For 24-hour or overnight home care in North Dallas, Senior Care of North Texas sends awake caregivers who are our own employees, works in rotating shifts so someone is up and on duty every hour, and bills every hour at one flat rate of $30–34, nights included. North Dallas is where we have the most clients and the most caregivers living nearby, from Prestonwood to Bent Tree. Call (214) 550-6533, answered 24/7.

North Dallas has more home care agencies than anywhere else in Texas, which makes the choice harder, not easier. This guide explains what overnight and round-the-clock care look like in a North Dallas single-story house or a senior community apartment, what the nights cost, how the first night after Medical City works, and the questions worth asking every agency on your list, including us.

Who offers dependable overnight senior care in North Dallas, Dallas?

Senior Care of North Texas does. We are a locally owned agency licensed by the State of Texas for Personal Assistance Services (License #020448), rated 4.9 stars across 44 Google reviews, and North Dallas is the part of the city where we care for the most families. We serve all of Dallas–Fort Worth, but here the people on your parent's team usually live close by.

We will not rank other agencies for you. A family can judge any agency, us included, on the same few facts. This table puts the questions that matter most at night next to our own answers, so you have a yardstick for every call you make.

What to check before you trust an agency with the nights in North Dallas
Ask every agencyWhy it matters at nightSenior Care of North Texas
Is the overnight caregiver awake the whole shift?A sleeping caregiver does not hear the 3am attempt to stand upYes. Nobody sleeps on the job, because the job at 3am is to be up
Is the hourly rate the same at 2am as at 2pm?Nights are where a low daytime quote growsYes. One flat rate of $30–34 for days, evenings, weekends and overnights
Will the rate rise as needs grow?Night needs usually grow before day needs doNo. We do not use levels-of-care pricing and never re-tier
Are caregivers employees, and who supervises them?At night there is no one else in the house to notice a problemEmployees: background-checked, insured and supervised
Who covers a shift when a caregiver calls in sick?A gap at 7pm leaves your parent alone overnightOur office arranges the replacement; coverage is our job, not yours
How many different people will come in a week?A stranger at bedtime unsettles many parentsUsually two or three caregivers you meet before care begins

How to read this table: the middle column is the reason each question is worth asking, so an agency that hesitates on any row is telling you something about how its nights will go. Write each agency's answers down and compare the same hours side by side.

Overnight, 24-hour care or more day hours: what does your parent need?

Overnight care means one awake caregiver from evening to morning. 24-hour home care means a small team rotating through the house so someone is awake and working every hour of the day and night. The right choice depends on when your parent truly cannot be alone. In North Dallas, families tend to arrive at that question from one of three places.

A parent alone in the family house

Many of the homes north of LBJ were built in the 1970s and 1980s, and a lot of the original owners are now in their eighties and nineties with no plan to move. Days may still work: a caregiver for the morning routine and meals, a neighbor, a daughter who stops by after work. The trouble starts after dark, when your mother is up three times to the bathroom and nobody is in the house. That is usually the point for an awake overnight caregiver, while day hours stay as they are.

A parent in independent or assisted living along Preston Road or the Tollway

North Dallas has more senior living communities than any other part of the city. Community staff look after many residents at once, so a family adds one of our caregivers for one-on-one time: overnight reassurance, a familiar face in the evening, or company through the meal. Overnights alone often fit here, because the community covers much of the day.

The first days home from the hospital

The discharge planner says your father should not be alone. Short-term round-the-clock care for the first days or weeks is common, then a step down to overnights or day visits as things settle. We look at the schedule again with you rather than leaving it running out of habit.

If you cannot tell which one fits, that is what the free assessment is for. Families sometimes ask for full coverage when a few well-placed shifts would do, and sometimes ask for an evening visit when the nights clearly need someone awake. We look at the nights honestly and build the schedule your parent actually needs. Our plain guide to 24-hour home care covers the round-the-clock service in more depth.

Why it helps that most of the team lives nearby

Round-the-clock care is built from shifts, commonly two 12-hour shifts and sometimes three 8-hour shifts, worked by usually two or three caregivers across the week. The same faces come back on a predictable pattern. We match the team, you meet them before care begins, and you can ask for a different caregiver at any time.

What makes North Dallas different is geography. Because this is where we have the most clients, it is also where the most of our caregivers live. On our North Dallas page we put it plainly: a 7am start off Hillcrest or a same-day extra shift near the Galleria is routine, not a favor. For a family relying on someone to walk through the door every evening, that matters more than anything printed on a brochure.

