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

Local figures

Live-In Caregivers in Van Alstyne, TX: the local picture

174

residents 85 or older (2.9% of all residents)

556

households headed by someone 65+ own their home (77%)

85%

of Van Alstyne homes have 3 or more bedrooms (67% in Grayson County)

$7.25

Texas minimum wage per hour

About 174 Van Alstyne 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. 85% of homes in Van Alstyne have three or more bedrooms (67% in Grayson County), while 7.3% have one bedroom or none, where live-in care rarely works; the median home has 6 rooms.

Of Van Alstyne households headed by someone 65 or older, 556 own their home and 162 rent; among householders 85 and older it is 67 owners and 32 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Van Alstyne compared with Grayson County and Texas

Census figure	Van Alstyne	Grayson County	Texas
Residents 85 or older	2.9%	2.2%	1.4%
Residents 65+ in households who live alone	28%	27%	25%
Residents 65+ with a disability	19%	34%	35%
Residents 65+ below the poverty line (approx.)	5.6%	10%	12%
Residents 65 or older	18%	18%	13%
Residents 5+ who speak a language other than English at home	15%	12%	35%
Median income, households headed by someone 65+	$96,127	$54,577	—

Older residents in towns around Van Alstyne

Town	Distance	Residents 65+	Residents 85+
Anna, TX	5.4 mi	1,358	116
Howe, TX	6.2 mi	275	35
Melissa, TX	9.3 mi	1,344	277
Celina, TX	14 mi	3,231	157
Sherman, TX	15 mi	7,338	1,093
McKinney, TX	16 mi	21,644	2,816

Emergency hospitals near Van Alstyne

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Methodist Celina Medical Center	Celina, TX	13 mi	not rated	(214) 947-6452
Wilson N Jones Regional Medical Center	Sherman, TX	15 mi	2 of 5	(903) 870-4611
Baylor Scott And White Surgical Hospital At Sherma	Sherman, TX	15 mi	3 of 5	(903) 813-3728

Straight-line miles from the center of Van Alstyne. 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 Van Alstyne

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 (32% of the $8,011 monthly median income of Van Alstyne 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 (106% of the $8,011 monthly median income of Van Alstyne 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 Van Alstyne: common questions

Where is the nearest emergency hospital to Van Alstyne?

Methodist Celina Medical Center in Celina, about 13 mi in a straight line from the center of Van Alstyne (Medicare hospital file). Its listed phone number is (214) 947-6452. In an emergency, call 911.

How much does live-in care cost in Van Alstyne?

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 (32% of the $8,011 monthly median income of Van Alstyne 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 (106% of the $8,011 monthly median income of Van Alstyne 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 Van Alstyne?

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 Van Alstyne 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 Van Alstyne

More senior care near Van Alstyne

Live-In Caregivers in nearby cities

Other care in Van Alstyne

More for Van Alstyne 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 Van Alstyne, TX