24-Hour Home Care in Gastonia, NC: Round-the-Clock Care

Local figures

24-Hour Home Care in Gastonia, NC: the local picture

7.9%

of residents 65+ have difficulty dressing or bathing (7.8% in Gaston County)

1,430

residents 85 or older (1.7% of all residents)

37%

of residents 65+ report a disability (36% in Gaston County)

$52,093

median yearly income of households headed by someone 65+

925 Gastonia residents 65 or older have difficulty dressing or bathing (7.9%; 7.8% in Gaston County), and 3,105 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,430 residents are 85 or older (1.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Belmont Health & Rehabilitation in Gastonia (1.5 mi) and Belaire Health Care Center in Gastonia (1.5 mi).

Gastonia compared with Gaston County and North Carolina

Census figure	Gastonia	Gaston County	North Carolina
Residents 65+ with difficulty dressing or bathing	7.9%	7.8%	6.6%
Residents 65+ with serious difficulty walking	27%	25%	21%
Residents 65+ with serious difficulty remembering	7.9%	8.1%	7.9%
Residents 85 or older	1.7%	1.6%	1.7%
Residents 65+ in households who live alone	30%	30%	28%
Residents 65+ below the poverty line (approx.)	12%	12%	11%
Median income, households headed by someone 65+	$52,093	$44,483	—

Older residents in towns around Gastonia

Town	Distance	Residents 65+	Self-care difficulty (65+)
Ranlo, NC	4.3 mi	762	10%
Dallas, NC	4.8 mi	817	14%
Lowell, NC	5.0 mi	607	14%
Bessemer City, NC	6.0 mi	941	8.9%
Cramerton, NC	6.5 mi	787	6.9%
Belmont, NC	8.4 mi	2,688	8.8%

Home health agencies serving Gastonia

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Interim Healthcare Of The Triad Inc.	Charlotte, NC	23 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(252) 206-7208
Well Care Home Health Of The Piedmont	Charlotte, NC	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(910) 622-5491
Adoration Home Health	Gastonia, NC	3.0 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(704) 864-1032
Amedisys Home Health Care	Gastonia, NC	3.0 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(704) 867-1141
Bayada Home Health Care Inc	Gastonia, NC	3.0 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(704) 864-1131

Nursing homes near Gastonia (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Belmont Health & Rehabilitation	Gastonia, NC	1.5 mi	4 of 5	118	(704) 864-0371
Belaire Health Care Center	Gastonia, NC	1.5 mi	2 of 5	80	(704) 867-7300
Courtland Terrace	Gastonia, NC	3.0 mi	4 of 5	77	(704) 834-4800
Gastonia Health & Rehab Center	Gastonia, NC	3.1 mi	1 of 5	60	(704) 853-8175

Straight-line miles from the center of Gastonia. 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 Gastonia

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 252% of the $4,341 monthly median income of Gastonia households headed by someone 65+. Rates are agreed with each caregiver. North Carolina'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 Gastonia: common questions

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

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 252% of the $4,341 monthly median income of Gastonia households headed by someone 65+. Rates are agreed with each caregiver. North Carolina'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 Gastonia

More senior care near Gastonia

24-Hour Home Care in nearby cities

Other care in Gastonia

More for Gastonia 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 Gastonia, NC