24-Hour Home Care in Lexington, WA: Round-the-Clock Care

Local figures

24-Hour Home Care in Lexington, WA: the local picture

6.3%

of residents 65+ have difficulty dressing or bathing (7.3% in Cowlitz County)

164

residents 85 or older (3.7% of all residents)

39%

of residents 65+ report a disability (39% in Cowlitz County)

$55,964

median yearly income of households headed by someone 65+

48 Lexington residents 65 or older have difficulty dressing or bathing (6.3%; 7.3% in Cowlitz County), and 205 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 164 residents are 85 or older (3.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Beacon Hill Rehabilitation in Longview (1.2 mi) and Frontier Rehabilitation And Extended Care in Longview (3.6 mi).

Lexington compared with Cowlitz County and Washington

Census figure	Lexington	Cowlitz County	Washington
Residents 65+ with difficulty dressing or bathing	6.3%	7.3%	7.1%
Residents 65+ with serious difficulty walking	27%	26%	20%
Residents 65+ with serious difficulty remembering	10%	9.5%	8.5%
Residents 85 or older	3.7%	2.0%	1.8%
Residents 65+ in households who live alone	16%	29%	26%
Residents 65+ below the poverty line (approx.)	3.2%	7.6%	8.9%
Median income, households headed by someone 65+	$55,964	$54,222	—

Older residents in towns around Lexington

Town	Distance	Residents 65+	Self-care difficulty (65+)
Longview Heights, WA	2.1 mi	634	1.6%
Longview, WA	3.9 mi	7,663	7.4%
Kelso, WA	5.2 mi	2,194	11%
Kalama, WA	12 mi	590	21%
Woodland, WA	20 mi	1,246	7.6%
St. Helens, OR	23 mi	2,253	14%

Home health agencies serving Lexington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Peacehealth Southwest Home Health	Vancouver, WA	40 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 759-1500
Assured Home Health And Hospice	Centralia, WA	37 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 330-2640
Physicians Choice	Wilsonville, OR	62 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 308-4060
Eden Home Health	Vancouver, WA	36 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 504-0122
Psa Healthcare Certified	Vancouver, WA	37 mi	not rated	nursing, medical social work	(360) 423-6098

Nursing homes near Lexington (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Beacon Hill Rehabilitation	Longview, WA	1.2 mi	5 of 5	67	(360) 423-4060
Frontier Rehabilitation And Extended Care	Longview, WA	3.6 mi	4 of 5	140	(360) 423-8800
Americana Health And Rehabilitation	Longview, WA	4.3 mi	4 of 5	74	(360) 425-5910
Woodland Convalescent Center	Woodland, WA	22 mi	2 of 5	62	(360) 225-9443

Straight-line miles from the center of Lexington. 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 Lexington

24-hour care is 168 paid hours a week. At $22.95 an hour (the Washington median aide wage) that is about $16,708 a month in wages before any overtime, 358% of the $4,664 monthly median income of Lexington households headed by someone 65+. Rates are agreed with each caregiver. Washington's minimum wage is $17.13 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 Lexington: common questions

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

24-hour care is 168 paid hours a week. At $22.95 an hour (the Washington median aide wage) that is about $16,708 a month in wages before any overtime, 358% of the $4,664 monthly median income of Lexington households headed by someone 65+. Rates are agreed with each caregiver. Washington's minimum wage is $17.13 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 near Lexington

More senior care near Lexington

24-Hour Home Care in nearby cities

Other care in Lexington

More for Lexington 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 Lexington, WA