24-Hour Home Care in Alexander City, AL
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Alexander City for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Alexander City, AL: the local picture
217 Alexander City residents 65 or older have difficulty dressing or bathing (7.3%; 6.8% in Tallapoosa County), and 989 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 315 residents are 85 or older (2.2% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Chapman Healthcare Center, Inc in Alexander City (1.2 mi) and Adams Rehabilitation And Healthcare Center in Alexander City (1.8 mi).
Alexander City compared with Tallapoosa County and Alabama
| Census figure | Alexander City | Tallapoosa County | Alabama |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 7.3% | 6.8% | 7.9% |
| Residents 65+ with serious difficulty walking | 33% | 30% | 25% |
| Residents 65+ with serious difficulty remembering | 12% | 11% | 9.8% |
| Residents 85 or older | 2.2% | 1.9% | 1.7% |
| Residents 65+ in households who live alone | 37% | 30% | 29% |
| Residents 65+ below the poverty line (approx.) | 18% | 14% | 12% |
| Median income, households headed by someone 65+ | $29,666 | $43,613 | — |
Older residents in towns around Alexander City
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Dadeville, AL | 11 mi | 549 | 8.2% |
| Tallassee, AL | 27 mi | 1,084 | 11% |
| Sylacauga, AL | 27 mi | 2,438 | 12% |
| Lineville, AL | 29 mi | 686 | 9.4% |
| Holtville, AL | 30 mi | 697 | 12% |
| Wetumpka, AL | 30 mi | 1,134 | 4.7% |
Home health agencies serving Alexander City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Sylacauga, AL | 26 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 249-4363 |
| Amedisys Home Health Of Anniston | Anniston, AL | 57 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 820-2503 |
| Prohealth Home Health | Auburn, AL | 38 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (334) 521-8810 |
| Enhabit Home Health | Hoover, AL | 59 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 824-2680 |
| Enhabit Home Health | Troy, AL | 80 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (334) 566-9238 |
Nursing homes near Alexander City (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Chapman Healthcare Center, Inc | Alexander City, AL | 1.2 mi | 5 of 5 | 188 | (256) 234-6366 |
| Adams Rehabilitation And Healthcare Center | Alexander City, AL | 1.8 mi | 5 of 5 | 88 | (256) 329-0847 |
| Brown Nursing Home | Alexander City, AL | 3.3 mi | 4 of 5 | 68 | (256) 329-9061 |
| Dadeville Healthcare Center | Dadeville, AL | 12 mi | 3 of 5 | 144 | (256) 825-9244 |
Straight-line miles from the center of Alexander City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Alexander City
24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 394% of the $2,472 monthly median income of Alexander City households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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.
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.
24-Hour Home Care in Alexander City: common questions
How much does 24-hour home care cost in Alexander City?
24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 394% of the $2,472 monthly median income of Alexander City households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 senior care near Alexander City
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Dadeville, AL
- 24-Hour Home Care in Tallassee, AL
- 24-Hour Home Care in Sylacauga, AL
- 24-Hour Home Care in Lineville, AL
- 24-Hour Home Care in Holtville, AL
- 24-Hour Home Care in Wetumpka, AL
- 24-Hour Home Care in La Fayette, AL
- 24-Hour Home Care in Redland, AL
- 24-Hour Home Care in Auburn, AL
- 24-Hour Home Care in Emerald Mountain, AL
- 24-Hour Home Care in Childersburg, AL
- 24-Hour Home Care in Roanoke, AL
- 24-Hour Home Care in Talladega, AL
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Other care in Alexander City
- Companion Care in Alexander City
- Dementia Care in Alexander City
- Respite Care in Alexander City
- Live-In Caregivers in Alexander City
- Post-Surgery Care in Alexander City
- Senior Transportation in Alexander City
- Home Health Aides in Alexander City
- Nursing Assistants in Alexander City
- Personal Care in Alexander City
- Overnight Caregivers in Alexander City
- Mobility Assistance in Alexander City
- Parkinson’s Care in Alexander City
- Stroke Recovery Support in Alexander City
- Disability Care for Adults in Alexander City
- Hospice Support in Alexander City
- Senior Meal Preparation in Alexander City
- Senior Housekeeping in Alexander City
- Medication Reminders in Alexander City
- Veterans’ Home Care in Alexander City
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.
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