24-Hour Home Care in Little Falls, NY: Round-the-Clock Care

Local figures

24-Hour Home Care in Little Falls, NY: the local picture

3.4%

of residents 65+ have difficulty dressing or bathing (4.6% in Herkimer County)

61

residents 85 or older (1.3% of all residents)

25%

of residents 65+ report a disability (30% in Herkimer County)

$41,078

median yearly income of households headed by someone 65+

31 Little Falls residents 65 or older have difficulty dressing or bathing (3.4%; 4.6% in Herkimer County), and 149 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 61 residents are 85 or older (1.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Alpine Rehabilitation And Nursing Center in Little Falls (0.7 mi) and Foltsbrook Center For Nursing And Rehabilitation in Herkimer (6.6 mi).

Little Falls compared with Herkimer County and New York

Census figure	Little Falls	Herkimer County	New York
Residents 65+ with difficulty dressing or bathing	3.4%	4.6%	8.3%
Residents 65+ with serious difficulty walking	16%	17%	21%
Residents 65+ with serious difficulty remembering	3.1%	4.9%	8.2%
Residents 85 or older	1.3%	2.4%	2.2%
Residents 65+ in households who live alone	40%	33%	29%
Residents 65+ below the poverty line (approx.)	13%	8.6%	13%
Median income, households headed by someone 65+	$41,078	$47,772	—

Older residents in towns around Little Falls

Town	Distance	Residents 65+	Self-care difficulty (65+)
Herkimer, NY	7.0 mi	1,566	6.0%
Mohawk, NY	8.0 mi	555	7.9%
Ilion, NY	9.5 mi	1,702	5.6%
Frankfort, NY	11 mi	506	3.8%
Utica, NY	19 mi	9,756	7.2%
Yorkville, NY	22 mi	508	12%

Home health agencies serving Little Falls

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Marquis Certified Home Care, LLC	Albany, NY	57 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(518) 216-0100
At Home Care Inc Chha	Oneonta, NY	41 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(607) 432-7924

Nursing homes near Little Falls (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Alpine Rehabilitation And Nursing Center	Little Falls, NY	0.7 mi	3 of 5	80	(315) 823-0973
Foltsbrook Center For Nursing And Rehabilitation	Herkimer, NY	6.6 mi	1 of 5	163	(315) 866-6964
Valley Health Services Inc	Herkimer, NY	7.3 mi	2 of 5	160	(315) 866-3330
St Johnsville Rehabilitation And Nursing Center	Saint Johnsville, NY	9.1 mi	2 of 5	120	(518) 568-5037

Straight-line miles from the center of Little Falls. 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 Little Falls

24-hour care is 168 paid hours a week. At $19.05 an hour (the New York median aide wage) that is about $13,868 a month in wages before any overtime, 405% of the $3,423 monthly median income of Little Falls households headed by someone 65+. Rates are agreed with each caregiver. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Little Falls: common questions

How much does 24-hour home care cost in Little Falls?

24-hour care is 168 paid hours a week. At $19.05 an hour (the New York median aide wage) that is about $13,868 a month in wages before any overtime, 405% of the $3,423 monthly median income of Little Falls households headed by someone 65+. Rates are agreed with each caregiver. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 Little Falls

More senior care near Little Falls

24-Hour Home Care in nearby cities

Other care in Little Falls

More for Little Falls 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 Little Falls, NY