  • Shift changes run on time. The morning caregiver arrives before the night caregiver leaves, so there is no gap in which your parent is alone.
  • Call-outs get covered. Around-the-clock schedules are staffed as a team precisely so one sick caregiver does not leave your parent on their own. Our office arranges the replacement.
  • Extra hours are possible on short notice. If an overnight-only plan suddenly needs a day shift after a bad night or an ER visit, adding hours never changes the hourly rate.

The handoff between shifts is spoken and written. The night caregiver says what happened, and the log notes bathroom trips, water, sleep, mood and anything the family should hear about. Our article on what an awake overnight caregiver does through the night walks through a shift hour by hour.

Senior Care of North Texas 24-hour care page, the What round-the-clock care includes list highlighted: personal care at any hour, overnight safety presence, all meals and hydration, medication reminders, household upkeep, companionship and structure, and family updates
The highlighted list on our 24-hour care page is what every shift covers, nights included. Note the medication line: reminders from the list your family or pharmacy provides, not handing out pills. Screenshot: seniorcareofnorthtexas.com, November 2026.

Nights in a single-story North Dallas house

Single-story helps. Your parent is not climbing stairs at midnight, and the bedroom, bathroom and kitchen sit on one level. But one level does not take away the walk from the bed to the toilet in the dark, the rug in the hallway, or the moment of standing up too fast. An awake caregiver is there for that walk.

Here is what a night shift in a North Dallas house usually includes, taken from the list on our 24-hour care page:

  • Help getting up at night, to the bathroom and back to bed, and repositioning when needed.
  • Water and a light snack when your parent wakes, and breakfast started before the morning handoff.
  • Medication reminders on schedule, from the pill organizer or list your family or pharmacy has filled. The caregiver reminds and logs; she does not fill organizers or hand out medication.
  • Clean linens and laundry if a night goes badly, dishes and trash, so the morning starts in a tidy house.
  • Calm company when your parent wakes anxious, instead of a television and an empty house.
  • A written record by morning, and a call to you about changes in appetite, mood or steadiness.

Two features of houses north of LBJ come up often at the assessment. Patio homes and townhomes around Prestonwood and Bent Tree are often zero-lot homes with a step at the garage door, and that step is part of the route to the car for appointments, so a ramp conversation tends to happen early. And on a quiet cul-de-sac, a parent who lives alone can go from dinner to breakfast without anyone noticing a problem. Our guide to why night-time falls happen and what helps walks through the bedroom-to-bathroom route room by room.

When dementia changes the nights

For a parent living with Alzheimer's or another dementia, evenings and nights can bring confusion, restlessness and getting up without knowing why. The overnight caregiver keeps the routine and the lights familiar, offers the bathroom and water, gently redirects, and keeps an eye on the doors. We write into the care plan the words, music or objects that settle your parent, so every caregiver on the team uses them. Our memory care at home page explains how we work with dementia day and night.

Overnight care inside a senior community along Preston Road

A caregiver from us can work inside your parent's independent or assisted living apartment, and many of our North Dallas clients live in exactly that setting. The community provides the building, meals and shared staff. We provide one person whose only job for the shift is your parent.

At night, that can mean someone awake in the apartment for bathroom trips and reassurance, or an evening shift that covers dinner in the dining room, the walk back, getting ready for bed and settling in. In the daytime, the same caregiver can escort your parent to the dining room, the activity calendar and outside appointments, and stay for the meal when eating alone has become the problem.

Before the first shift, ask the community how it works with outside caregivers: sign-in at the front desk, which entrance a caregiver uses at night, and who on staff should know the schedule. We put the answers into the care plan so any replacement caregiver follows the same steps. Our article on hiring a private caregiver inside assisted living in North Dallas explains when this makes sense and how to talk it through with the community.

The first nights home from Medical City Dallas or Presbyterian

Medical City Dallas on Forest Lane sits in the middle of the North Dallas corridor, and Texas Health Presbyterian Dallas on Walnut Hill is a short drive south. Those two hospitals, and the rehab units attached to them, are where most of our North Dallas families' hospital stays happen.

Call us from the hospital room. Ryan Berry, our co-owner, can do the free assessment at the bedside, listen to the therapy team, and have a caregiver at the house off Hillcrest or Preston the first night your parent is home. If nobody in the family can be at the bedside around the clock before discharge, we also provide hospital and facility sitters inside Medical City and Presbyterian, so one agency covers the hospital nights and the first nights at home.

