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

Local figures

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

530

residents 85 or older (3.0% of all residents)

1,274

households headed by someone 65+ own their home (72%)

59%

of Gainesville homes have 3 or more bedrooms (71% in Cooke County)

$7.25

Texas minimum wage per hour

About 530 Gainesville 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. 59% of homes in Gainesville have three or more bedrooms (71% in Cooke County), while 15% have one bedroom or none, where live-in care rarely works; the median home has 5.2 rooms.

Of Gainesville households headed by someone 65 or older, 1,274 own their home and 493 rent; among householders 85 and older it is 275 owners and 73 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Gainesville compared with Cooke County and Texas

Census figure	Gainesville	Cooke County	Texas
Residents 85 or older	3.0%	2.0%	1.4%
Residents 65+ in households who live alone	33%	27%	25%
Residents 65+ with a disability	40%	37%	35%
Residents 65+ below the poverty line (approx.)	9.0%	6.4%	12%
Residents 65 or older	17%	19%	13%
Residents 5+ who speak a language other than English at home	21%	15%	35%
Median income, households headed by someone 65+	$49,838	$54,597	—

Older residents in towns around Gainesville

Town	Distance	Residents 65+	Residents 85+
Whitesboro, TX	14 mi	714	216
Sanger, TX	18 mi	1,021	49
Pilot Point, TX	20 mi	1,074	217
Marietta, OK	21 mi	380	56
Aubrey, TX	25 mi	701	30
Krum, TX	26 mi	610	23

Emergency hospitals near Gainesville

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
North Texas Medical Center	Gainesville, TX	1.2 mi	4 of 5	(940) 612-8600
Muenster Memorial Hospital	Muenster, TX	12 mi	not rated	(940) 759-2271
Mercy Hospital Marietta	Marietta, OK	21 mi	not rated	(580) 276-3347

Straight-line miles from the center of Gainesville. 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 Gainesville

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 (61% of the $4,153 monthly median income of Gainesville 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 (204% of the $4,153 monthly median income of Gainesville 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 Gainesville: common questions

Where is the nearest emergency hospital to Gainesville?

North Texas Medical Center in Gainesville, about 1.2 mi in a straight line from the center of Gainesville (Medicare hospital file). Its listed phone number is (940) 612-8600. In an emergency, call 911.

How much does live-in care cost in Gainesville?

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 (61% of the $4,153 monthly median income of Gainesville 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 (204% of the $4,153 monthly median income of Gainesville 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 Gainesville?

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 Gainesville 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 Gainesville

More senior care near Gainesville

Live-In Caregivers in nearby cities

Other care in Gainesville

More for Gainesville 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 Gainesville, TX