24-Hour Home Care in Fairview Heights, IL
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 Fairview Heights for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Fairview Heights, IL: the local picture
144 Fairview Heights residents 65 or older have difficulty dressing or bathing (4.5%; 7.5% in St. Clair County), and 498 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 228 residents are 85 or older (1.4% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are La Bella Of Caseyville in Caseyville (3.2 mi) and Memorial Care Center in Belleville (3.3 mi).
Fairview Heights compared with St. Clair County and Illinois
| Census figure | Fairview Heights | St. Clair County | Illinois |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 4.5% | 7.5% | 6.9% |
| Residents 65+ with serious difficulty walking | 16% | 22% | 20% |
| Residents 65+ with serious difficulty remembering | 3.6% | 6.9% | 7.0% |
| Residents 85 or older | 1.4% | 2.1% | 2.0% |
| Residents 65+ in households who live alone | 35% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 6.4% | 10% | 10% |
| Median income, households headed by someone 65+ | $63,810 | $54,949 | — |
Older residents in towns around Fairview Heights
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Caseyville, IL | 2.8 mi | 828 | 16% |
| Swansea, IL | 3.2 mi | 2,699 | 9.4% |
| O'Fallon, IL | 4.8 mi | 5,382 | 6.2% |
| Belleville, IL | 5.5 mi | 6,768 | 7.2% |
| Collinsville, IL | 5.6 mi | 4,375 | 5.4% |
| Shiloh, IL | 5.9 mi | 2,294 | 5.5% |
Home health agencies serving Fairview Heights
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | O Fallon, IL | 6.1 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (618) 622-8854 |
| Aw Health Care | Saint Louis, MO | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Evertrue Home Health | St. Louis, MO | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Elara Caring V | Springfield, IL | 83 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 718-4889 |
| Residential Home Health Of Southern Illinois | Glen Carbon, IL | 12 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 642-6099 |
Nursing homes near Fairview Heights (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| La Bella Of Caseyville | Caseyville, IL | 3.2 mi | 1 of 5 | 150 | (618) 345-3072 |
| Memorial Care Center | Belleville, IL | 3.3 mi | 5 of 5 | 82 | (618) 619-5000 |
| Evervella Of Swansea | Swansea, IL | 3.7 mi | 2 of 5 | 120 | (618) 236-1391 |
| Bria Of Belleville | Belleville, IL | 4.8 mi | 1 of 5 | 140 | (618) 235-6600 |
Straight-line miles from the center of Fairview Heights. 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 Fairview Heights
24-hour care is 168 paid hours a week. At $18.30 an hour (the Illinois median aide wage) that is about $13,322 a month in wages before any overtime, 251% of the $5,318 monthly median income of Fairview Heights households headed by someone 65+. Rates are agreed with each caregiver. Illinois's minimum wage is $15.00 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.
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 Fairview Heights: common questions
How much does 24-hour home care cost in Fairview Heights?
24-hour care is 168 paid hours a week. At $18.30 an hour (the Illinois median aide wage) that is about $13,322 a month in wages before any overtime, 251% of the $5,318 monthly median income of Fairview Heights households headed by someone 65+. Rates are agreed with each caregiver. Illinois's minimum wage is $15.00 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 senior care near Fairview Heights
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Caseyville, IL
- 24-Hour Home Care in Swansea, IL
- 24-Hour Home Care in O'Fallon, IL
- 24-Hour Home Care in Belleville, IL
- 24-Hour Home Care in Collinsville, IL
- 24-Hour Home Care in Shiloh, IL
- 24-Hour Home Care in East St. Louis, IL
- 24-Hour Home Care in Madison, IL
- 24-Hour Home Care in Cahokia Heights, IL
- 24-Hour Home Care in Scott AFB, IL
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Other care in Fairview Heights
- Companion Care in Fairview Heights
- Dementia Care in Fairview Heights
- Respite Care in Fairview Heights
- Live-In Caregivers in Fairview Heights
- Post-Surgery Care in Fairview Heights
- Senior Transportation in Fairview Heights
- Home Health Aides in Fairview Heights
- Nursing Assistants in Fairview Heights
- Personal Care in Fairview Heights
- Overnight Caregivers in Fairview Heights
- Mobility Assistance in Fairview Heights
- Parkinson’s Care in Fairview Heights
- Stroke Recovery Support in Fairview Heights
- Disability Care for Adults in Fairview Heights
- Hospice Support in Fairview Heights
- Senior Meal Preparation in Fairview Heights
- Senior Housekeeping in Fairview Heights
- Medication Reminders in Fairview Heights
- Veterans’ Home Care in Fairview Heights
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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