24-Hour Home Care in Huntsville, AL: Round-the-Clock Care

Local figures

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

7.0%

of residents 65+ have difficulty dressing or bathing (6.1% in Madison County)

4,958

residents 85 or older (2.2% of all residents)

35%

of residents 65+ report a disability (35% in Madison County)

$61,698

median yearly income of households headed by someone 65+

2,471 Huntsville residents 65 or older have difficulty dressing or bathing (7.0%; 6.1% in Madison County), and 7,998 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 4,958 residents are 85 or older (2.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Brookshire Healthcare Center in Huntsville (2.9 mi) and Windsor House in Huntsville (3.0 mi).

Huntsville compared with Madison County and Alabama

Census figure	Huntsville	Madison County	Alabama
Residents 65+ with difficulty dressing or bathing	7.0%	6.1%	7.9%
Residents 65+ with serious difficulty walking	23%	21%	25%
Residents 65+ with serious difficulty remembering	7.7%	7.1%	9.8%
Residents 85 or older	2.2%	1.7%	1.7%
Residents 65+ in households who live alone	33%	29%	29%
Residents 65+ below the poverty line (approx.)	9.5%	9.5%	12%
Median income, households headed by someone 65+	$61,698	$65,028	—

Older residents in towns around Huntsville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Madison, AL	4.9 mi	7,628	6.2%
Triana, AL	8.6 mi	325	0.0%
Harvest, AL	12 mi	957	4.2%
Meridianville, AL	13 mi	1,424	4.8%
Moores Mill, AL	14 mi	1,072	6.0%
Owens Cross Roads, AL	15 mi	339	4.3%

Home health agencies serving Huntsville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Huntsville, AL	3.3 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 881-3266
Prohealth Home Health, LLC	Huntsville, AL	6.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(256) 945-9100
Centerwell Home Health	Moulton, AL	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 974-2741
Amedisys Home Health Of Fort Payne	Rainesville, AL	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 844-8303
Quality First Home Care	Columbia, TN	67 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(931) 540-0062

Nursing homes near Huntsville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Brookshire Healthcare Center	Huntsville, AL	2.9 mi	3 of 5	129	(256) 837-1730
Windsor House	Huntsville, AL	3.0 mi	1 of 5	117	(256) 837-8585
The Health Center At Research Park	Huntsville, AL	3.9 mi	1 of 5	91	(256) 489-6800
Madison Manor Nursing Home	Madison, AL	4.4 mi	3 of 5	80	(256) 772-9243

Straight-line miles from the center of Huntsville. 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 Huntsville

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, 190% of the $5,142 monthly median income of Huntsville 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 Huntsville: common questions

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

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, 190% of the $5,142 monthly median income of Huntsville 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.

More near Huntsville

More senior care near Huntsville

24-Hour Home Care in nearby cities

Other care in Huntsville

More for Huntsville 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 Huntsville, AL