24-Hour Home Care in Little Silver, NJ: Round-the-Clock Care

Local figures

24-Hour Home Care in Little Silver, NJ: the local picture

3.1%

of residents 65+ have difficulty dressing or bathing (5.9% in Monmouth County)

131

residents 85 or older (2.1% of all residents)

18%

of residents 65+ report a disability (27% in Monmouth County)

$137,000

median yearly income of households headed by someone 65+

35 Little Silver residents 65 or older have difficulty dressing or bathing (3.1%; 5.9% in Monmouth County), and 112 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 131 residents are 85 or older (2.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Complete Care At Shrewsbury LLC in Shrewsbury (1.7 mi) and Atrium At Navesink Harbor, The in Red Bank (2.2 mi).

Little Silver compared with Monmouth County and New Jersey

Census figure	Little Silver	Monmouth County	New Jersey
Residents 65+ with difficulty dressing or bathing	3.1%	5.9%	7.0%
Residents 65+ with serious difficulty walking	9.9%	17%	19%
Residents 65+ with serious difficulty remembering	2.7%	6.1%	6.8%
Residents 85 or older	2.1%	2.3%	2.1%
Residents 65+ in households who live alone	22%	28%	27%
Residents 65+ below the poverty line (approx.)	4.9%	6.9%	9.7%
Median income, households headed by someone 65+	$137,000	$82,095	—

Older residents in towns around Little Silver

Town	Distance	Residents 65+	Self-care difficulty (65+)
Shrewsbury, NJ	1.4 mi	1,023	17%
Oceanport, NJ	1.6 mi	1,479	9.6%
Fair Haven, NJ	1.7 mi	631	0.2%
Red Bank, NJ	1.9 mi	2,682	1.9%
Rumson, NJ	2.3 mi	1,280	1.0%
Monmouth Beach, NJ	2.6 mi	1,000	2.9%

Home health agencies serving Little Silver

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Visiting Nurse Association Of Central Jersey Home Care And Hospice	Toms River, NJ	26 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(732) 818-6872
Bayada Home Health Care, Inc.	Cranford, NJ	26 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(908) 352-5694
Hackensack Meridian At Home Monmouth County	Neptune, NJ	9.0 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(732) 751-3700

Nursing homes near Little Silver (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Complete Care At Shrewsbury LLC	Shrewsbury, NJ	1.7 mi	3 of 5	140	(732) 676-5800
Atrium At Navesink Harbor, The	Red Bank, NJ	2.2 mi	2 of 5	43	(732) 842-3400
Redbank Center For Rehabilitation And Healing	Red Bank, NJ	2.7 mi	2 of 5	180	(732) 741-8811
Shore Pointe Care Center	Eatontown, NJ	3.5 mi	2 of 5	178	(732) 542-4700

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

24-hour care is 168 paid hours a week. At $17.83 an hour (the New Jersey median aide wage) that is about $12,980 a month in wages before any overtime, 114% of the $11,417 monthly median income of Little Silver households headed by someone 65+. Rates are agreed with each caregiver. New Jersey's minimum wage is $15.92 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 Little Silver: common questions

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

24-hour care is 168 paid hours a week. At $17.83 an hour (the New Jersey median aide wage) that is about $12,980 a month in wages before any overtime, 114% of the $11,417 monthly median income of Little Silver households headed by someone 65+. Rates are agreed with each caregiver. New Jersey's minimum wage is $15.92 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 Little Silver

More senior care near Little Silver

24-Hour Home Care in nearby cities

Other care in Little Silver

More for Little Silver 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 Silver, NJ