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

Local figures

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

3.5%

of residents 65+ have difficulty dressing or bathing (6.5% in Shelby County)

165

residents 85 or older (3.5% of all residents)

37%

of residents 65+ report a disability (30% in Shelby County)

$76,339

median yearly income of households headed by someone 65+

25 Columbiana residents 65 or older have difficulty dressing or bathing (3.5%; 6.5% in Shelby County), and 166 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 165 residents are 85 or older (3.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Columbiana Health And Rehabilitation, LLC in Columbiana (1.4 mi) and Shelby Ridge Nursing Home in Alabaster (12 mi).

Columbiana compared with Shelby County and Alabama

Census figure	Columbiana	Shelby County	Alabama
Residents 65+ with difficulty dressing or bathing	3.5%	6.5%	7.9%
Residents 65+ with serious difficulty walking	23%	19%	25%
Residents 65+ with serious difficulty remembering	4.2%	6.2%	9.8%
Residents 85 or older	3.5%	1.5%	1.7%
Residents 65+ in households who live alone	28%	23%	29%
Residents 65+ below the poverty line (approx.)	11%	8.2%	12%
Median income, households headed by someone 65+	$76,339	$69,559	—

Older residents in towns around Columbiana

Town	Distance	Residents 65+	Self-care difficulty (65+)
Chelsea, AL	8.2 mi	2,538	4.2%
Calera, AL	8.9 mi	1,478	7.0%
Pelham, AL	12 mi	4,533	7.7%
Alabaster, AL	12 mi	4,876	7.4%
Indian Springs Village, AL	14 mi	723	14%
Montevallo, AL	14 mi	1,024	10%

Home health agencies serving Columbiana

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Sylacauga, AL	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 249-4363
Centerwell Home Health	Clanton, AL	25 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 755-9926
Compassus Home Health	Pell City, AL	32 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Amedisys Home Health Of Anniston	Anniston, AL	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 820-2503
Enhabit Home Health	Vernon, AL	94 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 367-2407

Nursing homes near Columbiana (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Columbiana Health And Rehabilitation, LLC	Columbiana, AL	1.4 mi	4 of 5	63	(205) 669-1712
Shelby Ridge Nursing Home	Alabaster, AL	12 mi	3 of 5	131	(205) 620-8500
The Healthcare Center At Buck Creek	Alabaster, AL	13 mi	3 of 5	198	(205) 663-3859
Diversicare Of Riverchase	Birmingham, AL	16 mi	3 of 5	132	(205) 987-0901

Straight-line miles from the center of Columbiana. 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 Columbiana

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, 153% of the $6,362 monthly median income of Columbiana 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 Columbiana: common questions

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

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, 153% of the $6,362 monthly median income of Columbiana 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 Columbiana

More senior care near Columbiana

24-Hour Home Care in nearby cities

Other care in Columbiana

More for Columbiana 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 Columbiana, AL