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

Local figures

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

121

residents 85 or older (4.3% of all residents)

279

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

74%

of Spearman homes have 3 or more bedrooms (76% in Hansford County)

$7.25

Texas minimum wage per hour

About 121 Spearman 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. 74% of homes in Spearman have three or more bedrooms (76% in Hansford County), while 9.1% have one bedroom or none, where live-in care rarely works; the median home has 5.9 rooms.

Of Spearman households headed by someone 65 or older, 279 own their home and 6 rent; among householders 85 and older it is 89 owners and 6 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Spearman compared with Hansford County and Texas

Census figure	Spearman	Hansford County	Texas
Residents 85 or older	4.3%	2.6%	1.4%
Residents 65+ in households who live alone	42%	40%	25%
Residents 65+ with a disability	39%	35%	35%
Residents 65+ below the poverty line (approx.)	13%	11%	12%
Residents 65 or older	15%	14%	13%
Residents 5+ who speak a language other than English at home	30%	35%	35%
Median income, households headed by someone 65+	$41,250	$46,875	—

Older residents in towns around Spearman

Town	Distance	Residents 65+	Residents 85+
Perryton, TX	26 mi	963	94
Sunray, TX	37 mi	128	0
Guymon, OK	37 mi	1,010	72
Borger, TX	39 mi	1,959	233
Cactus, TX	47 mi	184	0
Pampa, TX	47 mi	2,920	292

Emergency hospitals near Spearman

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Hansford County Hospital	Spearman, TX	0.4 mi	not rated	(806) 659-2535
Ochiltree General Hospital	Perryton, TX	24 mi	not rated	(806) 435-3606
Memorial Hospital Of Texas County Authority	Guymon, OK	38 mi	not rated	(580) 338-6515

Straight-line miles from the center of Spearman. 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 Spearman

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 $3,438 monthly median income of Spearman 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 (247% of the $3,438 monthly median income of Spearman 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 Spearman: common questions

Where is the nearest emergency hospital to Spearman?

Hansford County Hospital in Spearman, about 0.4 mi in a straight line from the center of Spearman (Medicare hospital file). Its listed phone number is (806) 659-2535. In an emergency, call 911.

How much does live-in care cost in Spearman?

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 $3,438 monthly median income of Spearman 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 (247% of the $3,438 monthly median income of Spearman 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 Spearman?

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 Spearman 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 Spearman

More senior care near Spearman

Live-In Caregivers in nearby cities

Other care in Spearman

More for Spearman 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 Spearman, TX