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

Local figures

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

31

residents 85 or older (0.1% of all residents)

929

households headed by someone 65+ own their home (98%)

97%

of Sienna homes have 3 or more bedrooms (84% in Fort Bend County)

$7.25

Texas minimum wage per hour

About 31 Sienna 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. 97% of homes in Sienna have three or more bedrooms (84% in Fort Bend County); the median home has 7.9 rooms.

Of Sienna households headed by someone 65 or older, 929 own their home and 17 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Sienna compared with Fort Bend County and Texas

Census figure	Sienna	Fort Bend County	Texas
Residents 85 or older	0.1%	1.0%	1.4%
Residents 65+ in households who live alone	10%	15%	25%
Residents 65+ with a disability	19%	28%	35%
Residents 65+ below the poverty line (approx.)	1.2%	9.0%	12%
Residents 65 or older	8.6%	13%	13%
Residents 5+ who speak a language other than English at home	19%	41%	35%
Median income, households headed by someone 65+	$114,236	$78,465	—

Older residents in towns around Sienna

Town	Distance	Residents 65+	Residents 85+
Fresno, TX	4.3 mi	1,724	46
Missouri City, TX	5.6 mi	13,050	954
Iowa Colony, TX	5.8 mi	1,005	0
Manvel, TX	8.7 mi	1,416	194
Stafford, TX	10 mi	1,870	136
Sugar Land, TX	11 mi	21,181	1,867

Emergency hospitals near Sienna

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Houston Methodist Sugarland Hospital	Sugar Land, TX	8.8 mi	5 of 5	(281) 274-8000
Memorial Hermann Sugar Land Hospital	Sugar Land, TX	8.8 mi	4 of 5	(281) 725-5000
Sugar Land Surgical Hospital Llp	Sugar Land, TX	8.8 mi	not rated	(281) 243-1000

Straight-line miles from the center of Sienna. 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 Sienna

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 (27% of the $9,520 monthly median income of Sienna 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 (89% of the $9,520 monthly median income of Sienna 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 Sienna: common questions

Where is the nearest emergency hospital to Sienna?

Houston Methodist Sugarland Hospital in Sugar Land, about 8.8 mi in a straight line from the center of Sienna (Medicare hospital file). Its listed phone number is (281) 274-8000. In an emergency, call 911.

How much does live-in care cost in Sienna?

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 (27% of the $9,520 monthly median income of Sienna 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 (89% of the $9,520 monthly median income of Sienna 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 Sienna?

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 Sienna 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 Sienna

More senior care near Sienna

Live-In Caregivers in nearby cities

Other care in Sienna

More for Sienna 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 Sienna, TX