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

Local figures

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

96

residents 85 or older (1.1% of all residents)

417

households headed by someone 65+ own their home (62%)

67%

of Pearsall homes have 3 or more bedrooms (66% in Frio County)

$7.25

Texas minimum wage per hour

About 96 Pearsall 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. 67% of homes in Pearsall have three or more bedrooms (66% in Frio County), while 6.7% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Pearsall households headed by someone 65 or older, 417 own their home and 261 rent; among householders 85 and older it is 58 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Pearsall compared with Frio County and Texas

Census figure	Pearsall	Frio County	Texas
Residents 85 or older	1.1%	1.6%	1.4%
Residents 65+ in households who live alone	37%	32%	25%
Residents 65+ with a disability	71%	59%	35%
Residents 65+ below the poverty line (approx.)	40%	27%	12%
Residents 65 or older	12%	12%	13%
Residents 5+ who speak a language other than English at home	51%	46%	35%

Older residents in towns around Pearsall

Town	Distance	Residents 65+	Residents 85+
Dilley, TX	16 mi	419	124
Devine, TX	21 mi	1,156	307
Hondo, TX	32 mi	1,231	132
Cotulla, TX	33 mi	583	80
Poteet, TX	33 mi	601	15
Jourdanton, TX	34 mi	466	63

Emergency hospitals near Pearsall

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Frio Regional Hospital	Pearsall, TX	0.2 mi	not rated	(830) 334-3617
Medina Regional Hospital	Hondo, TX	32 mi	not rated	(830) 426-7700
Methodist Hospital Atascosa	Jourdanton, TX	34 mi	3 of 5	(830) 769-3515

Straight-line miles from the center of Pearsall. 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 Pearsall

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. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month. 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 Pearsall: common questions

Where is the nearest emergency hospital to Pearsall?

Frio Regional Hospital in Pearsall, about 0.2 mi in a straight line from the center of Pearsall (Medicare hospital file). Its listed phone number is (830) 334-3617. In an emergency, call 911.

How much does live-in care cost in Pearsall?

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. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $8,481 a month. 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 Pearsall?

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. Choose shifts if help is needed several times a night.

More near Pearsall

More senior care near Pearsall

Live-In Caregivers in nearby cities

Other care in Pearsall

More for Pearsall 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 Pearsall, TX