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

Local figures

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

262

residents 85 or older (1.4% of all residents)

1,543

households headed by someone 65+ own their home (76%)

63%

of Palestine homes have 3 or more bedrooms (70% in Anderson County)

$7.25

Texas minimum wage per hour

About 262 Palestine 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. 63% of homes in Palestine have three or more bedrooms (70% in Anderson County), while 9.7% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.

Of Palestine households headed by someone 65 or older, 1,543 own their home and 490 rent; among householders 85 and older it is 122 owners and 52 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Palestine compared with Anderson County and Texas

Census figure	Palestine	Anderson County	Texas
Residents 85 or older	1.4%	0.9%	1.4%
Residents 65+ in households who live alone	43%	25%	25%
Residents 65+ with a disability	38%	39%	35%
Residents 65+ below the poverty line (approx.)	12%	10%	12%
Residents 65 or older	15%	15%	13%
Residents 5+ who speak a language other than English at home	18%	14%	35%
Median income, households headed by someone 65+	$44,281	$54,710	—

Older residents in towns around Palestine

Town	Distance	Residents 65+	Residents 85+
Jacksonville, TX	26 mi	1,988	327
Shadybrook, TX	28 mi	540	0
Rusk, TX	29 mi	676	50
Fairfield, TX	31 mi	631	88
Crockett, TX	32 mi	1,281	260
Athens, TX	33 mi	2,563	518

Emergency hospitals near Palestine

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Palestine Regional Medical Center	Palestine, TX	0.8 mi	1 of 5	(903) 731-1000
UT Health East Texas Jacksonville Hospital	Jacksonville, TX	26 mi	not rated	(903) 541-5000
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	26 mi	not rated	(903) 541-4500

Straight-line miles from the center of Palestine. 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 Palestine

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 (68% of the $3,690 monthly median income of Palestine 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 (230% of the $3,690 monthly median income of Palestine 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 Palestine: common questions

Where is the nearest emergency hospital to Palestine?

Palestine Regional Medical Center in Palestine, about 0.8 mi in a straight line from the center of Palestine (Medicare hospital file). Its listed phone number is (903) 731-1000. In an emergency, call 911.

How much does live-in care cost in Palestine?

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 (68% of the $3,690 monthly median income of Palestine 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 (230% of the $3,690 monthly median income of Palestine 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 Palestine?

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 Palestine 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 Palestine

More senior care near Palestine

Live-In Caregivers in nearby cities

Other care in Palestine

More for Palestine 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 Palestine, TX