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

Local figures

Live-In Caregivers in Grand Saline, TX: the local picture

130

residents 85 or older (4.1% of all residents)

306

households headed by someone 65+ own their home (75%)

60%

of Grand Saline homes have 3 or more bedrooms (72% in Van Zandt County)

$7.25

Texas minimum wage per hour

About 130 Grand Saline 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. 60% of homes in Grand Saline have three or more bedrooms (72% in Van Zandt County), while 7.5% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Grand Saline households headed by someone 65 or older, 306 own their home and 102 rent; among householders 85 and older it is 41 owners and 8 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Grand Saline compared with Van Zandt County and Texas

Census figure	Grand Saline	Van Zandt County	Texas
Residents 85 or older	4.1%	2.2%	1.4%
Residents 65+ in households who live alone	31%	26%	25%
Residents 65+ with a disability	42%	33%	35%
Residents 65+ below the poverty line (approx.)	16%	11%	12%
Residents 65 or older	23%	20%	13%
Residents 5+ who speak a language other than English at home	20%	10%	35%
Median income, households headed by someone 65+	$36,184	$44,462	—

Older residents in towns around Grand Saline

Town	Distance	Residents 65+	Residents 85+
Van, TX	11 mi	361	22
Canton, TX	12 mi	819	119
Mineola, TX	14 mi	1,412	273
Wills Point, TX	17 mi	631	107
Hideaway, TX	20 mi	1,059	149
Lindale, TX	22 mi	1,182	190

Emergency hospitals near Grand Saline

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
UT Health East Texas Quitman Hospital	Quitman, TX	19 mi	4 of 5	(903) 763-6300
Christus Mother Frances Hospital- Winnsboro	Winnsboro, TX	30 mi	not rated	(903) 342-5227
Christus Mother Frances Hospital Sulphur Springs	Sulphur Springs, TX	32 mi	4 of 5	(903) 885-7671

Straight-line miles from the center of Grand Saline. 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 Grand Saline

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 (84% of the $3,015 monthly median income of Grand Saline 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 (281% of the $3,015 monthly median income of Grand Saline 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 Grand Saline: common questions

Where is the nearest emergency hospital to Grand Saline?

UT Health East Texas Quitman Hospital in Quitman, about 19 mi in a straight line from the center of Grand Saline (Medicare hospital file). Its listed phone number is (903) 763-6300. In an emergency, call 911.

How much does live-in care cost in Grand Saline?

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 (84% of the $3,015 monthly median income of Grand Saline 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 (281% of the $3,015 monthly median income of Grand Saline 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 Grand Saline?

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 Grand Saline 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 Grand Saline

More senior care near Grand Saline

Live-In Caregivers in nearby cities

Other care in Grand Saline

More for Grand Saline 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 Grand Saline, TX