Respite Care in Van, TX: Breaks for Family Caregivers

Local figures

Respite Care in Van, TX: the local picture

361

residents 65 or older (13% of Van)

68%

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

19%

of residents 65+ report a disability (33% in Van Zandt County)

17

Medicare-certified hospices serve Van ZIP codes

Most older adults in Van live with someone: 68% 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 66 Van residents aged 65 or older report a disability (19%) (33% in Van Zandt County). Many of them rely on a spouse or adult child day to day.

Medicare lists 17 hospices serving Van ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Van compared with Van Zandt County and Texas

Census figure	Van	Van Zandt County	Texas
Residents 65+ with a disability	19%	33%	35%
Residents 65+ in households who live alone	32%	26%	25%
Residents 65 or older	13%	20%	13%
Residents 85 or older	0.8%	2.2%	1.4%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Households with no vehicle	2.5%	3.2%	5.4%
Median income, households headed by someone 65+	$36,000	$44,462	—

Older residents in towns around Van

Town	Distance	Residents 65+	65+ with a disability
Hideaway, TX	11 mi	1,059	14%
Grand Saline, TX	11 mi	730	42%
Mineola, TX	13 mi	1,412	50%
Canton, TX	13 mi	819	31%
Lindale, TX	14 mi	1,182	39%
Chandler, TX	18 mi	1,368	36%

Hospices serving Van

Hospice	Office	Distance	Phone
Harbor Hospice 27 LP	Tyler, TX	22 mi	(903) 534-3701
Enhabit Hospice	Tyler, TX	24 mi	(903) 405-3853
Hospice Of East Texas	Tyler, TX	24 mi	(903) 266-3400
Choice Hospice	Tyler, TX	26 mi	(903) 509-3015
Traditions Health	Tyler, TX	26 mi	(903) 787-5897

Nursing homes near Van (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Van Healthcare	Van, TX	0.3 mi	4 of 5	60	(903) 963-8641
Avir At Bradburn	Grand Saline, TX	11 mi	1 of 5	76	(903) 962-4234
Azalea Trail Nursing And Rehabilitation Center	Grand Saline, TX	11 mi	4 of 5	72	(903) 962-4226
Avir At Grand Saline	Grand Saline, TX	12 mi	2 of 5	120	(903) 962-7595

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 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 Van

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 34% of the $3,000 monthly median income of Van 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 Van: common questions

Which hospices serve Van?

Medicare lists 17 hospices for Van ZIP codes, including Harbor Hospice 27 LP, Enhabit Hospice, Hospice Of East Texas.

How much does respite care cost in Van?

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 34% of the $3,000 monthly median income of Van 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 Van. 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 Van

More senior care near Van

Respite Care 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.

Respite Care in Van, TX