24-Hour Home Care in California, PA: Round-the-Clock Care

Local figures

24-Hour Home Care in California, PA: the local picture

24%

of residents 65+ have difficulty dressing or bathing (6.7% in Washington County)

128

residents 85 or older (2.6% of all residents)

62%

of residents 65+ report a disability (32% in Washington County)

$44,437

median yearly income of households headed by someone 65+

174 California residents 65 or older have difficulty dressing or bathing (24%; 6.7% in Washington County), and 370 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 128 residents are 85 or older (2.6% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Mon Valley Care Center in Monongahela (6.6 mi) and Havencrest Rehabilitation And Healthcare Center in Monongahela (7.4 mi).

California compared with Washington County and Pennsylvania

Census figure	California	Washington County	Pennsylvania
Residents 65+ with difficulty dressing or bathing	24%	6.7%	6.6%
Residents 65+ with serious difficulty walking	51%	20%	20%
Residents 65+ with serious difficulty remembering	24%	7.0%	7.3%
Residents 85 or older	2.6%	2.8%	2.4%
Residents 65+ in households who live alone	35%	29%	30%
Residents 65+ below the poverty line (approx.)	11%	7.7%	9.9%
Median income, households headed by someone 65+	$44,437	$55,388	—

Older residents in towns around California

Town	Distance	Residents 65+	Self-care difficulty (65+)
Centerville, PA	3.4 mi	709	11%
Charleroi, PA	5.0 mi	697	11%
Monessen, PA	6.1 mi	1,536	10%
Donora, PA	8.2 mi	792	4.9%
Monongahela, PA	8.6 mi	895	9.3%
West Newton, PA	12 mi	786	1.7%

Home health agencies serving California

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of Pa	Uniontown, PA	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(724) 438-6660
Care Plus Home Health Services, Inc	Washington, PA	20 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(724) 225-2444
Anova Home Healthcare Services Inc	Carnegie, PA	25 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(412) 681-1044
Ospta At Home	Belle Vernon, PA	8.3 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(724) 483-4859
Advantage Home Health Services, LLC	Pittsburgh, PA	19 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(412) 440-0142

Nursing homes near California (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Mon Valley Care Center	Monongahela, PA	6.6 mi	3 of 5	60	(724) 310-1111
Havencrest Rehabilitation And Healthcare Center	Monongahela, PA	7.4 mi	2 of 5	48	(724) 258-3000
Lafayette Manor, Inc	Uniontown, PA	14 mi	4 of 5	98	(724) 430-4848
Terrace Health & Rehab Center	Uniontown, PA	14 mi	4 of 5	119	(724) 438-6000

Straight-line miles from the center of California. 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 California

24-hour care is 168 paid hours a week. At $14.14 an hour (the Pennsylvania median aide wage) that is about $10,294 a month in wages before any overtime, 278% of the $3,703 monthly median income of California households headed by someone 65+. Rates are agreed with each caregiver. Pennsylvania's minimum wage is $7.25 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 California: common questions

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

24-hour care is 168 paid hours a week. At $14.14 an hour (the Pennsylvania median aide wage) that is about $10,294 a month in wages before any overtime, 278% of the $3,703 monthly median income of California households headed by someone 65+. Rates are agreed with each caregiver. Pennsylvania's minimum wage is $7.25 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.

More near California

More senior care near California

24-Hour Home Care in nearby cities

Other care in California

More for California 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 California, PA