Hamilton, Alabama

24-Hour Home Care in Hamilton, AL

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 Hamilton for free and hire a caregiver directly, with no agency mark-up.

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Local figures

24-Hour Home Care in Hamilton, AL: the local picture

17%
of residents 65+ have difficulty dressing or bathing (9.2% in Marion County)
296
residents 85 or older (4.3% of all residents)
60%
of residents 65+ report a disability (50% in Marion County)
$38,672
median yearly income of households headed by someone 65+

266 Hamilton residents 65 or older have difficulty dressing or bathing (17%; 9.2% in Marion County), and 787 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 296 residents are 85 or older (4.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Marion Regional Nursing Home in Hamilton (1.6 mi) and Sunset Manor in Guin (12 mi).

Hamilton compared with Marion County and Alabama

Census figureHamiltonMarion CountyAlabama
Residents 65+ with difficulty dressing or bathing17%9.2%7.9%
Residents 65+ with serious difficulty walking51%38%25%
Residents 65+ with serious difficulty remembering37%19%9.8%
Residents 85 or older4.3%2.6%1.7%
Residents 65+ in households who live alone28%31%29%
Residents 65+ below the poverty line (approx.)22%16%12%
Median income, households headed by someone 65+$38,672$36,084—

Older residents in towns around Hamilton

TownDistanceResidents 65+Self-care difficulty (65+)
Winfield, AL17 mi1,2643.9%
Haleyville, AL21 mi70016%
Red Bay, AL23 mi6371.7%
Fulton, MS26 mi8895.6%
Russellville, AL29 mi1,59319%
Amory, MS31 mi1,31116%

Home health agencies serving Hamilton

AgencyOfficeDistanceCMS quality starsServices listedPhone
Centerwell Home HealthMoulton, AL50 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(256) 974-2741
Amedisys Home Health Of TuscaloosaNorthport, AL64 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(205) 752-0606
Aveanna Home HealthHoover, AL85 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(205) 685-0421
Keller Home CareRed Bay, AL23 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work(256) 356-8160
Northwest Home HealthRussellville, AL29 mi3.5 of 5nursing, physical therapy, home health aides(256) 331-0006

Nursing homes near Hamilton (to compare)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Marion Regional Nursing HomeHamilton, AL1.6 mi3 of 579(205) 921-6340
Sunset ManorGuin, AL12 mi4 of 571(205) 468-3331
Diversicare Of WinfieldWinfield, AL16 mi4 of 5123(205) 487-4211
Haleyville Health Care CenterHaleyville, AL21 mi5 of 597(205) 486-9478

Straight-line miles from the center of Hamilton. 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 Hamilton

24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 302% of the $3,223 monthly median income of Hamilton households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Hamilton: common questions

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

24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 302% of the $3,223 monthly median income of Hamilton households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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.

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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