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

Local figures

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

31,808

residents 85 or older (1.4% of all residents)

120,705

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

44%

of Houston homes have 3 or more bedrooms (59% in Harris County)

$7.25

Texas minimum wage per hour

About 31,808 Houston 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. 44% of homes in Houston have three or more bedrooms (59% in Harris County), while 29% have one bedroom or none, where live-in care rarely works; the median home has 4.4 rooms.

Of Houston households headed by someone 65 or older, 120,705 own their home and 64,002 rent; among householders 85 and older it is 13,758 owners and 8,011 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Houston compared with Harris County and Texas

Census figure	Houston	Harris County	Texas
Residents 85 or older	1.4%	1.1%	1.4%
Residents 65+ in households who live alone	31%	25%	25%
Residents 65+ with a disability	36%	34%	35%
Residents 65+ below the poverty line (approx.)	17%	14%	12%
Residents 65 or older	12%	12%	13%
Residents 5+ who speak a language other than English at home	47%	45%	35%
Median income, households headed by someone 65+	$50,324	$58,641	—

Older residents in towns around Houston

Town	Distance	Residents 65+	Residents 85+
West University Place, TX	5.5 mi	2,533	228
Hunters Creek Village, TX	6.6 mi	760	37
Spring Valley Village, TX	6.9 mi	678	64
Bellaire, TX	7.1 mi	3,186	307
Piney Point Village, TX	7.9 mi	660	48
Bunker Hill Village, TX	8.7 mi	635	30

Emergency hospitals near Houston

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Memorial Hermann Hospital System	Houston, TX	1.7 mi	3 of 5	(713) 448-6796
St Joseph Medical Center	Houston, TX	2.5 mi	3 of 5	(713) 757-1000
HCA Houston Healthcare Medical Center	Houston, TX	4.5 mi	4 of 5	(713) 527-5019

Straight-line miles from the center of Houston. 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 Houston

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 (60% of the $4,194 monthly median income of Houston 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 (202% of the $4,194 monthly median income of Houston 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 Houston: common questions

Where is the nearest emergency hospital to Houston?

Memorial Hermann Hospital System in Houston, about 1.7 mi in a straight line from the center of Houston (Medicare hospital file). Its listed phone number is (713) 448-6796. In an emergency, call 911.

How much does live-in care cost in Houston?

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 (60% of the $4,194 monthly median income of Houston 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 (202% of the $4,194 monthly median income of Houston 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 Houston?

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 Houston 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 Houston

More senior care near Houston

Live-In Caregivers in nearby cities

Other care in Houston

More for Houston 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 Houston, TX