%	13%	12%
Residents 65 or older	18%	13%	13%
Residents 5+ who speak a language other than English at home	14%	37%	35%
Median income, households headed by someone 65+	$99,464	$56,300	—

Older residents in towns around Alamo Heights

Town	Distance	Residents 65+	Residents 85+
Terrell Hills, TX	1.3 mi	878	92
San Antonio, TX	3.7 mi	198,597	22,615
Castle Hills, TX	4.2 mi	745	93
Balcones Heights, TX	4.9 mi	339	3
Kirby, TX	5.2 mi	1,643	52
Windcrest, TX	5.7 mi	1,792	300

Emergency hospitals near Alamo Heights

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Baptist Medical Center	San Antonio, TX	4.3 mi	3 of 5	(210) 297-8256
Brooke Army Medical Center (Ft Sam Houston)	Fort Sam Houston, TX	4.3 mi	not rated	(210) 916-4141
Children's Hospital Of San Antonio	San Antonio, TX	5.4 mi	not rated	(210) 704-3342

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

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Alamo Heights

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $11.65 an hour (the Texas median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,524 a month (30% of the $8,289 monthly median income of Alamo Heights households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month (102% of the $8,289 monthly median income of Alamo Heights households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in Alamo Heights: common questions

Where is the nearest emergency hospital to Alamo Heights?

Baptist Medical Center in San Antonio, about 4.3 mi in a straight line from the center of Alamo Heights (Medicare hospital file). Its listed phone number is (210) 297-8256. In an emergency, call 911.

How much does live-in care cost in Alamo Heights?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $11.65 an hour (the Texas median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,524 a month (30% of the $8,289 monthly median income of Alamo Heights households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month (102% of the $8,289 monthly median income of Alamo Heights households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Alamo Heights?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Alamo Heights it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Alamo Heights

More senior care near Alamo Heights

Live-In Caregivers in nearby cities

Other care in Alamo Heights

More for Alamo Heights 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.

Live-In Caregivers in Alamo Heights, TX