24-Hour Home Care in Middletown, DE
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Middletown for free and hire a caregiver directly, with no agency mark-up.
24-Hour Home Care in Middletown, DE: the local picture
257 Middletown residents 65 or older have difficulty dressing or bathing (6.9%; 7.2% in New Castle County), and 599 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 423 residents are 85 or older (1.7% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Cadia Rehabilitation Broadmeadow in Middletown (0.1 mi) and Elkton Nursing And Rehabilitation Center in Elkton (12 mi).
Middletown compared with New Castle County and Delaware
| Census figure | Middletown | New Castle County | Delaware |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 6.9% | 7.2% | 5.9% |
| Residents 65+ with serious difficulty walking | 16% | 20% | 19% |
| Residents 65+ with serious difficulty remembering | 3.2% | 8.2% | 7.0% |
| Residents 85 or older | 1.7% | 1.9% | 2.0% |
| Residents 65+ in households who live alone | 32% | 28% | 25% |
| Residents 65+ below the poverty line (approx.) | 3.3% | 7.8% | 7.6% |
| Median income, households headed by someone 65+ | $71,064 | $68,907 | — |
Older residents in towns around Middletown
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Townsend, DE | 2.8 mi | 173 | 4.0% |
| Glasgow, DE | 11 mi | 2,065 | 2.9% |
| Smyrna, DE | 12 mi | 2,305 | 12% |
| Bear, DE | 12 mi | 3,339 | 5.0% |
| Elkton, MD | 13 mi | 2,250 | 4.1% |
| Clayton, DE | 13 mi | 400 | 17% |
Home health agencies serving Middletown
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Delaware, LLC | Dover, DE | 21 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (302) 678-4764 |
| Aveanna Home Healthcare | Milford, DE | 39 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 514-9597 |
| Homecall | Bear, DE | 12 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (302) 966-9604 |
| Saint Francis Home Care | Newark, DE | 16 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 575-8240 |
| Christianacare Homehealth | Camden, DE | 25 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (302) 698-4300 |
Nursing homes near Middletown (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Cadia Rehabilitation Broadmeadow | Middletown, DE | 0.1 mi | 1 of 5 | 120 | (302) 449-3400 |
| Elkton Nursing And Rehabilitation Center | Elkton, MD | 12 mi | 1 of 5 | 182 | (410) 398-6474 |
| Delaware Hospital F/T Chronically Ill (Dhci) | Smyrna, DE | 12 mi | 2 of 5 | 175 | (302) 223-1500 |
| Laurelwood Healthcare Center | Elkton, MD | 13 mi | 3 of 5 | 110 | (410) 398-8800 |
Straight-line miles from the center of Middletown. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Middletown
24-hour care is 168 paid hours a week. At $16.50 an hour (the Delaware median aide wage) that is about $12,012 a month in wages before any overtime, 203% of the $5,922 monthly median income of Middletown households headed by someone 65+. Rates are agreed with each caregiver. Delaware's minimum wage is $15.00 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.
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.
24-Hour Home Care in Middletown: common questions
How much does 24-hour home care cost in Middletown?
24-hour care is 168 paid hours a week. At $16.50 an hour (the Delaware median aide wage) that is about $12,012 a month in wages before any overtime, 203% of the $5,922 monthly median income of Middletown households headed by someone 65+. Rates are agreed with each caregiver. Delaware's minimum wage is $15.00 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 senior care near Middletown
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Townsend, DE
- 24-Hour Home Care in Glasgow, DE
- 24-Hour Home Care in Smyrna, DE
- 24-Hour Home Care in Bear, DE
- 24-Hour Home Care in Elkton, MD
- 24-Hour Home Care in Clayton, DE
- 24-Hour Home Care in Brookside, DE
- 24-Hour Home Care in Salem, NJ
- 24-Hour Home Care in Newark, DE
- 24-Hour Home Care in North East, MD
- 24-Hour Home Care in New Castle, DE
- 24-Hour Home Care in Wilmington Manor, DE
- 24-Hour Home Care in Pennsville, NJ
- 24-Hour Home Care in Pike Creek Valley, DE
- 24-Hour Home Care in Perryville, MD
- 24-Hour Home Care in Pike Creek, DE
Other care in Middletown
- Companion Care in Middletown
- Dementia Care in Middletown
- Respite Care in Middletown
- Live-In Caregivers in Middletown
- Post-Surgery Care in Middletown
- Senior Transportation in Middletown
- Home Health Aides in Middletown
- Nursing Assistants in Middletown
- Personal Care in Middletown
- Overnight Caregivers in Middletown
- Mobility Assistance in Middletown
- Parkinson’s Care in Middletown
- Stroke Recovery Support in Middletown
- Disability Care for Adults in Middletown
- Hospice Support in Middletown
- Senior Meal Preparation in Middletown
- Senior Housekeeping in Middletown
- Medication Reminders in Middletown
- Veterans’ Home Care in Middletown
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.
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