24-Hour Home Care in Elk Point, SD
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Elk Point for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Elk Point, SD: the local picture
49 Elk Point residents 65 or older have difficulty dressing or bathing (11%; 3.0% in Union County), and 151 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 144 residents are 85 or older (5.7% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Akron Care Center, Inc in Akron (11 mi) and Sanford Care Center Vermillion in Vermillion (14 mi).
Elk Point compared with Union County and South Dakota
| Census figure | Elk Point | Union County | South Dakota |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 11% | 3.0% | 5.4% |
| Residents 65+ with serious difficulty walking | 35% | 15% | 18% |
| Residents 65+ with serious difficulty remembering | 12% | 3.6% | 5.9% |
| Residents 85 or older | 5.7% | 2.1% | 2.1% |
| Residents 65+ in households who live alone | 37% | 26% | 30% |
| Residents 65+ below the poverty line (approx.) | 7.5% | 12% | 10% |
| Median income, households headed by someone 65+ | $50,868 | $53,750 | — |
Older residents in towns around Elk Point
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| North Sioux City, SD | 14 mi | 640 | 0.0% |
| Vermillion, SD | 14 mi | 1,136 | 2.9% |
| Dakota Dunes, SD | 17 mi | 756 | 0.0% |
| Sioux City, IA | 20 mi | 12,804 | 5.7% |
| South Sioux City, NE | 20 mi | 1,535 | 0.9% |
| Dakota City, NE | 22 mi | 295 | 3.7% |
Home health agencies serving Elk Point
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | Sioux City, IA | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 233-5494 |
| Sanford Home Health | Sioux Falls, SD | 60 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 328-5900 |
| Unitypoint At Home | Sioux City, IA | 18 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (712) 279-3279 |
Nursing homes near Elk Point (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Akron Care Center, Inc | Akron, IA | 11 mi | 4 of 5 | 45 | (712) 568-2422 |
| Sanford Care Center Vermillion | Vermillion, SD | 14 mi | 2 of 5 | 66 | (605) 677-3500 |
| Westwood Specialty Care | Sioux City, IA | 17 mi | 1 of 5 | 85 | (712) 258-0135 |
| Holy Spirit Retirement Home | Sioux City, IA | 17 mi | 3 of 5 | 78 | (712) 252-2726 |
Straight-line miles from the center of Elk Point. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Elk Point
24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 312% of the $4,239 monthly median income of Elk Point households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 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.
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.
24-Hour Home Care in Elk Point: common questions
How much does 24-hour home care cost in Elk Point?
24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 312% of the $4,239 monthly median income of Elk Point households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 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 senior care near Elk Point
24-Hour Home Care in nearby cities
- 24-Hour Home Care in North Sioux City, SD
- 24-Hour Home Care in Vermillion, SD
- 24-Hour Home Care in Dakota Dunes, SD
- 24-Hour Home Care in Sioux City, IA
- 24-Hour Home Care in South Sioux City, NE
- 24-Hour Home Care in Dakota City, NE
- 24-Hour Home Care in Hawarden, IA
- 24-Hour Home Care in Sergeant Bluff, IA
- 24-Hour Home Care in Le Mars, IA
- 24-Hour Home Care in Wayne, NE
- 24-Hour Home Care in Sioux Center, IA
- 24-Hour Home Care in Orange City, IA
- 24-Hour Home Care in Yankton, SD
- 24-Hour Home Care in Rock Valley, IA
- 24-Hour Home Care in Canton, SD
- 24-Hour Home Care in Harrisburg, SD
Other care in Elk Point
- Companion Care in Elk Point
- Dementia Care in Elk Point
- Respite Care in Elk Point
- Live-In Caregivers in Elk Point
- Post-Surgery Care in Elk Point
- Senior Transportation in Elk Point
- Home Health Aides in Elk Point
- Nursing Assistants in Elk Point
- Personal Care in Elk Point
- Overnight Caregivers in Elk Point
- Mobility Assistance in Elk Point
- Parkinson’s Care in Elk Point
- Stroke Recovery Support in Elk Point
- Disability Care for Adults in Elk Point
- Hospice Support in Elk Point
- Senior Meal Preparation in Elk Point
- Senior Housekeeping in Elk Point
- Medication Reminders in Elk Point
- Veterans’ Home Care in Elk Point
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.
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