Every question families ask us, answered plainly
Straight answers about non-medical in-home care in North Texas — what it costs, who the caregivers are, how scheduling works, and what insurance really covers. If your question is not here, call and a real person will answer it.
- 4.9★ from 44 Google reviews
- Texas Licensed #020448
- Care can start within 24 hours
- Flat hourly rate — even overnight
Getting started
How do I get started with in-home care?
Call the line for your area — (214) 550-6533 in Dallas–Fort Worth, or (940) 665-2999 in Gainesville — or request a callback through our website. We talk through what is happening, then schedule a free in-home assessment wherever your loved one is. After the assessment we build a care plan together, we introduce the caregiver we have matched to your loved one, and care begins. There is no fee and no obligation at any step before care starts.
What happens during the free in-home assessment?
A member of our team meets your family wherever your loved one is — at home, in the hospital, or in a rehab or assisted living facility. We ask about daily routines, mobility, memory, meals, medications, and what worries you most. Together we write a care plan listing the exact tasks and hours. The assessment is free, usually takes about an hour, and does not commit you to anything.
How quickly can care start?
Care can often start within 24 hours of your first call. Families who call before a hospital discharge frequently have a caregiver in the house the day their parent comes home. If you need help sooner than we can properly staff it, we will tell you that honestly on the first call instead of overpromising.
Do I have to sign a contract?
No. Senior Care of North Texas does not use long-term contracts. The care plan is built around your loved one's routine, and it can be changed or stopped as your family's situation changes. Many families start with a couple of visits a week and adjust as needs change. There are no cancellation penalties.
Can we meet the caregiver before care starts?
We match a caregiver to your loved one's needs, schedule, and personality, and introduce them to your family. If the match is not right, we introduce someone else — at the start or at any point after. A consistent, familiar face matters, especially for clients with memory loss.
New to all of this? Our how it works page walks through the whole process from first call to first shift.
Cost & payment
How much does in-home care cost in North Texas?
We publish our rates — most home care agencies do not. Our pricing page lists the current hourly range, sample weekly budgets, and what changes the price. Two things to know when comparing agencies: we bill one flat hourly rate around the clock, and the rate never increases because a client's care needs increase.
Is there a minimum number of hours per visit?
Our minimum visit is four hours. In practice, one visit covers a full morning — bathing, breakfast, medication reminders, light housekeeping, and a ride to an appointment — in a single block, billed at one flat hourly rate. Many families schedule a few visits a week and adjust as needs change.
Do rates go up as my parent's needs increase?
No. We do not use "levels of care" pricing. Many agencies re-tier clients upward, so the hourly rate climbs when a client needs more hands-on help. At Senior Care of North Texas, the rate you start with does not rise because needs increase. Your monthly cost changes only if you change the number of hours.
Do you offer a discount for couples?
Yes. When two people in the same home both receive care, we discount the rate. One caregiver can often help both — preparing meals for two, keeping the house running, and assisting each person with their routines. For couples determined to stay home together, this is one of the most cost-effective arrangements available.
What forms of payment do you accept?
Most families pay privately, and we also work with long-term care insurance — including preparing and filing the claim paperwork — and VA Aid and Attendance benefits. During the free assessment we walk through which options apply to your family and what each one requires. Our paying-for-care pages explain every option in plain language.
Do you charge extra for nights, weekends, or holidays?
Overnight and weekend shifts are scheduled at our standard published rates. Major holidays are billed at time and a half. We tell you which days count before you put the shift on the calendar — never as a surprise on an invoice. Ask us to walk through your exact schedule and we will quote the real monthly number.
We publish our rates. See current in-home care costs in Dallas–Fort Worth and every way families pay for care.
Caregivers & safety
Are your caregivers background checked?
Yes. Every personal assistant passes a criminal background check before serving any client. We are licensed by the State of Texas as a Personal Assistance Services agency, License #020448, which holds us to state standards for screening, training, and supervision.
