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

Local figures

Live-In Caregivers in Karnes City, TX: the local picture

40

residents 85 or older (1.1% of all residents)

136

households headed by someone 65+ own their home (88%)

61%

of Karnes City homes have 3 or more bedrooms (66% in Karnes County)

$7.25

Texas minimum wage per hour

About 40 Karnes City 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. 61% of homes in Karnes City have three or more bedrooms (66% in Karnes County), while 17% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of Karnes City households headed by someone 65 or older, 136 own their home and 19 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Karnes City compared with Karnes County and Texas

Census figure	Karnes City	Karnes County	Texas
Residents 85 or older	1.1%	1.6%	1.4%
Residents 65+ in households who live alone	20%	36%	25%
Residents 65+ with a disability	45%	36%	35%
Residents 65+ below the poverty line (approx.)	2.6%	14%	12%
Residents 65 or older	9.2%	15%	13%
Residents 5+ who speak a language other than English at home	27%	25%	35%
Median income, households headed by someone 65+	$55,972	$36,591	—

Older residents in towns around Karnes City

Town	Distance	Residents 65+	Residents 85+
Kenedy, TX	6.0 mi	555	124
Floresville, TX	24 mi	1,524	188
Beeville, TX	34 mi	1,709	256
Pleasanton, TX	36 mi	1,799	321
Sandy Oaks, TX	37 mi	1,137	75
Jourdanton, TX	39 mi	466	63

Emergency hospitals near Karnes City

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Otto Kaiser Memorial Hospital	Kenedy, TX	6.5 mi	not rated	(830) 583-3401
Connally Memorial Medical Center	Floresville, TX	26 mi	3 of 5	(830) 393-1300
Christus Spohn Hospital Beeville	Beeville, TX	33 mi	2 of 5	(361) 354-2000

Straight-line miles from the center of Karnes City. 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 Karnes City

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 $4,664 monthly median income of Karnes City 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 $4,664 monthly median income of Karnes City 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 Karnes City: common questions

Where is the nearest emergency hospital to Karnes City?

Otto Kaiser Memorial Hospital in Kenedy, about 6.5 mi in a straight line from the center of Karnes City (Medicare hospital file). Its listed phone number is (830) 583-3401. In an emergency, call 911.

How much does live-in care cost in Karnes City?

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 $4,664 monthly median income of Karnes City 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 $4,664 monthly median income of Karnes City 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 Karnes City?

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 Karnes City 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 Karnes City

More senior care near Karnes City

Live-In Caregivers in nearby cities

Other care in Karnes City

More for Karnes City families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Karnes City, TX