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

Local figures

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

388

residents 85 or older (3.4% of all residents)

1,752

households headed by someone 65+ own their home (73%)

61%

of Fredericksburg homes have 3 or more bedrooms (67% in Gillespie County)

$7.25

Texas minimum wage per hour

About 388 Fredericksburg 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. 61% of homes in Fredericksburg have three or more bedrooms (67% in Gillespie County), while 11% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Fredericksburg households headed by someone 65 or older, 1,752 own their home and 649 rent; among householders 85 and older it is 166 owners and 66 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Fredericksburg compared with Gillespie County and Texas

Census figure	Fredericksburg	Gillespie County	Texas
Residents 85 or older	3.4%	3.4%	1.4%
Residents 65+ in households who live alone	37%	25%	25%
Residents 65+ with a disability	25%	26%	35%
Residents 65+ below the poverty line (approx.)	13%	12%	12%
Residents 65 or older	32%	30%	13%
Residents 5+ who speak a language other than English at home	11%	17%	35%
Median income, households headed by someone 65+	$54,771	$65,909	—

Older residents in towns around Fredericksburg

Town	Distance	Residents 65+	Residents 85+
Kerrville, TX	22 mi	6,992	1,245
Boerne, TX	34 mi	3,516	738
Horseshoe Bay, TX	35 mi	2,338	247
Llano, TX	36 mi	927	94
Kingsland, TX	37 mi	2,058	326
Granite Shoals, TX	38 mi	1,031	76

Emergency hospitals near Fredericksburg

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Hill Country Memorial Hospital	Fredericksburg, TX	1.1 mi	4 of 5	(830) 997-4353
Peterson Regional Medical Center	Kerrville, TX	22 mi	4 of 5	(830) 896-4200
Mid Coast Medical Center - Central	Llano, TX	35 mi	not rated	(325) 247-5040

Straight-line miles from the center of Fredericksburg. 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 Fredericksburg

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 (55% of the $4,564 monthly median income of Fredericksburg 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 (186% of the $4,564 monthly median income of Fredericksburg 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 Fredericksburg: common questions

Where is the nearest emergency hospital to Fredericksburg?

Hill Country Memorial Hospital in Fredericksburg, about 1.1 mi in a straight line from the center of Fredericksburg (Medicare hospital file). Its listed phone number is (830) 997-4353. In an emergency, call 911.

How much does live-in care cost in Fredericksburg?

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 (55% of the $4,564 monthly median income of Fredericksburg 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 (186% of the $4,564 monthly median income of Fredericksburg 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 Fredericksburg?

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 Fredericksburg 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 Fredericksburg

More senior care near Fredericksburg

Live-In Caregivers in nearby cities

Other care in Fredericksburg

More for Fredericksburg 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 Fredericksburg, TX