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

Local figures

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

516

residents 85 or older (1.6% of all residents)

1,863

households headed by someone 65+ own their home (68%)

48%

of Nacogdoches homes have 3 or more bedrooms (60% in Nacogdoches County)

$7.25

Texas minimum wage per hour

About 516 Nacogdoches 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. 48% of homes in Nacogdoches have three or more bedrooms (60% in Nacogdoches County), while 17% have one bedroom or none, where live-in care rarely works; the median home has 4.5 rooms.

Of Nacogdoches households headed by someone 65 or older, 1,863 own their home and 865 rent; among householders 85 and older it is 253 owners and 75 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Nacogdoches compared with Nacogdoches County and Texas

Census figure	Nacogdoches	Nacogdoches County	Texas
Residents 85 or older	1.6%	1.4%	1.4%
Residents 65+ in households who live alone	32%	27%	25%
Residents 65+ with a disability	34%	35%	35%
Residents 65+ below the poverty line (approx.)	19%	12%	12%
Residents 65 or older	13%	16%	13%
Residents 5+ who speak a language other than English at home	15%	17%	35%
Median income, households headed by someone 65+	$41,525	$52,436	—

Older residents in towns around Nacogdoches

Town	Distance	Residents 65+	Residents 85+
Lufkin, TX	21 mi	5,215	809
Hudson, TX	22 mi	588	60
Huntington, TX	23 mi	622	41
Diboll, TX	30 mi	924	39
Center, TX	30 mi	772	53
Rusk, TX	32 mi	676	50

Emergency hospitals near Nacogdoches

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Nacogdoches Medical Center	Nacogdoches, TX	7.7 mi	3 of 5	(936) 569-9481
Nacogdoches Memorial Hospital	Nacogdoches, TX	9.6 mi	2 of 5	(936) 564-4611
Woodland Heights Medical Center	Lufkin, TX	21 mi	3 of 5	(936) 634-8311

Straight-line miles from the center of Nacogdoches. 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 Nacogdoches

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 (73% of the $3,460 monthly median income of Nacogdoches 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 (245% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches: common questions

Where is the nearest emergency hospital to Nacogdoches?

Nacogdoches Medical Center in Nacogdoches, about 7.7 mi in a straight line from the center of Nacogdoches (Medicare hospital file). Its listed phone number is (936) 569-9481. In an emergency, call 911.

How much does live-in care cost in Nacogdoches?

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 (73% of the $3,460 monthly median income of Nacogdoches 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 (245% of the $3,460 monthly median income of Nacogdoches 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 Nacogdoches?

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 Nacogdoches 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 Nacogdoches

More senior care near Nacogdoches

Live-In Caregivers in nearby cities

Other care in Nacogdoches

More for Nacogdoches 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 Nacogdoches, TX