24-Hour Home Care in Exton, PA: Round-the-Clock Care

Local figures

24-Hour Home Care in Exton, PA: the local picture

0.0%

of residents 65+ have difficulty dressing or bathing (4.3% in Chester County)

10

residents 85 or older (0.1% of all residents)

5.1%

of residents 65+ report a disability (23% in Chester County)

$72,722

median yearly income of households headed by someone 65+

0 Exton residents 65 or older have difficulty dressing or bathing (0.0%; 4.3% in Chester County), and 14 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 10 residents are 85 or older (0.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Exton Post Acute in Exton (1.2 mi) and Park Lane Post Acute LLC in West Chester (3.7 mi).

Exton compared with Chester County and Pennsylvania

Census figure	Exton	Chester County	Pennsylvania
Residents 65+ with difficulty dressing or bathing	0.0%	4.3%	6.6%
Residents 65+ with serious difficulty walking	2.3%	13%	20%
Residents 65+ with serious difficulty remembering	0.2%	4.7%	7.3%
Residents 85 or older	0.1%	1.9%	2.4%
Residents 65+ in households who live alone	42%	23%	30%
Residents 65+ below the poverty line (approx.)	8.8%	5.6%	9.9%
Median income, households headed by someone 65+	$72,722	$84,884	—

Older residents in towns around Exton

Town	Distance	Residents 65+	Self-care difficulty (65+)
Lionville, PA	1.8 mi	1,311	5.7%
Downingtown, PA	3.9 mi	1,091	3.0%
Frazer, PA	4.1 mi	491	9.4%
West Chester, PA	5.1 mi	2,377	8.7%
Malvern, PA	6.2 mi	692	3.2%
Thorndale, PA	6.6 mi	587	15%

Home health agencies serving Exton

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Revolutionary Home Health Inc.	Oreland, PA	24 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(215) 600-3360
Main Line Health Home Care & Hospice - Home Health	Radnor, PA	13 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(888) 533-3999
Patient Care	Wyomissing, PA	28 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(610) 373-0300
Amedisys Home Health	Lancaster, PA	35 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(717) 291-8396
Mercy Home Health	Newtown, PA	39 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(267) 569-0760

Nursing homes near Exton (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Exton Post Acute	Exton, PA	1.2 mi	3 of 5	120	(610) 423-8600
Park Lane Post Acute LLC	West Chester, PA	3.7 mi	5 of 5	68	(484) 653-4400
Green Meadows Nursing & Rehabilitation Center	Malvern, PA	4.4 mi	4 of 5	184	(610) 296-4170
Barclay Friends	West Chester, PA	4.4 mi	5 of 5	64	(610) 696-5211

Straight-line miles from the center of Exton. 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 Exton

24-hour care is 168 paid hours a week. At $14.14 an hour (the Pennsylvania median aide wage) that is about $10,294 a month in wages before any overtime, 170% of the $6,060 monthly median income of Exton households headed by someone 65+. Rates are agreed with each caregiver. Pennsylvania'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 Exton: common questions

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

24-hour care is 168 paid hours a week. At $14.14 an hour (the Pennsylvania median aide wage) that is about $10,294 a month in wages before any overtime, 170% of the $6,060 monthly median income of Exton households headed by someone 65+. Rates are agreed with each caregiver. Pennsylvania'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 Exton

More senior care near Exton

24-Hour Home Care in nearby cities

Other care in Exton

More for Exton 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 Exton, PA