Live-In Caregivers in Balcones Heights, TX
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Balcones Heights for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Balcones Heights, TX: the local picture
About 3 Balcones 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. 17% of homes in Balcones Heights have three or more bedrooms (64% in Bexar County), while 52% have one bedroom or none, where live-in care rarely works; the median home has 3.3 rooms.
Of Balcones Heights households headed by someone 65 or older, 54 own their home and 239 rent. Renters should check that the lease allows another adult to live in before anyone moves in.
Balcones Heights compared with Bexar County and Texas
| Census figure | Balcones Heights | Bexar County | Texas |
|---|---|---|---|
| Residents 85 or older | 0.1% | 1.4% | 1.4% |
| Residents 65+ in households who live alone | 61% | 27% | 25% |
| Residents 65+ with a disability | 60% | 40% | 35% |
| Residents 65+ below the poverty line (approx.) | 33% | 13% | 12% |
| Residents 65 or older | 12% | 13% | 13% |
| Residents 5+ who speak a language other than English at home | 46% | 37% | 35% |
Older residents in towns around Balcones Heights
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| San Antonio, TX | 2.4 mi | 198,597 | 22,615 |
| Castle Hills, TX | 3.0 mi | 745 | 93 |
| Leon Valley, TX | 3.9 mi | 1,993 | 224 |
| Alamo Heights, TX | 4.9 mi | 1,315 | 203 |
| Terrell Hills, TX | 6.2 mi | 878 | 92 |
| Shavano Park, TX | 6.5 mi | 965 | 229 |
Emergency hospitals near Balcones Heights
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| University Health System | San Antonio, TX | 1.6 mi | 3 of 5 | (210) 358-2000 |
| Methodist Hospital | San Antonio, TX | 1.6 mi | 4 of 5 | (210) 575-4000 |
| San Antonio Va Medical Center (Va South Texas Healthcare System) | San Antonio, TX | 1.6 mi | 5 of 5 | (210) 617-5300 |
Straight-line miles from the center of Balcones Heights. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Balcones 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. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month. 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.
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.
Live-In Caregivers in Balcones Heights: common questions
Where is the nearest emergency hospital to Balcones Heights?
University Health System in San Antonio, about 1.6 mi in a straight line from the center of Balcones Heights (Medicare hospital file). Its listed phone number is (210) 358-2000. In an emergency, call 911.
How much does live-in care cost in Balcones 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. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month. 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 Balcones 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. Choose shifts if help is needed several times a night.
More senior care near Balcones Heights
Live-In Caregivers in nearby cities
- Live-In Caregivers in San Antonio, TX
- Live-In Caregivers in Castle Hills, TX
- Live-In Caregivers in Leon Valley, TX
- Live-In Caregivers in Alamo Heights, TX
- Live-In Caregivers in Terrell Hills, TX
- Live-In Caregivers in Shavano Park, TX
- Live-In Caregivers in Lackland AFB, TX
- Live-In Caregivers in Hollywood Park, TX
- Live-In Caregivers in Helotes, TX
- Live-In Caregivers in Kirby, TX
- Live-In Caregivers in Windcrest, TX
- Live-In Caregivers in Cross Mountain, TX
- Live-In Caregivers in Live Oak, TX
- Live-In Caregivers in Converse, TX
- Live-In Caregivers in Timberwood Park, TX
- Live-In Caregivers in Universal City, TX
Other care in Balcones Heights
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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.
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