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

Local figures

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

46

residents 85 or older (0.2% of all residents)

693

households headed by someone 65+ own their home (90%)

91%

of Fresno homes have 3 or more bedrooms (84% in Fort Bend County)

$7.25

Texas minimum wage per hour

About 46 Fresno 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. 91% of homes in Fresno have three or more bedrooms (84% in Fort Bend County); the median home has 6 rooms.

Of Fresno households headed by someone 65 or older, 693 own their home and 79 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Fresno compared with Fort Bend County and Texas

Census figure	Fresno	Fort Bend County	Texas
Residents 85 or older	0.2%	1.0%	1.4%
Residents 65+ in households who live alone	12%	15%	25%
Residents 65+ with a disability	40%	28%	35%
Residents 65+ below the poverty line (approx.)	7.0%	9.0%	12%
Residents 65 or older	7.0%	13%	13%
Residents 5+ who speak a language other than English at home	33%	41%	35%
Median income, households headed by someone 65+	$64,119	$78,465	—

Older residents in towns around Fresno

Town	Distance	Residents 65+	Residents 85+
Sienna, TX	4.3 mi	2,146	31
Missouri City, TX	4.4 mi	13,050	954
Iowa Colony, TX	7.2 mi	1,005	0
Manvel, TX	7.3 mi	1,416	194
Stafford, TX	8.4 mi	1,870	136
Pearland, TX	8.8 mi	15,739	1,934

Emergency hospitals near Fresno

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Houston Methodist Sugarland Hospital	Sugar Land, TX	8.8 mi	5 of 5	(281) 274-8000
Memorial Hermann Sugar Land Hospital	Sugar Land, TX	8.8 mi	4 of 5	(281) 725-5000
Sugar Land Surgical Hospital Llp	Sugar Land, TX	8.8 mi	not rated	(281) 243-1000

Straight-line miles from the center of Fresno. 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 Fresno

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 (47% of the $5,343 monthly median income of Fresno 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 (159% of the $5,343 monthly median income of Fresno 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 Fresno: common questions

Where is the nearest emergency hospital to Fresno?

Houston Methodist Sugarland Hospital in Sugar Land, about 8.8 mi in a straight line from the center of Fresno (Medicare hospital file). Its listed phone number is (281) 274-8000. In an emergency, call 911.

How much does live-in care cost in Fresno?

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 (47% of the $5,343 monthly median income of Fresno 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 (159% of the $5,343 monthly median income of Fresno 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 Fresno?

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 Fresno 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 Fresno

More senior care near Fresno

Live-In Caregivers in nearby cities

Other care in Fresno

More for Fresno 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 Fresno, TX