24-Hour Home Care in Madison, WV: Round-the-Clock Care

Local figures

24-Hour Home Care in Madison, WV: the local picture

4.9%

of residents 65+ have difficulty dressing or bathing (8.3% in Boone County)

59

residents 85 or older (2.1% of all residents)

47%

of residents 65+ report a disability (52% in Boone County)

$47,484

median yearly income of households headed by someone 65+

36 Madison residents 65 or older have difficulty dressing or bathing (4.9%; 8.3% in Boone County), and 194 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 59 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 Hillcrest Healthcare Center in Danville (2.5 mi) and Trinity Health Care Of Logan in Logan (16 mi).

Madison compared with Boone County and West Virginia

Census figure	Madison	Boone County	West Virginia
Residents 65+ with difficulty dressing or bathing	4.9%	8.3%	8.2%
Residents 65+ with serious difficulty walking	26%	31%	25%
Residents 65+ with serious difficulty remembering	9.8%	15%	9.1%
Residents 85 or older	2.1%	2.5%	2.1%
Residents 65+ in households who live alone	23%	29%	30%
Residents 65+ below the poverty line (approx.)	4.1%	11%	12%
Median income, households headed by someone 65+	$47,484	$44,131	—

Older residents in towns around Madison

Town	Distance	Residents 65+	Self-care difficulty (65+)
South Charleston, WV	20 mi	2,876	4.5%
Dunbar, WV	21 mi	1,618	19%
St. Albans, WV	22 mi	2,646	9.3%
Charleston, WV	22 mi	10,007	6.8%
Nitro, WV	24 mi	1,330	7.7%
Cross Lanes, WV	26 mi	2,226	7.9%

Home health agencies serving Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Dignity Home Health	Chapmanville, WV	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 855-4764
Centerwell Home Health	Chapmanville, WV	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 855-7104
Adoration Home Health	Charleston, WV	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 343-2047
Boone Memorial Homecare	Danville, WV	2.0 mi	3.5 of 5	nursing, physical therapy	(304) 369-1385

Nursing homes near Madison (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillcrest Healthcare Center	Danville, WV	2.5 mi	4 of 5	90	(304) 369-0986
Trinity Health Care Of Logan	Logan, WV	16 mi	1 of 5	120	(304) 752-8723
Logan Center	Logan, WV	17 mi	3 of 5	66	(304) 752-2273
Marmet Center	Marmet, WV	18 mi	1 of 5	90	(304) 949-1580

Straight-line miles from the center of Madison. 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 Madison

24-hour care is 168 paid hours a week. At $13.47 an hour (the West Virginia median aide wage) that is about $9,806 a month in wages before any overtime, 248% of the $3,957 monthly median income of Madison households headed by someone 65+. Rates are agreed with each caregiver. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

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 Madison: common questions

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

24-hour care is 168 paid hours a week. At $13.47 an hour (the West Virginia median aide wage) that is about $9,806 a month in wages before any overtime, 248% of the $3,957 monthly median income of Madison households headed by someone 65+. Rates are agreed with each caregiver. West Virginia's minimum wage is $8.75 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 Madison

More senior care near Madison

24-Hour Home Care in nearby cities

Other care in Madison

More for Madison 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 Madison, WV