Hartford, South Dakota

24-Hour Home Care in Hartford, SD

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

A caregiver helping an older man with a meal at a kitchen table
Local figures

24-Hour Home Care in Hartford, SD: the local picture

12%
of residents 65+ have difficulty dressing or bathing (6.4% in Minnehaha County)
20
residents 85 or older (0.6% of all residents)
33%
of residents 65+ report a disability (29% in Minnehaha County)
$98,445
median yearly income of households headed by someone 65+

75 Hartford residents 65 or older have difficulty dressing or bathing (12%; 6.4% in Minnehaha County), and 125 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 20 residents are 85 or older (0.6% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Dow Rummel Village in Sioux Falls (10 mi) and Good Samaritan Society Sioux Falls Village in Sioux Falls (11 mi).

Hartford compared with Minnehaha County and South Dakota

Census figureHartfordMinnehaha CountySouth Dakota
Residents 65+ with difficulty dressing or bathing12%6.4%5.4%
Residents 65+ with serious difficulty walking20%18%18%
Residents 65+ with serious difficulty remembering3.3%6.8%5.9%
Residents 85 or older0.6%1.5%2.1%
Residents 65+ in households who live alone18%35%30%
Residents 65+ below the poverty line (approx.)5.2%7.7%10%
Median income, households headed by someone 65+$98,445$56,527—

Older residents in towns around Hartford

TownDistanceResidents 65+Self-care difficulty (65+)
Sioux Falls, SD12 mi28,3296.4%
Tea, SD13 mi37112%
Harrisburg, SD17 mi3120.0%
Brandon, SD18 mi1,6276.1%
Dell Rapids, SD18 mi7034.3%
Madison, SD28 mi1,3842.6%

Home health agencies serving Hartford

AgencyOfficeDistanceCMS quality starsServices listedPhone
Sanford Home HealthSioux Falls, SD11 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 328-5900
Aveanna Home HealthSioux Falls, SD14 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 335-3373
Avera @ HomeSioux Falls, SD15 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 322-4663

Nursing homes near Hartford (to compare)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Dow Rummel VillageSioux Falls, SD10 mi3 of 550(605) 336-1490
Good Samaritan Society Sioux Falls VillageSioux Falls, SD11 mi2 of 5177(605) 361-3311
Good Samaritan Society Sioux Falls CenterSioux Falls, SD11 mi2 of 598(605) 336-6252
Bethany Home Sioux FallsSioux Falls, SD11 mi3 of 554(605) 338-2351

Straight-line miles from the center of Hartford. 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 Hartford

24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 161% of the $8,204 monthly median income of Hartford households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 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 Hartford: common questions

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

24-hour care is 168 paid hours a week. At $18.15 an hour (the South Dakota median aide wage) that is about $13,213 a month in wages before any overtime, 161% of the $8,204 monthly median income of Hartford households headed by someone 65+. Rates are agreed with each caregiver. South Dakota's minimum wage is $11.85 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.

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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