Are your caregivers employees or independent contractors?
Our caregivers work for the agency, which means scheduling, supervision, payroll, and replacements are our responsibility — not yours. That is a core difference from hiring a private caregiver, where your family becomes the employer and takes on the tax, liability, and backup-coverage burden alone. Our article on agency versus private hiring explains the risks in detail.
How do you match a caregiver with my family?
We match based on what the assessment tells us: the care tasks involved, the schedule, personality and interests, and location, so your caregiver lives reasonably close. Then we introduce the caregiver to your family. If the fit is not right, we introduce another caregiver until it is.
What if we don't like our caregiver?
Tell us and we introduce a different caregiver. You do not need to justify the request or have an awkward conversation — that part is our job. Requesting a different caregiver is your standing right as a client here. It never affects your rate, your schedule, or how the agency treats your family.
What happens if our caregiver is sick or can't make a shift?
We arrange a replacement caregiver so the shift is covered. Because you hired an agency rather than a single private caregiver, your parent's care does not depend on one person's health, car, or vacation plans. Any fill-in caregiver is briefed on your written care plan before they arrive at the door.
More on screening and matching on our caregivers page.
Services & scope
What services do you provide?
Non-medical Personal Assistance Services: personal care such as bathing, dressing, and grooming; memory care; transfer and mobility assistance; meal preparation; light housekeeping; transportation and errands; incontinence care; medication reminders; respite care; wellness checks; companion care; and sitter services in hospitals and facilities. We also help families complete long-term care insurance paperwork. Schedules run from a few hours a day to 24-hour care.
Is this medical care? What can't your caregivers do?
We are a non-medical agency, and we are plain about the boundary. Our caregivers do not give injections, perform wound care, manage IVs or catheters, or provide skilled nursing of any kind. Those services come from a home health or hospice provider ordered by a physician. We handle daily living — bathing, meals, mobility, reminders, housekeeping, companionship — and we work alongside your medical team rather than replacing it.
Can caregivers help with medications?
Caregivers provide medication reminders: prompting at the right times, bringing the pre-sorted organizer and water, and noting whether doses were taken. They do not administer medications, fill pill organizers, or give injections — tasks Texas reserves for licensed nurses or family. For many clients, reliable reminders are exactly the support that keeps a doctor's plan on track.
Do you provide care in hospitals, rehab, or assisted living?
Yes. We provide care in private residences, hospitals, and healthcare facilities. Families hire our sitters to stay with a hospitalized parent overnight so someone is always at the bedside, and they add one-on-one caregivers inside assisted living or memory care communities for attention that facility staffing ratios cannot provide — companionship at meals, extra supervision, and a familiar face every day.
Can a caregiver drive my parent to appointments and errands?
Yes. Transportation and errands are part of our service list — doctor visits, the pharmacy, groceries, the senior center, church on Sunday. A single visit can pair the ride with everything else on the list — the pharmacy, groceries, a stop at the senior center — so one trip covers the whole errand day, with door-through-door help included.
Do you help with bathing, toileting, and incontinence?
Yes. Personal care and incontinence care are core services. Caregivers assist with bathing, dressing, grooming, toileting, and incontinence supplies in a way that protects dignity — private, unhurried, and matter-of-fact. For many adult children, this is the first task they cannot comfortably do for a parent, and it is one of the most common reasons families first call us.
Every service, explained in detail: see all services.
Scheduling
Can I change the schedule once care starts?
Yes, whenever your needs change. Add hours before a surgery, scale back when out-of-town family visits, or move the morning shift later — just tell your care coordinator. Because there are no contracts, the schedule serves your family rather than the other way around.
Do you provide overnight and 24-hour care?
Yes. We staff overnight shifts and full 24-hour care with rotating caregivers who stay awake around the clock. Overnight hours are billed at the same flat hourly rate as daytime care — there is no night-time premium. Our 24-hour care page explains how around-the-clock coverage works.
Do you provide care on holidays?
