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

Local figures

Live-In Caregivers in Horseshoe Bay, TX: the local picture

247

residents 85 or older (5.1% of all residents)

1,130

households headed by someone 65+ own their home (86%)

72%

of Horseshoe Bay homes have 3 or more bedrooms (65% in Llano County)

$7.25

Texas minimum wage per hour

About 247 Horseshoe Bay 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. 72% of homes in Horseshoe Bay have three or more bedrooms (65% in Llano County); the median home has 5.8 rooms.

Of Horseshoe Bay households headed by someone 65 or older, 1,130 own their home and 191 rent; among householders 85 and older it is 84 owners and 5 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Horseshoe Bay compared with Llano County and Texas

Census figure	Horseshoe Bay	Llano County	Texas
Residents 85 or older	5.1%	4.4%	1.4%
Residents 65+ in households who live alone	18%	26%	25%
Residents 65+ with a disability	24%	33%	35%
Residents 65+ below the poverty line (approx.)	2.8%	7.2%	12%
Residents 65 or older	48%	37%	13%
Residents 5+ who speak a language other than English at home	4.5%	9.3%	35%
Median income, households headed by someone 65+	$101,635	$59,781	—

Older residents in towns around Horseshoe Bay

Town	Distance	Residents 65+	Residents 85+
Granite Shoals, TX	3.4 mi	1,031	76
Marble Falls, TX	6.3 mi	1,315	253
Kingsland, TX	9.7 mi	2,058	326
Burnet, TX	17 mi	1,324	138
Briarcliff, TX	22 mi	544	39
Llano, TX	23 mi	927	94

Emergency hospitals near Horseshoe Bay

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Baylor Scott & White Medical Center - Marble Falls	Marble Falls, TX	6.8 mi	4 of 5	(254) 215-9791
Ascension Seton Highland Lakes	Burnet, TX	18 mi	5 of 5	(512) 715-3000
Mid Coast Medical Center - Central	Llano, TX	18 mi	not rated	(325) 247-5040

Straight-line miles from the center of Horseshoe Bay. 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 Horseshoe Bay

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 (30% of the $8,470 monthly median income of Horseshoe Bay 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 (100% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay: common questions

Where is the nearest emergency hospital to Horseshoe Bay?

Baylor Scott & White Medical Center - Marble Falls in Marble Falls, about 6.8 mi in a straight line from the center of Horseshoe Bay (Medicare hospital file). Its listed phone number is (254) 215-9791. In an emergency, call 911.

How much does live-in care cost in Horseshoe Bay?

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 (30% of the $8,470 monthly median income of Horseshoe Bay 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 (100% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay?

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 Horseshoe Bay 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 Horseshoe Bay

More senior care near Horseshoe Bay

Live-In Caregivers in nearby cities

Other care in Horseshoe Bay

More for Horseshoe Bay 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 Horseshoe Bay, TX