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

Local figures

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

40

residents 85 or older (0.7% of all residents)

393

households headed by someone 65+ own their home (97%)

90%

of Josephine homes have 3 or more bedrooms (71% in Collin County)

$7.25

Texas minimum wage per hour

About 40 Josephine 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. 90% of homes in Josephine have three or more bedrooms (71% in Collin County); the median home has 6 rooms.

Of Josephine households headed by someone 65 or older, 393 own their home and 13 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Josephine compared with Collin County and Texas

Census figure	Josephine	Collin County	Texas
Residents 85 or older	0.7%	1.1%	1.4%
Residents 65+ in households who live alone	15%	21%	25%
Residents 65+ with a disability	49%	26%	35%
Residents 65+ below the poverty line (approx.)	13%	7.1%	12%
Residents 65 or older	12%	12%	13%
Residents 5+ who speak a language other than English at home	21%	31%	35%
Median income, households headed by someone 65+	$55,822	$79,147	—

Older residents in towns around Josephine

Town	Distance	Residents 65+	Residents 85+
Caddo Mills, TX	5.3 mi	452	37
Royse City, TX	6.0 mi	1,817	134
Farmersville, TX	7.2 mi	610	45
Lavon, TX	7.3 mi	501	22
Fate, TX	8.8 mi	1,504	135
Rockwall, TX	12 mi	8,082	709

Emergency hospitals near Josephine

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Texas Health Presbyterian Hospital Rockwall	Rockwall, TX	13 mi	5 of 5	(469) 698-1000
Hunt Regional Medical Center	Greenville, TX	14 mi	2 of 5	(903) 408-5000
Glen Oaks Hospital	Greenville, TX	14 mi	not rated	(903) 454-6000

Straight-line miles from the center of Josephine. 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 Josephine

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 (54% of the $4,652 monthly median income of Josephine 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 (182% of the $4,652 monthly median income of Josephine 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 Josephine: common questions

Where is the nearest emergency hospital to Josephine?

Texas Health Presbyterian Hospital Rockwall in Rockwall, about 13 mi in a straight line from the center of Josephine (Medicare hospital file). Its listed phone number is (469) 698-1000. In an emergency, call 911.

How much does live-in care cost in Josephine?

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 (54% of the $4,652 monthly median income of Josephine 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 (182% of the $4,652 monthly median income of Josephine 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 Josephine?

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 Josephine 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 Josephine

More senior care near Josephine

Live-In Caregivers in nearby cities

Other care in Josephine

More for Josephine 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 Josephine, TX