24-Hour Home Care in Chapel Hill, NC: Round-the-Clock Care

Local figures

24-Hour Home Care in Chapel Hill, NC: the local picture

4.1%

of residents 65+ have difficulty dressing or bathing (4.4% in Orange County)

871

residents 85 or older (1.4% of all residents)

26%

of residents 65+ report a disability (25% in Orange County)

$118,516

median yearly income of households headed by someone 65+

307 Chapel Hill residents 65 or older have difficulty dressing or bathing (4.1%; 4.4% in Orange County), and 894 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 871 residents are 85 or older (1.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Signature Healthcare Of Chapel Hill in Chapel Hill (0.7 mi) and Parkview Health And Rehabilitation Center in Chapel Hill (2.1 mi).

Chapel Hill compared with Orange County and North Carolina

Census figure	Chapel Hill	Orange County	North Carolina
Residents 65+ with difficulty dressing or bathing	4.1%	4.4%	6.6%
Residents 65+ with serious difficulty walking	12%	14%	21%
Residents 65+ with serious difficulty remembering	5.6%	4.9%	7.9%
Residents 85 or older	1.4%	1.3%	1.7%
Residents 65+ in households who live alone	29%	27%	28%
Residents 65+ below the poverty line (approx.)	6.0%	6.7%	11%
Median income, households headed by someone 65+	$118,516	$79,575	—

Older residents in towns around Chapel Hill

Town	Distance	Residents 65+	Self-care difficulty (65+)
Carrboro, NC	2.6 mi	2,207	8.7%
Briar Chapel, NC	8.3 mi	1,043	0.8%
Durham, NC	8.7 mi	39,442	5.8%
Hillsborough, NC	11 mi	1,728	7.9%
Morrisville, NC	13 mi	2,174	13%
Pittsboro, NC	15 mi	968	4.6%

Home health agencies serving Chapel Hill

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Durham, NC	7.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Amedisys Home Health Of Chapel Hill	Chapel Hill, NC	2.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 401-3000
Amedisys Home Health	Durham, NC	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 941-5793
Well Care Home Health, Inc	Raleigh, NC	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 846-1018
Centerwell Home Health	Raleigh, NC	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—

Nursing homes near Chapel Hill (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Signature Healthcare Of Chapel Hill	Chapel Hill, NC	0.7 mi	3 of 5	108	(919) 967-1418
Parkview Health And Rehabilitation Center	Chapel Hill, NC	2.1 mi	5 of 5	108	(984) 234-3600
The Cedars Of Chapel Hill	Chapel Hill, NC	2.3 mi	4 of 5	12	(919) 259-7903
Carol Woods	Chapel Hill, NC	2.5 mi	5 of 5	30	(919) 968-4511

Straight-line miles from the center of Chapel Hill. 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 Chapel Hill

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 111% of the $9,876 monthly median income of Chapel Hill households headed by someone 65+. Rates are agreed with each caregiver. North Carolina'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 Chapel Hill: common questions

How much does 24-hour home care cost in Chapel Hill?

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 111% of the $9,876 monthly median income of Chapel Hill households headed by someone 65+. Rates are agreed with each caregiver. North Carolina'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 Chapel Hill

More senior care near Chapel Hill

24-Hour Home Care in nearby cities

Other care in Chapel Hill

More for Chapel Hill 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 Chapel Hill, NC