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

Local figures

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

132

residents 85 or older (1.5% of all residents)

623

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

66%

of Hondo homes have 3 or more bedrooms (75% in Medina County)

$7.25

Texas minimum wage per hour

About 132 Hondo 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. 66% of homes in Hondo have three or more bedrooms (75% in Medina County); the median home has 5.3 rooms.

Of Hondo households headed by someone 65 or older, 623 own their home and 67 rent; among householders 85 and older it is 52 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Hondo compared with Medina County and Texas

Census figure	Hondo	Medina County	Texas
Residents 85 or older	1.5%	2.3%	1.4%
Residents 65+ in households who live alone	30%	28%	25%
Residents 65+ with a disability	29%	40%	35%
Residents 65+ below the poverty line (approx.)	13%	11%	12%
Residents 65 or older	14%	18%	13%
Residents 5+ who speak a language other than English at home	32%	26%	35%
Median income, households headed by someone 65+	$39,907	$47,474	—

Older residents in towns around Hondo

Town	Distance	Residents 65+	Residents 85+
Castroville, TX	18 mi	698	119
Devine, TX	21 mi	1,156	307
Lakehills, TX	23 mi	1,402	27
Pearsall, TX	32 mi	1,070	96
Helotes, TX	33 mi	1,789	295
Lackland AFB, TX	33 mi	0	0

Emergency hospitals near Hondo

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Medina Regional Hospital	Hondo, TX	1.3 mi	not rated	(830) 426-7700
Christus Santa Rosa Medical Center	San Antonio, TX	31 mi	3 of 5	(210) 703-8211
Westover Hills Baptist Hospital	San Antonio, TX	31 mi	not rated	(726) 266-8100

Straight-line miles from the center of Hondo. 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 Hondo

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 (76% of the $3,326 monthly median income of Hondo 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 (255% of the $3,326 monthly median income of Hondo 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 Hondo: common questions

Where is the nearest emergency hospital to Hondo?

Medina Regional Hospital in Hondo, about 1.3 mi in a straight line from the center of Hondo (Medicare hospital file). Its listed phone number is (830) 426-7700. In an emergency, call 911.

How much does live-in care cost in Hondo?

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 (76% of the $3,326 monthly median income of Hondo 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 (255% of the $3,326 monthly median income of Hondo 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 Hondo?

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 Hondo 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 Hondo

More senior care near Hondo

Live-In Caregivers in nearby cities

Other care in Hondo

More for Hondo 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 Hondo, TX