What the caregiver does on those first nights is practical: the ride home, setting up the bedroom and bathroom for the first night, a steady arm on every transfer, meals, reminders, and noticing changes and telling you. Exercises, wound care, medication changes and every health question stay with the physician, the home health nurse or the therapy team. We are a non-medical agency. We do not give injections, manage wound care, operate medical equipment or adjust medications. When home health or hospice is involved, they cover the clinical care and we cover the hours and the daily living.

What 24-hour and overnight care cost in North Dallas

Our rate is $30–34 an hour, the same flat rate for days, evenings, weekends and awake overnights. The rate does not rise when your parent needs more help, and a dementia or Parkinson's diagnosis does not change it either. These monthly estimates come straight from our published cost of in-home care in Dallas–Fort Worth, using an average month of about 4.3 weeks.

Estimated monthly cost at $30–34 an hour, from our published rates
Care scheduleHours per month (approx.)Estimated monthly cost
12 hours per week52$1,560–1,770
20 hours per week87$2,610–2,960
40 hours per week173$5,190–5,880
24-hour care (rotating caregivers)728$21,840–24,750

How to read this table: the bottom row is full round-the-clock care, every hour of every day, for about 728 hours a month. Overnight-only care sits between the rows above it, depending on how long the shift is and how many nights a week; because every hour costs the same, your quote is simply the hours times the rate.

Senior Care of North Texas North Dallas page, the Why families choose an independent, local agency section, with the One flat hourly rate card highlighted: days, evenings and overnight hours are all billed at the same flat hourly rate
On our North Dallas page, the highlighted card is the line to hold any agency to: days, evenings and overnight hours billed at the same flat hourly rate. Screenshot: seniorcareofnorthtexas.com, November 2026.

A few terms to know before you compare:

  • Four-hour minimum visit. Every shift, day or night, is at least four hours.
  • Major holidays are time and a half. We tell you which days count before you book, never after.
  • Couples discount. When one caregiver helps both parents in the same home, a couples discount applies rather than two full rates.
  • No fees, no contract. No assessment fee, no start-up fee and no long-term contract. You can change or stop the schedule.

Be honest with yourself about the bottom row. Awake coverage every hour of the month costs more than most assisted living and comes close to private memory care. What it buys is one caregiver at a time, for one person, in a familiar house. Many North Dallas families start with overnights, which cost a fraction of that, and add hours only if the days need them. Long-term care insurance often helps, and we handle the claim paperwork.

Why North Dallas families call Senior Care of North Texas for nights

  • Locally owned and licensed. Texas Personal Assistance Services License #020448, with two local owners.
  • Employee caregivers. Background-checked, insured and supervised, matched to your parent rather than pulled from a rotation.
  • The owner comes to the house. Ryan does the free in-home assessment himself, usually the same day or the next morning, at home, in the hospital or in the community apartment.
  • A published rate. $30–34 an hour, one flat rate around the clock, no levels-of-care pricing.
  • Fast starts. Care can often begin within 24 hours, and the phone is answered 24/7.
  • A track record families can read. 4.9 stars across 44 Google reviews.

Our in-home senior care in North Dallas covers everything north of Royal Lane and LBJ up to the Collin County line: Prestonwood, Bent Tree, the Hillcrest and Preston Road corridor, and the streets off Belt Line, Arapaho and Frankford, in ZIP codes 75230, 75248, 75252 and 75254, with Addison and Far North Dallas next door.

How to start overnight or 24-hour care in North Dallas

  1. Call (214) 550-6533. Someone answers 24/7. Tell us what the nights have been like and where your parent is tonight: at home, in a community apartment or in the hospital.
  2. Free in-home assessment. Ryan meets your parent, looks at the nights and the house or apartment, and writes the first plan with you. No obligation and no sales script.
  3. Meet the team. We match the caregivers for the rotation, and you meet them before care begins.
  4. Care begins. Often within 24 hours, with the log and the morning update in place from the first night. Our round-the-clock care service can scale up or down as needs change.

If you are reading this late at night after another call from your mother, call (214) 550-6533 now, or request a free in-home assessment and we will call you back. The same team also covers nearby Preston Hollow and the Park Cities.

This article is educational, not medical advice. Questions about your parent's health belong with the physician.