Respite Care in Josephine, TX: Breaks for Family Caregivers

Local figures

Respite Care in Josephine, TX: the local picture

701

residents 65 or older (12% of Josephine)

85%

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

49%

of residents 65+ report a disability (26% in Collin County)

5

Medicare-certified hospices serve Josephine ZIP codes

Most older adults in Josephine live with someone: 85% 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 342 Josephine residents aged 65 or older report a disability (49%) (26% in Collin County). Many of them rely on a spouse or adult child day to day.

Medicare lists 5 hospices serving Josephine ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Josephine compared with Collin County and Texas

Census figure	Josephine	Collin County	Texas
Residents 65+ with a disability	49%	26%	35%
Residents 65+ in households who live alone	15%	21%	25%
Residents 65 or older	12%	12%	13%
Residents 85 or older	0.7%	1.1%	1.4%
Residents 65+ below the poverty line (approx.)	13%	7.1%	12%
Households with no vehicle	0.8%	3.2%	5.4%
Median income, households headed by someone 65+	$55,822	$79,147	—

Older residents in towns around Josephine

Town	Distance	Residents 65+	65+ with a disability
Caddo Mills, TX	5.3 mi	452	31%
Royse City, TX	6.0 mi	1,817	24%
Farmersville, TX	7.2 mi	610	30%
Lavon, TX	7.3 mi	501	17%
Fate, TX	8.8 mi	1,504	24%
Rockwall, TX	12 mi	8,082	30%

Hospices serving Josephine

Hospice	Office	Distance	Phone
Family First Hospice	Greenville, TX	13 mi	(903) 454-3346
Anchor Of Hope Hospice	Plano, TX	27 mi	(469) 351-4466
Silverstone Hospice	Dallas, TX	34 mi	(214) 954-7285
Vitas Healthcare Of Texas LP	Dallas, TX	36 mi	(214) 424-5600
Bristol Hospice - North Central Texas	Waxahachie, TX	56 mi	(972) 923-2436

Nursing homes near Josephine (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Royse City Medical Lodge	Royse City, TX	6.2 mi	3 of 5	124	(972) 636-9100
Farmersville Health And Rehabilitation	Farmersville, TX	7.0 mi	4 of 5	74	(972) 784-6191
Lexington Medical Lodge	Farmersville, TX	7.6 mi	3 of 5	128	(972) 784-7770
Greenville Health & Rehabilitation Center	Greenville, TX	12 mi	1 of 5	120	(903) 454-3772

Straight-line miles from the center of Josephine. 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 Josephine

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 22% of the $4,652 monthly median income of Josephine 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 Josephine: common questions

Which hospices serve Josephine?

Medicare lists 5 hospices for Josephine ZIP codes, including Family First Hospice, Anchor Of Hope Hospice, Silverstone Hospice.

How much does respite care cost in Josephine?

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 22% of the $4,652 monthly median income of Josephine 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 Josephine. 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 Josephine

More senior care near Josephine

Respite Care in nearby cities

Other care in Josephine

More for Josephine 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 Josephine, TX