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Cost of care · Home care

What home care really costs in Texas.

$25–$35/hour is the typical range for professional caregivers in Texas. Real surveyed medians, honest hours math, and free local answers from Kendall Warren, BCPA·CSA.

The published medians, side by side

Type of careTexasNationalSource
Non-medical caregiver (hourly)$30/hour median$35/hour median (up 3% year-over-year)CareScout 2025
Non-medical caregiver (monthly, 44 hrs/week basis)$5,720/month ($68,640/year)$80,080/yearCareScout 2025
Home care hourly — second source$30/hour (starting rates, early 2026)—A Place for Mom data, per Stacker 2026
Private duty nursing at home (RN/LVN — a different, medical service)$90/hour median$90/hour median · $160 per visitCareScout 2025

Medians, not quotes. What your family actually pays depends on hours, level of care, and the provider — for honest local numbers, call Kendall free at (432) 901-6465.

Start with the range that's actually true here.

$25–$35/hour is the typical range for professional caregivers in Texas. That's the number to hold onto — not a teaser rate, not a national headline, and not our rate (Kendall's guidance is free; she doesn't sell care by the hour). It's the range our family has watched hold true across years in the Texas care market.

The published surveys land right inside it: CareScout's 2025 survey puts the Texas median at $30/hour for a non-medical caregiver — comfortably below the $35 national median, with Texas ranking 43rd of 50 states on cost. A Place for Mom data reported by Stacker (2026) shows the same $30/hour for Texas.

Where your parent lands inside that range turns on a few honest variables: how many hours a week, how much hands-on personal care, whether nights and weekends are involved, and which provider your family chooses.

What the hours actually add up to.

Hourly rates hide the real question, which is monthly. Here's the simple arithmetic at the typical $25–$35 Texas range — an illustration to help you budget, not a quote from anyone:

  • About 10 hours a week — a few mornings of bathing, meals, and company: roughly $1,100–$1,500 a month at the typical range.
  • About 20 hours a week — help most weekdays: roughly $2,200–$3,000 a month.
  • About 40 hours a week — essentially full weekday coverage: roughly $4,300–$6,100 a month.
  • The survey's own full-schedule basis — 44 hours a week at the $30/hour Texas median — works out to $5,720/month, $68,640/year (CareScout 2025).

The first three lines are illustrative arithmetic from the typical $25–$35/hour Texas range — real bills vary with schedule, care level, and provider. Around-the-clock and live-in care are usually priced by shift or by day rather than a flat hourly rate; call for current local averages.

When home care wins on money — and when it stops winning.

At lighter schedules, home care is very hard to beat: 10 or 20 hours a week costs a fraction of any community, and your mom keeps her own kitchen, her own church, her own street. This is why most families rightly start at home.

But the math bends as hours climb. Texas assisted living runs about $5,666/month at the median (CareScout 2025) — and at the typical $25–$35/hour caregiver range, somewhere around 37–52 hours of home care a week the monthly cost pulls even with that assisted living median. That's arithmetic from the cited figures, not a quote — but the shape of it is real: past roughly full-time hours, a community often becomes the less expensive option, with meals, activities, and staff awake all night built in.

And if what your parent needs is actual nursing at home — medication management by an RN or LVN, wound care, injections — that's private duty nursing, a different service at a very different price: $90/hour at the Texas median (CareScout 2025). Sustained skilled care at home is usually the most expensive path of all, which is worth knowing before the math surprises you.

Compare: what assisted living costs in Texas

What moves the number.

  • Hours and schedule — a few mornings a week costs far less than daily coverage, and overnight or weekend shifts often run higher.
  • Level of care — companionship and errands sit at the lighter end of the range; heavy transfers, dementia care, and two-person assists sit at the top.
  • Consistency — a steady, recurring schedule is often easier to staff (and kinder to your parent) than on-again, off-again hours.
  • The provider — agencies differ in training, backup coverage, and supervision, and that shows up in the rate.
  • Your town — Midland, Odessa, and the smaller Basin towns each have their own staffing realities. This is exactly the local knowledge a free call gets you.