Yes. Care needs do not take Thanksgiving off, and neither do we — clients who need holiday coverage get it. Shifts on major holidays are billed at time and a half, stated clearly in advance. Booking holiday coverage early helps us schedule the caregiver your loved one already knows rather than a fill-in.
What areas do you serve?
The Dallas–Fort Worth metroplex and the surrounding North Texas counties at (214) 550-6533, plus Gainesville and Cooke County at (940) 665-2999. Our service areas page lists every community we serve, with a page for each city.
Find your city on the service areas page.
Memory care
Do your caregivers have experience with dementia?
Yes. Memory care at home is one of our core services, and clients living with Alzheimer's or another dementia are matched with caregivers experienced in dementia care. Consistency is the most important ingredient — the same caregiver, the same routine, the same calm approach — so we staff memory care clients for continuity first.
Can someone with Alzheimer's really stay at home?
Often, yes — especially through the early and middle stages. Familiar surroundings, one-on-one attention, and steady routines are exactly what people with dementia respond to, and they are difficult to reproduce in a facility. Support has to scale with the disease, from a few hours a day to 24-hour care. Talk with your parent's physician about their specific situation; we will give you an honest read on the care side.
How do caregivers handle sundowning and wandering?
With routine, calm, and presence. For sundowning, caregivers use predictable late-afternoon routines, lower stimulation, and redirection instead of argument. For wandering risk, the honest answer is supervision — an awake caregiver overnight if evenings are the hard hours. No one can truthfully promise to prevent every incident, but an attentive caregiver in the room changes the odds and the outcome. Our sundowning article explains what to expect.
When is home care no longer enough for dementia?
Usually when round-the-clock supervision becomes medically necessary and the cost of 24-hour home care outruns the family's resources, or when safety needs exceed what any one caregiver in a home can manage. We tell families honestly when we believe a memory care community is the better fit — keeping a client too long is not a service. Our home-versus-facility comparison walks through the decision.
Read more about Alzheimer's and dementia care at home, including how caregivers handle sundowning and an honest home-versus-facility comparison.
Insurance & benefits
Does Medicare pay for in-home care like yours?
Generally, no. Original Medicare does not pay for ongoing non-medical personal assistance — help with bathing, meals, housekeeping, or companionship. It covers short-term, doctor-ordered skilled home health, which is a different service with a different purpose. Some Medicare Advantage plans include limited personal care benefits. Our straight-answer Medicare page explains what is and is not covered.
Do you accept long-term care insurance?
Yes — and we handle the paperwork, which is the part that defeats most families. We help you read the policy, understand the elimination period and daily benefit, file the initial claim, and submit the ongoing documentation the insurer requires. Long-term care benefits often go unused because the claims process is confusing. We make sure a policy your parent paid into for decades actually pays out.
What is VA Aid and Attendance, and can it pay for home care?
Aid and Attendance is a monthly VA pension add-on for wartime veterans and surviving spouses who need help with daily activities. It can be used to pay for in-home care like ours. Eligibility depends on service dates, income and assets, and documented care needs. Our VA Aid and Attendance page explains who qualifies and how to apply, and we can point you to accredited help with the application.
Does Medicaid cover your services?
We are primarily a private-pay agency and do not bill Medicaid. Texas Medicaid programs for in-home help have their own eligibility rules and provider networks, and if that is the right road for your family we will say so plainly rather than sell you what does not fit. Families combining private-pay hours with other benefits often start with a modest weekly schedule to keep costs manageable.
Deeper answers: long-term care insurance, VA Aid and Attendance, and the Medicare reality. Nothing here is medical or financial advice — for medical decisions, talk with your loved one's physician.
Still have a question?
Call (214) 550-6533 and ask it. You will reach a person who can answer about cost, scheduling, and caregivers on the spot — because our rates are published and our policies are simple, there is nothing we need to hide behind a sales visit. Non-medical Personal Assistance Services, licensed by the State of Texas, License #020448.
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