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

24-Hour Home Care in Guilford, PA: the local picture
14 Guilford residents 65 or older have difficulty dressing or bathing (2.3%; 4.5% in Franklin County), and 85 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 55 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 Laurel Lakes Rehabilitation And Wellness Center in Chambersburg (1.8 mi) and Chambersburg Skilled Nursing And Rehabilitation Ce in Chambersburg (2.7 mi).
Guilford compared with Franklin County and Pennsylvania
| Census figure | Guilford | Franklin County | Pennsylvania |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 2.3% | 4.5% | 6.6% |
| Residents 65+ with serious difficulty walking | 14% | 20% | 20% |
| Residents 65+ with serious difficulty remembering | 7.5% | 5.9% | 7.3% |
| Residents 85 or older | 1.4% | 2.8% | 2.4% |
| Residents 65+ in households who live alone | 32% | 26% | 30% |
| Residents 65+ below the poverty line (approx.) | 1.5% | 6.4% | 9.9% |
| Median income, households headed by someone 65+ | $64,583 | $56,266 | — |
Older residents in towns around Guilford
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Fayetteville, PA | 1.9 mi | 680 | 12% |
| Chambersburg, PA | 3.1 mi | 4,249 | 5.0% |
| Shippensburg, PA | 9.9 mi | 1,201 | 9.2% |
| Greencastle, PA | 11 mi | 857 | 5.5% |
| Waynesboro, PA | 11 mi | 1,607 | 7.1% |
| Wayne Heights, PA | 12 mi | 483 | 2.3% |
Home health agencies serving Guilford
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Wellspan Vna Home Care | York, PA | 46 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (717) 812-4433 |
| Advantage Home Health And Hospice | Mechanicsburg, PA | 36 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (717) 590-8878 |
| Accentcare Home Health Of Central Pennsylvania | Elizabethtown, PA | 55 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (717) 367-2571 |
| Spiritrust Lutheran Home Care & Hospice | Chambersburg, PA | 3.2 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (717) 264-8178 |
| Residential Home Health Of Carlisle, LLC | Mechanicsburg, PA | 37 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (888) 923-5842 |
Nursing homes near Guilford (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Laurel Lakes Rehabilitation And Wellness Center | Chambersburg, PA | 1.8 mi | 2 of 5 | 186 | (717) 264-2715 |
| Chambersburg Skilled Nursing And Rehabilitation Ce | Chambersburg, PA | 2.7 mi | 2 of 5 | 210 | (717) 263-0436 |
| Concordia At Spiritrust Luther Ridge | Chambersburg, PA | 2.8 mi | 3 of 5 | 40 | (717) 246-5700 |
| Menno Haven Rehabilitation Center | Chambersburg, PA | 3.3 mi | 5 of 5 | 44 | (717) 262-1012 |
Straight-line miles from the center of Guilford. 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 Guilford
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, 191% of the $5,382 monthly median income of Guilford 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.
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 Guilford: common questions
How much does 24-hour home care cost in Guilford?
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, 191% of the $5,382 monthly median income of Guilford 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 senior care near Guilford
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Fayetteville, PA
- 24-Hour Home Care in Chambersburg, PA
- 24-Hour Home Care in Shippensburg, PA
- 24-Hour Home Care in Greencastle, PA
- 24-Hour Home Care in Waynesboro, PA
- 24-Hour Home Care in Wayne Heights, PA
- 24-Hour Home Care in State Line, PA
- 24-Hour Home Care in Carroll Valley, PA
- 24-Hour Home Care in Fountainhead-Orchard Hills, MD
- 24-Hour Home Care in Paramount-Long Meadow, MD
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- 24-Hour Home Care in Smithsburg, MD
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- 24-Hour Home Care in Emmitsburg, MD
Other care in Guilford
- Companion Care in Guilford
- Dementia Care in Guilford
- Respite Care in Guilford
- Live-In Caregivers in Guilford
- Post-Surgery Care in Guilford
- Senior Transportation in Guilford
- Home Health Aides in Guilford
- Nursing Assistants in Guilford
- Personal Care in Guilford
- Overnight Caregivers in Guilford
- Mobility Assistance in Guilford
- Parkinson’s Care in Guilford
- Stroke Recovery Support in Guilford
- Disability Care for Adults in Guilford
- Hospice Support in Guilford
- Senior Meal Preparation in Guilford
- Senior Housekeeping in Guilford
- Medication Reminders in Guilford
- Veterans’ Home Care in Guilford
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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