Baltimore, Maryland

24-Hour Home Care in Baltimore, MD

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 Baltimore for free and hire a caregiver directly, with no agency mark-up.

A caregiver helping an older man with a meal at a kitchen table
Local figures

24-Hour Home Care in Baltimore, MD: the local picture

8.0%
of residents 65+ have difficulty dressing or bathing
9,152
residents 85 or older (1.6% of all residents)
39%
of residents 65+ report a disability
$40,470
median yearly income of households headed by someone 65+

6,810 Baltimore residents 65 or older have difficulty dressing or bathing (8.0%), and 23,478 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 9,152 residents are 85 or older (1.6% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Transitional Care Services At Mercy Medical Center in Baltimore (0.6 mi) and Future Care Charles Village in Baltimore (1.1 mi).

Baltimore compared with Maryland

Census figureBaltimoreMaryland
Residents 65+ with difficulty dressing or bathing8.0%6.6%
Residents 65+ with serious difficulty walking28%19%
Residents 65+ with serious difficulty remembering9.3%6.7%
Residents 85 or older1.6%1.9%
Residents 65+ in households who live alone42%27%
Residents 65+ below the poverty line (approx.)22%9.5%
Median income, households headed by someone 65+$40,470—

Older residents in towns around Baltimore

TownDistanceResidents 65+Self-care difficulty (65+)
Baltimore Highlands, MD4.7 mi1,2253.7%
Lansdowne, MD5.3 mi1,4197.7%
Brooklyn Park, MD5.6 mi2,2364.3%
Rosedale, MD5.8 mi3,7464.4%
Arbutus, MD5.9 mi2,5546.4%
Dundalk, MD6.5 mi10,6468.9%

Home health agencies serving Baltimore

AgencyOfficeDistanceCMS quality starsServices listedPhone
Homecentris Home Health IiOwings Mills, MD13 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(410) 321-8448
Centerwell Home HealthColumbia, MD14 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(410) 997-5257
Grace Home Healthcare LLCFairfax, VA46 mi5 of 5nursing, physical therapy(703) 865-7370
Adoration Home Health BaltimoreBaltimore, MD4.8 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(410) 235-1060
Amedisys Home Health Of Maryland LLCRosedale, MD6.3 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(410) 686-8413

Nursing homes near Baltimore (to compare)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Transitional Care Services At Mercy Medical CenterBaltimore, MD0.6 mi5 of 535(410) 332-9287
Future Care Charles VillageBaltimore, MD1.1 mi4 of 5109(410) 889-8500
Future Care HomewoodBaltimore, MD1.5 mi3 of 5141(410) 554-6300
Future Care Sandtown-WinchesterBaltimore, MD1.5 mi5 of 5148(410) 669-2750

Straight-line miles from the center of Baltimore. 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 Baltimore

24-hour care is 168 paid hours a week. At $18.29 an hour (the Maryland median aide wage) that is about $13,315 a month in wages before any overtime, 395% of the $3,373 monthly median income of Baltimore households headed by someone 65+. Rates are agreed with each caregiver. Maryland'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 Baltimore: common questions

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

24-hour care is 168 paid hours a week. At $18.29 an hour (the Maryland median aide wage) that is about $13,315 a month in wages before any overtime, 395% of the $3,373 monthly median income of Baltimore households headed by someone 65+. Rates are agreed with each caregiver. Maryland'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.

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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