24-Hour Home Care in Adams, MA: Round-the-Clock Care

Local figures

24-Hour Home Care in Adams, MA: the local picture

4.1%

of residents 65+ have difficulty dressing or bathing (4.8% in Berkshire County)

262

residents 85 or older (4.8% of all residents)

27%

of residents 65+ report a disability (27% in Berkshire County)

$38,185

median yearly income of households headed by someone 65+

56 Adams residents 65 or older have difficulty dressing or bathing (4.1%; 4.8% in Berkshire County), and 233 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 262 residents are 85 or older (4.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are North Adams Commons Nursing & Rehabilitation Cente in North Adams (5.4 mi) and Williamstown Commons Nursing & Rehab in Williamstown (6.1 mi).

Adams compared with Berkshire County and Massachusetts

Census figure	Adams	Berkshire County	Massachusetts
Residents 65+ with difficulty dressing or bathing	4.1%	4.8%	7.2%
Residents 65+ with serious difficulty walking	17%	16%	18%
Residents 65+ with serious difficulty remembering	11%	6.4%	7.5%
Residents 85 or older	4.8%	3.2%	2.2%
Residents 65+ in households who live alone	53%	33%	29%
Residents 65+ below the poverty line (approx.)	15%	8.4%	11%
Median income, households headed by someone 65+	$38,185	$59,265	—

Older residents in towns around Adams

Town	Distance	Residents 65+	Self-care difficulty (65+)
North Adams, MA	3.2 mi	2,727	10%
Williamstown, MA	6.9 mi	764	0.0%
Pittsfield, MA	14 mi	8,425	7.1%
Bennington, VT	17 mi	2,486	5.9%
Hoosick Falls, NY	22 mi	911	20%
West Sand Lake, NY	24 mi	637	0.0%

Home health agencies serving Adams

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Pittsfield, MA	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(508) 672-0675
Amedisys Home Health Care	Agawam, MA	46 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(413) 789-0027
Berkshire Visiting Nurse Association	Pittsfield, MA	14 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(413) 447-3048
T & N Reliable Nursing Care, LLC Ma	Worcester, MA	70 mi	not rated	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(774) 823-3523
Pinnacle Home Healthcare Services	Walpole, MA	101 mi	not rated	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(775) 247-1221

Nursing homes near Adams (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
North Adams Commons Nursing & Rehabilitation Cente	North Adams, MA	5.4 mi	5 of 5	119	(413) 664-4041
Williamstown Commons Nursing & Rehab	Williamstown, MA	6.1 mi	3 of 5	180	(978) 340-3648
Craneville Rehabilitation And Skilled Care Center	Dalton, MA	11 mi	4 of 5	89	(413) 684-3212
MT Greylock Extended Care Facility	Pittsfield, MA	13 mi	5 of 5	100	(413) 499-7186

Straight-line miles from the center of Adams. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Adams

24-hour care is 168 paid hours a week. At $19.67 an hour (the Massachusetts median aide wage) that is about $14,320 a month in wages before any overtime, 450% of the $3,182 monthly median income of Adams households headed by someone 65+. Rates are agreed with each caregiver. Massachusetts's minimum wage is $15.00 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Adams: common questions

How much does 24-hour home care cost in Adams?

24-hour care is 168 paid hours a week. At $19.67 an hour (the Massachusetts median aide wage) that is about $14,320 a month in wages before any overtime, 450% of the $3,182 monthly median income of Adams households headed by someone 65+. Rates are agreed with each caregiver. Massachusetts's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Adams

More senior care near Adams

24-Hour Home Care in nearby cities

Other care in Adams

More for Adams families

Sources

Census ACS 2020–2024 5-year; 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.

24-Hour Home Care in Adams, MA