Balcones Heights, Texas

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.

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Local figures

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

3
residents 85 or older (0.1% of all residents)
54
households headed by someone 65+ own their home (18%)
17%
of Balcones Heights homes have 3 or more bedrooms (64% in Bexar County)
$7.25
Texas minimum wage per hour

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 figureBalcones HeightsBexar CountyTexas
Residents 85 or older0.1%1.4%1.4%
Residents 65+ in households who live alone61%27%25%
Residents 65+ with a disability60%40%35%
Residents 65+ below the poverty line (approx.)33%13%12%
Residents 65 or older12%13%13%
Residents 5+ who speak a language other than English at home46%37%35%

Older residents in towns around Balcones Heights

TownDistanceResidents 65+Residents 85+
San Antonio, TX2.4 mi198,59722,615
Castle Hills, TX3.0 mi74593
Leon Valley, TX3.9 mi1,993224
Alamo Heights, TX4.9 mi1,315203
Terrell Hills, TX6.2 mi87892
Shavano Park, TX6.5 mi965229

Emergency hospitals near Balcones Heights

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
University Health SystemSan Antonio, TX1.6 mi3 of 5(210) 358-2000
Methodist HospitalSan Antonio, TX1.6 mi4 of 5(210) 575-4000
San Antonio Va Medical Center (Va South Texas Healthcare System)San Antonio, TX1.6 mi5 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 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 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.

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 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.

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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