How families actually cover it.

Almost nobody writes one big check. Most Permian Basin families combine private pay with one or more of: a long-term care insurance policy someone bought years ago, VA Aid & Attendance for wartime veterans and surviving spouses (we help and support our vets — free), and for those who qualify, Texas Medicaid programs that pay for personal care at home.

See how Texas families pay for senior care

Why you can trust these numbers — and who to call about yours.

Kendall Warren is a Board Certified Patient Advocate (BCPA) and Certified Senior Advisor (CSA) with more than ten years beside Permian Basin families — including years inside the Texas care market itself, so she knows what the surveys capture and what they miss. Her guidance is free and independent: it costs families nothing, and we don't accept referral fees.

“I walk beside families as if you were my own.” — Kendall Warren, BCPA · CSA

Averages orient you. They don't price your parent's actual situation — the honest local numbers are a free call away: (432) 901-6465.

Questions families ask about the money

Is $25–$35 an hour what you charge?

No — Kendall doesn't charge families anything, for anything. $25–$35/hour is the typical range for professional caregivers in Texas — the honest market range to plan around, drawn from our family's years in the Texas care market and consistent with the CareScout 2025 survey's $30/hour Texas median. When you're ready, Kendall connects you directly to trusted local caregivers, and they quote you their actual rate for your parent's actual needs.

Why is Texas home care cheaper than the national average?

Labor costs and cost of living. The CareScout 2025 survey puts Texas at a $30/hour median versus $35 nationally, ranking Texas 43rd of 50 states — one of the least expensive in the country. The same survey shows the gap widening at full schedules: $68,640/year in Texas versus $80,080 nationally at 44 hours a week. It's one of the few places in senior care where geography works in your favor.

Does Medicare pay for home care?

Largely no — and this is the most expensive misunderstanding in senior care. Medicare may cover short-term, doctor-ordered skilled home health after a qualifying event, but it does not pay for ongoing non-medical home care: the bathing, meals, medication reminders, and companionship most families actually need. Those are covered by private pay, long-term care insurance, VA benefits, or Texas Medicaid programs for those who qualify. This is education, not advice — verify your parent's specifics with Medicare.gov or ask Kendall to help you sort it out, free.

How many hours do families usually start with?

There's no magic number, and anyone who quotes one without meeting your parent is guessing. Many families begin with a few mornings a week — enough for bathing, meals, and a watchful eye — and add hours as needs grow. The kindest way to get it right is an honest conversation about what your mom or dad actually struggles with. That conversation with Kendall is free: (432) 901-6465.

Where these numbers come from

Every dollar figure on this page is either the typical Texas caregiver range from our family's years in this market, or a published figure from the sources below — never our price, and never a quote.

  • Our family's years in the Texas care market

    The $25–$35/hour figure is the typical range for professional caregivers in Texas, drawn from our family's own years operating in this market. It is a typical market range — never our rate. Kendall's guidance is free.

  • CareScout Cost of Care Survey 2025 — state data tables

    Texas medians for home care, assisted living, nursing homes, adult day health, and private duty nursing. Data collected July–November 2025, published March 2026.

    View the source
  • CareScout 2025 Cost of Care Survey — national results

    National medians and year-over-year changes.

    View the source
  • A Place for Mom data, as reported by Stacker (2026)

    Actual amounts paid by residents who moved into senior living communities during calendar year 2025 — a different basis from CareScout's quoted-rate medians, which is why the two sets differ slightly.

    View the source

Averages public. Real numbers by call.

The median has never met your mother.

The typical range tells you what's normal. Kendall can tell you what's true — for your parent, your town, and your budget. The honest local numbers are a free call away: (432) 901-6465.

Kendall's guidance is free and independent — you are always free to choose any provider. We don't accept referral fees.