24-Hour Home Care in Charleston, AR: Round-the-Clock Care

Local figures

24-Hour Home Care in Charleston, AR: the local picture

12%

of residents 65+ have difficulty dressing or bathing (5.8% in Franklin County)

122

residents 85 or older (4.6% of all residents)

54%

of residents 65+ report a disability (44% in Franklin County)

$41,438

median yearly income of households headed by someone 65+

53 Charleston residents 65 or older have difficulty dressing or bathing (12%; 5.8% in Franklin County), and 206 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 122 residents are 85 or older (4.6% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Greenhurst Nursing Center in Charleston (2.0 mi) and Oak Manor Nursing And Rehabilitation Center Inc in Booneville (13 mi).

Charleston compared with Franklin County and Arkansas

Census figure	Charleston	Franklin County	Arkansas
Residents 65+ with difficulty dressing or bathing	12%	5.8%	8.5%
Residents 65+ with serious difficulty walking	47%	26%	26%
Residents 65+ with serious difficulty remembering	22%	8.3%	9.9%
Residents 85 or older	4.6%	2.8%	1.8%
Residents 65+ in households who live alone	47%	33%	29%
Residents 65+ below the poverty line (approx.)	18%	18%	12%
Median income, households headed by someone 65+	$41,438	$35,383	—

Older residents in towns around Charleston

Town	Distance	Residents 65+	Self-care difficulty (65+)
Greenwood, AR	12 mi	1,906	9.7%
Booneville, AR	13 mi	572	8.6%
Barling, AR	13 mi	990	20%
Alma, AR	17 mi	782	5.1%
Paris, AR	18 mi	742	7.9%
Ozark, AR	18 mi	642	6.6%

Home health agencies serving Charleston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Waldron, AR	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(479) 637-0914
Kindred At Home 1	Fort Smith, AR	19 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy	(479) 452-0424
Adoration Home Health	Van Buren, AR	19 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(479) 474-4892
Area Agency On Aging Of Western Arkansas Inc	Paris, AR	18 mi	3 of 5	nursing, physical therapy, home health aides	(479) 963-6868
Access Home Health	Fort Smith, AR	19 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(479) 441-5850

Nursing homes near Charleston (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Greenhurst Nursing Center	Charleston, AR	2.0 mi	5 of 5	113	(479) 965-7373
Oak Manor Nursing And Rehabilitation Center Inc	Booneville, AR	13 mi	5 of 5	120	(479) 675-3763
Pink Bud Home For The Golden Years	Greenwood, AR	13 mi	1 of 5	110	(479) 996-4125
Ashton Place Health And Rehab, LLC	Barling, AR	15 mi	4 of 5	122	(479) 452-8181

Straight-line miles from the center of Charleston. 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 Charleston

24-hour care is 168 paid hours a week. At $13.30 an hour (the Arkansas median aide wage) that is about $9,682 a month in wages before any overtime, 280% of the $3,453 monthly median income of Charleston households headed by someone 65+. Rates are agreed with each caregiver. Arkansas's minimum wage is $11.00 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 Charleston: common questions

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

24-hour care is 168 paid hours a week. At $13.30 an hour (the Arkansas median aide wage) that is about $9,682 a month in wages before any overtime, 280% of the $3,453 monthly median income of Charleston households headed by someone 65+. Rates are agreed with each caregiver. Arkansas's minimum wage is $11.00 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.

More near Charleston

More senior care near Charleston

24-Hour Home Care in nearby cities

Other care in Charleston

More for Charleston 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 Charleston, AR