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

Local figures

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

278

residents 85 or older (1.4% of all residents)

1,478

households headed by someone 65+ own their home (82%)

60%

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

$7.25

Texas minimum wage per hour

About 278 Alamo 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. 60% of homes in Alamo have three or more bedrooms (64% in Hidalgo County), while 14% have one bedroom or none, where live-in care rarely works; the median home has 4.8 rooms.

Of Alamo households headed by someone 65 or older, 1,478 own their home and 315 rent; among householders 85 and older it is 161 owners and 26 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Alamo compared with Hidalgo County and Texas

Census figure	Alamo	Hidalgo County	Texas
Residents 85 or older	1.4%	1.3%	1.4%
Residents 65+ in households who live alone	15%	22%	25%
Residents 65+ with a disability	40%	47%	35%
Residents 65+ below the poverty line (approx.)	13%	22%	12%
Residents 65 or older	16%	12%	13%
Residents 5+ who speak a language other than English at home	67%	80%	35%
Median income, households headed by someone 65+	$39,816	$35,326	—

Older residents in towns around Alamo

Town	Distance	Residents 65+	Residents 85+
South Alamo, TX	2.1 mi	518	52
San Juan, TX	2.2 mi	4,490	562
North Alamo, TX	2.5 mi	538	0
Pharr, TX	4.9 mi	8,674	1,103
Donna, TX	5.1 mi	2,434	274
Scissors, TX	5.5 mi	344	34

Emergency hospitals near Alamo

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
South Texas Health System	Edinburg, TX	7.9 mi	4 of 5	(956) 632-4000
Cornerstone Regional Hospital	Edinburg, TX	7.9 mi	not rated	(956) 618-4444
Doctors Hosptal At Renaissance	Edinburg, TX	7.9 mi	3 of 5	(956) 362-8677

Straight-line miles from the center of Alamo. 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

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 (76% of the $3,318 monthly median income of Alamo 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 (256% of the $3,318 monthly median income of Alamo 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: common questions

Where is the nearest emergency hospital to Alamo?

South Texas Health System in Edinburg, about 7.9 mi in a straight line from the center of Alamo (Medicare hospital file). Its listed phone number is (956) 632-4000. In an emergency, call 911.

How much does live-in care cost in Alamo?

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 (76% of the $3,318 monthly median income of Alamo 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 (256% of the $3,318 monthly median income of Alamo 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?

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 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

More senior care near Alamo

Live-In Caregivers in nearby cities

Other care in Alamo

More for Alamo 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, TX