24-Hour Home Care in Birmingham, AL: Round-the-Clock Care

Local figures

24-Hour Home Care in Birmingham, AL: the local picture

8.6%

of residents 65+ have difficulty dressing or bathing (8.5% in Jefferson County)

3,365

residents 85 or older (1.7% of all residents)

38%

of residents 65+ report a disability (38% in Jefferson County)

$37,181

median yearly income of households headed by someone 65+

2,672 Birmingham residents 65 or older have difficulty dressing or bathing (8.6%; 8.5% in Jefferson County), and 8,235 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 3,365 residents are 85 or older (1.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Northway Health And Rehabilitation, LLC in Birmingham (0.8 mi) and Civic Center Health And Rehabilitation, LLC in Birmingham (0.8 mi).

Birmingham compared with Jefferson County and Alabama

Census figure	Birmingham	Jefferson County	Alabama
Residents 65+ with difficulty dressing or bathing	8.6%	8.5%	7.9%
Residents 65+ with serious difficulty walking	26%	25%	25%
Residents 65+ with serious difficulty remembering	10%	11%	9.8%
Residents 85 or older	1.7%	1.9%	1.7%
Residents 65+ in households who live alone	38%	31%	29%
Residents 65+ below the poverty line (approx.)	19%	13%	12%
Median income, households headed by someone 65+	$37,181	$51,066	—

Older residents in towns around Birmingham

Town	Distance	Residents 65+	Self-care difficulty (65+)
Mountain Brook, AL	4.4 mi	3,822	3.5%
Homewood, AL	4.8 mi	3,070	13%
Tarrant, AL	4.9 mi	1,025	19%
Vestavia Hills, AL	5.6 mi	7,394	15%
Fultondale, AL	6.2 mi	1,305	6.3%
Forestdale, AL	6.7 mi	2,601	4.7%

Home health agencies serving Birmingham

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Birmingham, AL	4.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 836-0777
Centerwell Home Health	Hoover, AL	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 739-7800
Centerwell Home Health	Sylacauga, AL	39 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 249-4363
Amedisys Home Health Lakeshore Of Birmingham	Homewood, AL	4.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 868-0147
Compassus Home Health	Birmingham, AL	6.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800

Nursing homes near Birmingham (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Northway Health And Rehabilitation, LLC	Birmingham, AL	0.8 mi	3 of 5	113	(205) 328-5870
Civic Center Health And Rehabilitation, LLC	Birmingham, AL	0.8 mi	2 of 5	95	(205) 251-5271
Greenbriar At The Altamont Skilled Nursing Facilit	Birmingham, AL	1.7 mi	3 of 5	95	(205) 323-2724
South Health And Rehabilitation, LLC	Birmingham, AL	2.1 mi	2 of 5	83	(205) 933-2180

Straight-line miles from the center of Birmingham. 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 Birmingham

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, 315% of the $3,098 monthly median income of Birmingham 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.

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 Birmingham: common questions

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

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, 315% of the $3,098 monthly median income of Birmingham 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 near Birmingham

More senior care near Birmingham

24-Hour Home Care in nearby cities

Other care in Birmingham

More for Birmingham 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 Birmingham, AL