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

Local figures

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

22

residents 85 or older (0.8% of all residents)

222

households headed by someone 65+ own their home (95%)

72%

of Van homes have 3 or more bedrooms (72% in Van Zandt County)

$7.25

Texas minimum wage per hour

About 22 Van 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. 72% of homes in Van have three or more bedrooms (72% in Van Zandt County); the median home has 5.2 rooms.

Of Van households headed by someone 65 or older, 222 own their home and 12 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Van compared with Van Zandt County and Texas

Census figure	Van	Van Zandt County	Texas
Residents 85 or older	0.8%	2.2%	1.4%
Residents 65+ in households who live alone	32%	26%	25%
Residents 65+ with a disability	19%	33%	35%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Residents 65 or older	13%	20%	13%
Residents 5+ who speak a language other than English at home	5.7%	10%	35%
Median income, households headed by someone 65+	$36,000	$44,462	—

Older residents in towns around Van

Town	Distance	Residents 65+	Residents 85+
Hideaway, TX	11 mi	1,059	149
Grand Saline, TX	11 mi	730	130
Mineola, TX	13 mi	1,412	273
Canton, TX	13 mi	819	119
Lindale, TX	14 mi	1,182	190
Chandler, TX	18 mi	1,368	295

Emergency hospitals near Van

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
UT Health East Texas Quitman Hospital	Quitman, TX	23 mi	4 of 5	(903) 763-6300
UT Health East Texas Tyler Regional Hospital	Tyler, TX	24 mi	2 of 5	(903) 597-0351
Christus Mother Frances Hospital	Tyler, TX	24 mi	4 of 5	(903) 593-8441

Straight-line miles from the center of Van. 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

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 (84% of the $3,000 monthly median income of Van 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 (283% of the $3,000 monthly median income of Van 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: common questions

Where is the nearest emergency hospital to Van?

UT Health East Texas Quitman Hospital in Quitman, about 23 mi in a straight line from the center of Van (Medicare hospital file). Its listed phone number is (903) 763-6300. In an emergency, call 911.

How much does live-in care cost in Van?

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 (84% of the $3,000 monthly median income of Van 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 (283% of the $3,000 monthly median income of Van 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?

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 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

More senior care near Van

Live-In Caregivers in nearby cities

Other care in Van

More for Van families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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, TX