24-Hour Home Care in Key West, FL: Round-the-Clock Care

Local figures

24-Hour Home Care in Key West, FL: the local picture

5.7%

of residents 65+ have difficulty dressing or bathing (3.8% in Monroe County)

609

residents 85 or older (2.4% of all residents)

29%

of residents 65+ report a disability (26% in Monroe County)

$68,689

median yearly income of households headed by someone 65+

313 Key West residents 65 or older have difficulty dressing or bathing (5.7%; 3.8% in Monroe County), and 961 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 609 residents are 85 or older (2.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Oasis At The Conch Republic Nursing And Rehab in Key West (0.9 mi).

Key West compared with Monroe County and Florida

Census figure	Key West	Monroe County	Florida
Residents 65+ with difficulty dressing or bathing	5.7%	3.8%	6.4%
Residents 65+ with serious difficulty walking	18%	15%	20%
Residents 65+ with serious difficulty remembering	8.1%	4.5%	7.6%
Residents 85 or older	2.4%	2.0%	2.6%
Residents 65+ in households who live alone	31%	25%	25%
Residents 65+ below the poverty line (approx.)	11%	9.6%	12%
Median income, households headed by someone 65+	$68,689	$71,243	—

Older residents in towns around Key West

Town	Distance	Residents 65+	Self-care difficulty (65+)
Stock Island, FL	2.2 mi	408	7.8%
Big Coppitt Key, FL	7.8 mi	503	0.0%
Big Pine Key, FL	27 mi	1,069	4.0%
Marathon, FL	49 mi	2,059	9.5%

Home health agencies serving Key West

Agency	Office	Distance	CMS quality stars	Services listed	Phone
All Services Home Health Agency Inc	Miami, FL	127 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	—
Island Home Care	Key West, FL	0.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 735-4460
Baycare Home Care Inc	Lakeland, FL	241 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Axis Health Systems LLC	Hialeah, FL	129 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	—
Baycare Home Care Inc	Tampa, FL	242 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(813) 806-0700

Nursing homes near Key West (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Oasis At The Conch Republic Nursing And Rehab	Key West, FL	0.9 mi	1 of 5	120	(305) 296-4888

Straight-line miles from the center of Key West. 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 Key West

24-hour care is 168 paid hours a week. At $16.25 an hour (the Florida median aide wage) that is about $11,830 a month in wages before any overtime, 207% of the $5,724 monthly median income of Key West households headed by someone 65+. Rates are agreed with each caregiver. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

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 take care of a family member in Florida: SMMC LTC and the PDO.

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 Key West: common questions

How much does 24-hour home care cost in Key West?

24-hour care is 168 paid hours a week. At $16.25 an hour (the Florida median aide wage) that is about $11,830 a month in wages before any overtime, 207% of the $5,724 monthly median income of Key West households headed by someone 65+. Rates are agreed with each caregiver. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

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 Key West

More senior care near Key West

24-Hour Home Care in nearby cities

Other care in Key West

More for Key West 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 Key West, FL