Respite Care in San Marcos, TX
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in San Marcos for free and hire a caregiver directly, with no agency mark-up.

Respite Care in San Marcos, TX: the local picture
Most older adults in San Marcos live with someone: 69% 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 3,156 San Marcos residents aged 65 or older report a disability (43%) (33% in Hays County). Many of them rely on a spouse or adult child day to day.
Medicare lists 62 hospices serving San Marcos ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
San Marcos compared with Hays County and Texas
| Census figure | San Marcos | Hays County | Texas |
|---|---|---|---|
| Residents 65+ with a disability | 43% | 33% | 35% |
| Residents 65+ in households who live alone | 31% | 23% | 25% |
| Residents 65 or older | 11% | 12% | 13% |
| Residents 85 or older | 1.1% | 1.0% | 1.4% |
| Residents 65+ below the poverty line (approx.) | 19% | 9.0% | 12% |
| Households with no vehicle | 8.1% | 3.9% | 5.4% |
| Median income, households headed by someone 65+ | $53,772 | $73,773 | — |
Older residents in towns around San Marcos
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Redwood, TX | 4.7 mi | 342 | 18% |
| Kyle, TX | 8.9 mi | 4,526 | 41% |
| Uhland, TX | 11 mi | 150 | 48% |
| Wimberley, TX | 12 mi | 820 | 20% |
| Buda, TX | 15 mi | 1,080 | 30% |
| Lockhart, TX | 15 mi | 2,580 | 47% |
Hospices serving San Marcos
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Halcyon Home | San Marcos, TX | 0.3 mi | (512) 815-9009 |
| Christus Hospice - Central Texas | San Marcos, TX | 0.3 mi | (512) 754-6159 |
| Gentiva | San Marcos, TX | 0.3 mi | (512) 392-9138 |
| Heart To Heart Hospice Of San Marcos LLC | San Marcos, TX | 0.3 mi | (512) 667-6816 |
| Jol Healthcare | Kyle, TX | 11 mi | (512) 786-4198 |
Nursing homes near San Marcos (ask about short stays)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| San Marcos Rehabilitation And Healthcare Center | San Marcos, TX | 0.8 mi | 2 of 5 | 129 | (512) 353-5026 |
| Hays Nursing And Rehabilitation Center | San Marcos, TX | 1.4 mi | 3 of 5 | 116 | (512) 396-1888 |
| Cypress Healthcare And Rehabilitation Center | San Marcos, TX | 2.0 mi | 1 of 5 | 174 | (512) 805-5000 |
| Legend Oaks Healthcare And Rehabilitation-Kyle | Kyle, TX | 11 mi | 3 of 5 | 126 | (512) 268-1003 |
Straight-line miles from the center of San Marcos. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What respite care costs in San Marcos
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 23% of the $4,481 monthly median income of San Marcos 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.
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.
Respite Care in San Marcos: common questions
Which hospices serve San Marcos?
Medicare lists 62 hospices for San Marcos ZIP codes, including Halcyon Home, Christus Hospice - Central Texas, Gentiva.
How much does respite care cost in San Marcos?
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 23% of the $4,481 monthly median income of San Marcos 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 San Marcos. 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 senior care near San Marcos
Respite Care in nearby cities
- Respite Care in Redwood, TX
- Respite Care in Kyle, TX
- Respite Care in Uhland, TX
- Respite Care in Wimberley, TX
- Respite Care in Buda, TX
- Respite Care in Lockhart, TX
- Respite Care in New Braunfels, TX
- Respite Care in Canyon Lake, TX
- Respite Care in Seguin, TX
- Respite Care in Shady Hollow, TX
- Respite Care in Luling, TX
- Respite Care in Belterra, TX
- Respite Care in Dripping Springs, TX
- Respite Care in Garden Ridge, TX
- Respite Care in Cibolo, TX
- Respite Care in Schertz, TX
Other care in San Marcos
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.
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