24-Hour Home Care in Gateway, AK: Round-the-Clock Care

Local figures

24-Hour Home Care in Gateway, AK: the local picture

13%

of residents 65+ have difficulty dressing or bathing (7.2% in Matanuska-Susitna Borough)

51

residents 85 or older (0.7% of all residents)

38%

of residents 65+ report a disability (34% in Matanuska-Susitna Borough)

$89,688

median yearly income of households headed by someone 65+

82 Gateway residents 65 or older have difficulty dressing or bathing (13%; 7.2% in Matanuska-Susitna Borough), and 174 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 51 residents are 85 or older (0.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Maple Springs Of Palmer in Palmer (3.5 mi) and Maple Springs Of Wasilla in Wasilla (4.7 mi).

Gateway compared with Matanuska-Susitna Borough and Alaska

Census figure	Gateway	Matanuska-Susitna Borough	Alaska
Residents 65+ with difficulty dressing or bathing	13%	7.2%	6.8%
Residents 65+ with serious difficulty walking	27%	21%	19%
Residents 65+ with serious difficulty remembering	6.6%	7.7%	7.8%
Residents 85 or older	0.7%	0.9%	0.9%
Residents 65+ in households who live alone	16%	26%	27%
Residents 65+ below the poverty line (approx.)	6.0%	9.4%	8.3%
Median income, households headed by someone 65+	$89,688	$63,354	—

Older residents in towns around Gateway

Town	Distance	Residents 65+	Self-care difficulty (65+)
South Lakes, AK	3.4 mi	728	7.8%
Palmer, AK	4.1 mi	986	8.1%
North Lakes, AK	4.6 mi	1,321	5.6%
Farm Loop, AK	5.2 mi	425	5.9%
Wasilla, AK	7.9 mi	1,659	11%
Butte, AK	8.1 mi	653	6.7%

Home health agencies serving Gateway

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Enhabit Home Health	Anchorage, AK	34 mi	3.5 of 5	nursing, physical therapy, speech therapy, medical social work	(907) 272-1275
Ancora Home Health & Hospice	Wasilla, AK	6.0 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(907) 561-0700
Wellspring Home Health Center	Wasilla, AK	6.0 mi	not rated	nursing, physical therapy, speech therapy, medical social work, home health aides	(907) 357-3655
Maxim Healthcare Services, Inc	Anchorage, AK	34 mi	not rated	nursing, home health aides	(907) 770-0862
St. Agatha Home Healthcare, LLC	Anchorage, AK	35 mi	not rated	—	(907) 302-2462

Nursing homes near Gateway (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Maple Springs Of Palmer	Palmer, AK	3.5 mi	2 of 5	67	(907) 802-6641
Maple Springs Of Wasilla	Wasilla, AK	4.7 mi	5 of 5	67	(907) 841-1217

Straight-line miles from the center of Gateway. 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 Gateway

24-hour care is 168 paid hours a week. At $19.11 an hour (the Alaska median aide wage) that is about $13,912 a month in wages before any overtime, 186% of the $7,474 monthly median income of Gateway households headed by someone 65+. Rates are agreed with each caregiver. Alaska's minimum wage is $14.00 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 How to get paid to care for a family member in Alaska: consumer-directed personal care.

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 Gateway: common questions

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

24-hour care is 168 paid hours a week. At $19.11 an hour (the Alaska median aide wage) that is about $13,912 a month in wages before any overtime, 186% of the $7,474 monthly median income of Gateway households headed by someone 65+. Rates are agreed with each caregiver. Alaska's minimum wage is $14.00 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 near Gateway

More senior care near Gateway

24-Hour Home Care in nearby cities

Other care in Gateway

More for Gateway 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 Gateway, AK