Respite Care in Cotulla, TX: Breaks for Family Caregivers

Local figures

Respite Care in Cotulla, TX: the local picture

583

residents 65 or older (16% of Cotulla)

87%

of residents 65+ in households live with someone, often a family caregiver

33%

of residents 65+ report a disability (27% in La Salle County)

10

Medicare-certified hospices serve Cotulla ZIP codes

Most older adults in Cotulla live with someone: 87% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.

About 178 Cotulla residents aged 65 or older report a disability (33%) (27% in La Salle County). Many of them rely on a spouse or adult child day to day.

Medicare lists 10 hospices serving Cotulla ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Cotulla compared with La Salle County and Texas

Census figure	Cotulla	La Salle County	Texas
Residents 65+ with a disability	33%	27%	35%
Residents 65+ in households who live alone	13%	14%	25%
Residents 65 or older	16%	16%	13%
Residents 85 or older	2.2%	1.8%	1.4%
Residents 65+ below the poverty line (approx.)	23%	15%	12%
Households with no vehicle	5.3%	7.0%	5.4%
Median income, households headed by someone 65+	$41,464	$50,219	—

Older residents in towns around Cotulla

Town	Distance	Residents 65+	65+ with a disability
Dilley, TX	16 mi	419	44%
Pearsall, TX	33 mi	1,070	71%
Carrizo Springs, TX	38 mi	699	65%
Crystal City, TX	40 mi	1,024	49%
Devine, TX	53 mi	1,156	60%
Jourdanton, TX	54 mi	466	38%

Hospices serving Cotulla

Hospice	Office	Distance	Phone
Heart To Heart Hospice Of South Texas	Pearsall, TX	33 mi	(830) 505-5600
Altus Hospice	Laredo, TX	63 mi	(956) 718-3000
Uvalde Hospice	Uvalde, TX	64 mi	(830) 278-6691
Nightingale Hospice Care, Inc.	San Antonio, TX	81 mi	(210) 797-7321
Nightingale Hospice Care Of Texas Inc.	San Antonio, TX	84 mi	(210) 449-6572

Nursing homes near Cotulla (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Cotulla	Cotulla, TX	0.6 mi	4 of 5	60	(830) 879-4483

Straight-line miles from the center of Cotulla. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a respite caregiver can help with

Taking over the usual routine while you are away
Meals, medication reminders and personal care
Company and activities
Overnight cover for a weekend or a trip

Cost

What respite care costs in Cotulla

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 29% of the $3,455 monthly median income of Cotulla households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 respite caregiver

Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.

Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Respite Care in Cotulla: common questions

Which hospices serve Cotulla?

Medicare lists 10 hospices for Cotulla ZIP codes, including Heart To Heart Hospice Of South Texas, Altus Hospice, Uvalde Hospice.

How much does respite care cost in Cotulla?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 29% of the $3,455 monthly median income of Cotulla households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Does Medicaid or Medicare pay for respite care?

Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Cotulla. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.

More near Cotulla

More senior care near Cotulla

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.

Respite Care in Cotulla, TX