24-Hour Home Care in Big Pine Key, FL: Round-the-Clock Care

Local figures

24-Hour Home Care in Big Pine Key, FL: the local picture

4.0%

of residents 65+ have difficulty dressing or bathing (3.8% in Monroe County)

111

residents 85 or older (2.6% of all residents)

30%

of residents 65+ report a disability (26% in Monroe County)

$74,844

median yearly income of households headed by someone 65+

43 Big Pine Key residents 65 or older have difficulty dressing or bathing (4.0%; 3.8% in Monroe County), and 172 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 111 residents are 85 or older (2.6% of the population).

Big Pine Key compared with Monroe County and Florida

Census figure	Big Pine Key	Monroe County	Florida
Residents 65+ with difficulty dressing or bathing	4.0%	3.8%	6.4%
Residents 65+ with serious difficulty walking	16%	15%	20%
Residents 65+ with serious difficulty remembering	1.6%	4.5%	7.6%
Residents 85 or older	2.6%	2.0%	2.6%
Residents 65+ in households who live alone	23%	25%	25%
Residents 65+ below the poverty line (approx.)	9.9%	9.6%	12%
Median income, households headed by someone 65+	$74,844	$71,243	—

Older residents in towns around Big Pine Key

Town	Distance	Residents 65+	Self-care difficulty (65+)
Big Coppitt Key, FL	20 mi	503	0.0%
Marathon, FL	21 mi	2,059	9.5%
Stock Island, FL	25 mi	408	7.8%
Key West, FL	27 mi	5,568	5.7%
Islamorada, FL	55 mi	2,074	1.8%
Key Largo, FL	67 mi	3,513	2.8%

Home health agencies serving Big Pine Key

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Island Home Care	Key West, FL	28 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 735-4460
Axis Health Systems LLC	Hialeah, FL	105 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	—
The Roads Home Health Care Inc	Miami, FL	101 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 860-7797
Goldencare Home Health Agency Inc	Miami, FL	101 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 553-2553
Medcare Home Health Services, Inc.	Miami, FL	101 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 863-8861

Straight-line miles from the center of Big Pine Key. 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 Big Pine Key

24-hour care is 168 paid hours a week. At $16.25 an hour (the Florida median aide wage) that is about $11,830 a month in wages before any overtime, 190% of the $6,237 monthly median income of Big Pine Key households headed by someone 65+. Rates are agreed with each caregiver. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

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 How to get paid to take care of a family member in Florida: SMMC LTC and the PDO.

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 Big Pine Key: common questions

How much does 24-hour home care cost in Big Pine Key?

24-hour care is 168 paid hours a week. At $16.25 an hour (the Florida median aide wage) that is about $11,830 a month in wages before any overtime, 190% of the $6,237 monthly median income of Big Pine Key households headed by someone 65+. Rates are agreed with each caregiver. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

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 Big Pine Key

More senior care near Big Pine Key

24-Hour Home Care in nearby cities

Other care in Big Pine Key

More for Big Pine Key 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 Big Pine Key, FL