Free senior care guidance for Fort Worth metro families. No cost to you, ever.
Call (682) 432-9929
Fort Worth Senior AdvisorTrust • Heritage • Home

What In-Home Care Costs

Texas's home health aide hourly median, and the weekly-hours crossover point where a community becomes the cheaper option.

HomeCosts & PayingWhat In-Home Care Costs
Short answer

The 2024 CareScout survey puts Texas's home health aide median at roughly $28/hour. At around 40 hours a week, that approaches Texas's $5,250/month assisted living median -- push past that into near round-the-clock coverage and a community frequently becomes the less expensive option.

Hours per weekApproximate monthly cost at $28/hr
10 hours/week~$1,213
20 hours/week~$2,427
40 hours/week~$4,853
60 hours/week~$7,280
168 hours/week (round-the-clock)~$20,384

Round-the-clock in-home care almost always costs more than assisted living's $5,250/month Texas median -- run the actual weekly-hours math for your specific situation rather than assuming home care is automatically the cheaper path.

Source: 2024 CareScout Cost of Care Survey

Questions families ask

What's the real difference between a nursing home and assisted living in Texas?

Nursing homes are licensed under a separate Texas rule chapter from assisted living and provide 24-hour licensed nursing care for higher medical acuity. Nursing homes also carry federal CMS star ratings through Medicare's Care Compare tool; assisted living facilities are not rated by that system at all.

Should a Fort Worth family consider a CCRC instead of standalone assisted living?

A Continuing Care Retirement Community (CCRC) keeps a couple together across changing care levels on one campus, typically through an entry-fee structure. Standalone assisted living is usually simpler to enter and less expensive upfront, without a large entry fee.

What does HHSC license, and what law covers assisted living in Texas?

The Texas Health and Human Services Commission (HHSC) Long Term Care Regulatory division licenses assisted living facilities under Texas Health and Safety Code Chapter 247 and 26 Texas Administrative Code Part 1, Chapter 553. HHSC issues either a Type A or Type B license depending on residents' ability to evacuate in an emergency.

Is memory care a separate license in Texas, or something else?

Texas does not issue a separate 'memory care license.' Any facility that markets or holds itself out as providing dementia care must instead file an Alzheimer's/dementia Disclosure Statement with HHSC under 26 TAC Section 553.264, and make it available to families before admission.

How do I check a Fort Worth-area facility's inspection history myself?

HHSC's Long Term Care Regulatory division maintains survey and enforcement records for every licensed Texas assisted living facility. You can also call HHSC's Complaint and Incident Intake line at 1-800-458-9858, 24 hours a day, to ask about a specific facility's complaint or inspection history.

Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in your area that actually fit your situation and budget. It is free, and there is no obligation.

Find care options
Find senior care — free