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

Local figures

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

6.8%

of residents 65+ have difficulty dressing or bathing (6.9% in Kanawha County)

1,207

residents 85 or older (2.5% of all residents)

34%

of residents 65+ report a disability (37% in Kanawha County)

$63,908

median yearly income of households headed by someone 65+

664 Charleston residents 65 or older have difficulty dressing or bathing (6.8%; 6.9% in Kanawha County), and 2,170 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,207 residents are 85 or older (2.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Thomas Hospitals Skilled Nursing Unit in Charleston (0.3 mi) and Complete Care At Oak Ridge LLC in Charleston (1.3 mi).

Charleston compared with Kanawha County and West Virginia

Census figure	Charleston	Kanawha County	West Virginia
Residents 65+ with difficulty dressing or bathing	6.8%	6.9%	8.2%
Residents 65+ with serious difficulty walking	22%	23%	25%
Residents 65+ with serious difficulty remembering	7.1%	6.8%	9.1%
Residents 85 or older	2.5%	2.5%	2.1%
Residents 65+ in households who live alone	34%	31%	30%
Residents 65+ below the poverty line (approx.)	12%	11%	12%
Median income, households headed by someone 65+	$63,908	$51,172	—

Older residents in towns around Charleston

Town	Distance	Residents 65+	Self-care difficulty (65+)
South Charleston, WV	4.3 mi	2,876	4.5%
Dunbar, WV	5.8 mi	1,618	19%
Pinch, WV	9.3 mi	1,124	3.2%
Cross Lanes, WV	9.6 mi	2,226	7.9%
St. Albans, WV	10 mi	2,646	9.3%
Nitro, WV	10 mi	1,330	7.7%

Home health agencies serving Charleston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adoration Home Health	Charleston, WV	3.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 343-2047
Centerwell Home Health	South Charleston, WV	3.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(304) 346-9667
Home Health Of West Virginia	Charleston, WV	0.1 mi	4 of 5	—	(304) 400-4020
Wvuhs Home Care	Clarksburg, WV	95 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(681) 342-3252
Mountaineer Homecare	Charleston, WV	1.8 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(304) 720-0205

Nursing homes near Charleston (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Thomas Hospitals Skilled Nursing Unit	Charleston, WV	0.3 mi	5 of 5	29	(304) 347-6500
Complete Care At Oak Ridge LLC	Charleston, WV	1.3 mi	3 of 5	74	(304) 347-4372
Arthur B Hodges Center, The	Charleston, WV	1.9 mi	4 of 5	20	(304) 720-2740
Charleston Healthcare Center	Charleston, WV	2.6 mi	3 of 5	150	(304) 925-4771

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 $13.47 an hour (the West Virginia median aide wage) that is about $9,806 a month in wages before any overtime, 184% of the $5,326 monthly median income of Charleston households headed by someone 65+. Rates are agreed with each caregiver. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

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 $13.47 an hour (the West Virginia median aide wage) that is about $9,806 a month in wages before any overtime, 184% of the $5,326 monthly median income of Charleston households headed by someone 65+. Rates are agreed with each caregiver. West Virginia's minimum wage is $8.75 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, WV