24-Hour Home Care in Madisonville, KY: Round-the-Clock Care

Local figures

24-Hour Home Care in Madisonville, KY: the local picture

7.4%

of residents 65+ have difficulty dressing or bathing (8.7% in Hopkins County)

363

residents 85 or older (1.9% of all residents)

40%

of residents 65+ report a disability (45% in Hopkins County)

$53,580

median yearly income of households headed by someone 65+

266 Madisonville residents 65 or older have difficulty dressing or bathing (7.4%; 8.7% in Hopkins County), and 940 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 363 residents are 85 or older (1.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Park Grove Nursing And Rehabilitation Center in Madisonville (0.4 mi) and Madisonville Health And Rehabilitation, LLC in Madisonville (0.5 mi).

Madisonville compared with Hopkins County and Kentucky

Census figure	Madisonville	Hopkins County	Kentucky
Residents 65+ with difficulty dressing or bathing	7.4%	8.7%	8.0%
Residents 65+ with serious difficulty walking	26%	29%	25%
Residents 65+ with serious difficulty remembering	11%	12%	9.4%
Residents 85 or older	1.9%	1.9%	1.7%
Residents 65+ in households who live alone	29%	29%	30%
Residents 65+ below the poverty line (approx.)	9.4%	13%	13%
Median income, households headed by someone 65+	$53,580	$46,798	—

Older residents in towns around Madisonville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Providence, KY	14 mi	404	3.6%
Greenville, KY	20 mi	1,082	8.0%
Central City, KY	21 mi	763	7.1%
Princeton, KY	27 mi	1,254	12%
Morganfield, KY	32 mi	839	7.4%
Marion, KY	32 mi	718	3.9%

Home health agencies serving Madisonville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Hopkinsville, KY	33 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(270) 885-7887
Centerwell Home Health	Owensboro, KY	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 827-4842
Baptist Health Deaconess Health At Home	Madisonville, KY	1.2 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 824-3470
Caretenders	Owensboro, KY	37 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 685-3876

Nursing homes near Madisonville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Park Grove Nursing And Rehabilitation Center	Madisonville, KY	0.4 mi	2 of 5	71	(270) 821-1813
Madisonville Health And Rehabilitation, LLC	Madisonville, KY	0.5 mi	2 of 5	94	(270) 821-5564
Brighton Cornerstone Group, LLC	Madisonville, KY	0.6 mi	1 of 5	40	(270) 821-1492
Ridgewood Terrace Health And Rehabilitation Center	Madisonville, KY	1.4 mi	4 of 5	110	(270) 825-0166

Straight-line miles from the center of Madisonville. 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 Madisonville

24-hour care is 168 paid hours a week. At $17.52 an hour (the Kentucky median aide wage) that is about $12,755 a month in wages before any overtime, 286% of the $4,465 monthly median income of Madisonville households headed by someone 65+. Rates are agreed with each caregiver. Kentucky's minimum wage is $7.25 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 Kentucky: Participant Directed Services.

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 Madisonville: common questions

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

24-hour care is 168 paid hours a week. At $17.52 an hour (the Kentucky median aide wage) that is about $12,755 a month in wages before any overtime, 286% of the $4,465 monthly median income of Madisonville households headed by someone 65+. Rates are agreed with each caregiver. Kentucky's minimum wage is $7.25 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 Madisonville

More senior care near Madisonville

24-Hour Home Care in nearby cities

Other care in Madisonville

More for Madisonville 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 Madisonville, KY