Respite Care in Hondo, TX: Breaks for Family Caregivers

Local figures

Respite Care in Hondo, TX: the local picture

1,231

residents 65 or older (14% of Hondo)

70%

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

29%

of residents 65+ report a disability (40% in Medina County)

46

Medicare-certified hospices serve Hondo ZIP codes

Most older adults in Hondo live with someone: 70% 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 323 Hondo residents aged 65 or older report a disability (29%) (40% in Medina County). Many of them rely on a spouse or adult child day to day.

Medicare lists 46 hospices serving Hondo ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Hondo compared with Medina County and Texas

Census figure	Hondo	Medina County	Texas
Residents 65+ with a disability	29%	40%	35%
Residents 65+ in households who live alone	30%	28%	25%
Residents 65 or older	14%	18%	13%
Residents 85 or older	1.5%	2.3%	1.4%
Residents 65+ below the poverty line (approx.)	13%	11%	12%
Households with no vehicle	4.3%	3.5%	5.4%
Median income, households headed by someone 65+	$39,907	$47,474	—

Older residents in towns around Hondo

Town	Distance	Residents 65+	65+ with a disability
Castroville, TX	18 mi	698	46%
Devine, TX	21 mi	1,156	60%
Lakehills, TX	23 mi	1,402	39%
Pearsall, TX	32 mi	1,070	71%
Helotes, TX	33 mi	1,789	24%
Lackland AFB, TX	33 mi	0	—

Hospices serving Hondo

Hospice	Office	Distance	Phone
Blue Skies Hospice	San Antonio, TX	29 mi	(210) 838-6340
Heart To Heart Hospice Of South Texas	Pearsall, TX	32 mi	(830) 505-5600
Christus Vna Hospice San Antonio	San Antonio, TX	36 mi	(210) 785-5255
Changing Seasons Hospice	San Antonio, TX	36 mi	(210) 260-0000
Transcend Hospice	San Antonio, TX	36 mi	(210) 994-5388

Nursing homes near Hondo (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Community Care Center Of Hondo	Hondo, TX	3.6 mi	1 of 5	75	(830) 426-3087
Devine Health & Rehabilitation	Devine, TX	21 mi	5 of 5	96	(830) 663-4451
Medina Valley Health & Rehabilitation Center	Castroville, TX	22 mi	3 of 5	116	(830) 931-2900
Lytle Nursing Home	Lytle, TX	23 mi	1 of 5	70	(830) 772-3557

Straight-line miles from the center of Hondo. 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 Hondo

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 30% of the $3,326 monthly median income of Hondo 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 Hondo: common questions

Which hospices serve Hondo?

Medicare lists 46 hospices for Hondo ZIP codes, including Blue Skies Hospice, Heart To Heart Hospice Of South Texas, Christus Vna Hospice San Antonio.

How much does respite care cost in Hondo?

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 30% of the $3,326 monthly median income of Hondo 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 Hondo. 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 Hondo

More senior care near Hondo

Respite Care in nearby cities

Other care in Hondo

More for Hondo 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.

Respite Care in Hondo, TX