24-Hour Home Care in Alfred, NY: Round-the-Clock Care

Local figures

24-Hour Home Care in Alfred, NY: the local picture

6.3%

of residents 65+ have difficulty dressing or bathing (5.9% in Allegany County)

21

residents 85 or older (0.4% of all residents)

18%

of residents 65+ report a disability (35% in Allegany County)

$77,685

median yearly income of households headed by someone 65+

12 Alfred residents 65 or older have difficulty dressing or bathing (6.3%; 5.9% in Allegany County), and 24 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 21 residents are 85 or older (0.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Maple City Rehabilitation And Nursing Center in Hornell (7.8 mi) and Elderwood At Hornell in Hornell (9.0 mi).

Alfred compared with Allegany County and New York

Census figure	Alfred	Allegany County	New York
Residents 65+ with difficulty dressing or bathing	6.3%	5.9%	8.3%
Residents 65+ with serious difficulty walking	13%	19%	21%
Residents 65+ with serious difficulty remembering	2.1%	6.4%	8.2%
Residents 85 or older	0.4%	2.6%	2.2%
Residents 65+ in households who live alone	39%	30%	29%
Residents 65+ below the poverty line (approx.)	4.8%	10%	13%
Median income, households headed by someone 65+	$77,685	$50,207	—

Older residents in towns around Alfred

Town	Distance	Residents 65+	Self-care difficulty (65+)
Hornell, NY	8.4 mi	1,820	6.4%
Wellsville, NY	12 mi	1,125	3.6%
Dansville, NY	22 mi	1,035	14%
Bath, NY	25 mi	1,385	7.8%
Mount Morris, NY	33 mi	404	5.4%
Perry, NY	34 mi	593	11%

Home health agencies serving Alfred

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Vna Of Western NY Chha	Cheektowaga, NY	67 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(716) 630-8000
Willcare Chha (Buffalo)	Amherst, NY	69 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(716) 856-7500

Nursing homes near Alfred (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Maple City Rehabilitation And Nursing Center	Hornell, NY	7.8 mi	1 of 5	114	(607) 324-7740
Elderwood At Hornell	Hornell, NY	9.0 mi	2 of 5	122	(607) 324-6916
Highland Park Rehabilitation And Nursing Center	Wellsville, NY	13 mi	5 of 5	80	(585) 593-3750
Wellsville Manor Care Center	Wellsville, NY	13 mi	5 of 5	120	(585) 593-4400

Straight-line miles from the center of Alfred. 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 Alfred

24-hour care is 168 paid hours a week. At $19.05 an hour (the New York median aide wage) that is about $13,868 a month in wages before any overtime, 214% of the $6,474 monthly median income of Alfred households headed by someone 65+. Rates are agreed with each caregiver. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Alfred: common questions

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

24-hour care is 168 paid hours a week. At $19.05 an hour (the New York median aide wage) that is about $13,868 a month in wages before any overtime, 214% of the $6,474 monthly median income of Alfred households headed by someone 65+. Rates are agreed with each caregiver. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 Alfred

More senior care near Alfred

24-Hour Home Care in nearby cities

Other care in Alfred

More for Alfred families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Alfred, NY