24-Hour Home Care in Middletown, OH: Round-the-Clock Care

Local figures

24-Hour Home Care in Middletown, OH: the local picture

8.2%

of residents 65+ have difficulty dressing or bathing (7.2% in Butler County)

1,123

residents 85 or older (2.2% of all residents)

35%

of residents 65+ report a disability (32% in Butler County)

$48,722

median yearly income of households headed by someone 65+

700 Middletown residents 65 or older have difficulty dressing or bathing (8.2%; 7.2% in Butler County), and 1,947 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,123 residents are 85 or older (2.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are The Laurels Of Middletown in Middletown (0.3 mi) and Arlington Pointe Care Center in Middletown (1.9 mi).

Middletown compared with Butler County and Ohio

Census figure	Middletown	Butler County	Ohio
Residents 65+ with difficulty dressing or bathing	8.2%	7.2%	6.4%
Residents 65+ with serious difficulty walking	23%	20%	20%
Residents 65+ with serious difficulty remembering	10%	8.6%	7.5%
Residents 85 or older	2.2%	1.8%	2.1%
Residents 65+ in households who live alone	34%	28%	32%
Residents 65+ below the poverty line (approx.)	12%	9.2%	10%
Median income, households headed by someone 65+	$48,722	$58,433	—

Older residents in towns around Middletown

Town	Distance	Residents 65+	Self-care difficulty (65+)
Monroe, OH	3.9 mi	2,140	6.7%
Hunter, OH	4.3 mi	456	7.5%
Franklin, OH	5.1 mi	1,430	12%
Trenton, OH	5.7 mi	2,071	14%
Carlisle, OH	5.8 mi	1,215	8.0%
Springboro, OH	8.1 mi	3,274	2.7%

Home health agencies serving Middletown

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Premier Nursing, LLC Home Health Service	Middletown, OH	2.0 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(513) 433-1856
Physicians Choice Inc	Hamilton, OH	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(513) 844-1608
Spirit Homecare, Inc	West Chester, OH	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(513) 772-0575
Gem City Home Care, LLC	Dayton, OH	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(937) 438-9100
Buckeye Home Health Care, LLC	Dayton, OH	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(937) 291-3780

Nursing homes near Middletown (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Laurels Of Middletown	Middletown, OH	0.3 mi	4 of 5	109	(513) 424-3511
Arlington Pointe Care Center	Middletown, OH	1.9 mi	4 of 5	107	(513) 605-2700
Willow Knoll Post-Acute And Senior Living	Middletown, OH	2.6 mi	3 of 5	58	(513) 422-5600
Otterbein Middletown	Franklin, OH	2.9 mi	4 of 5	60	(513) 727-4590

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 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 Middletown

24-hour care is 168 paid hours a week. At $16.57 an hour (the Ohio median aide wage) that is about $12,063 a month in wages before any overtime, 297% of the $4,060 monthly median income of Middletown households headed by someone 65+. Rates are agreed with each caregiver. Ohio's minimum wage is $11.00 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.

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 Middletown: common questions

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

24-hour care is 168 paid hours a week. At $16.57 an hour (the Ohio median aide wage) that is about $12,063 a month in wages before any overtime, 297% of the $4,060 monthly median income of Middletown households headed by someone 65+. Rates are agreed with each caregiver. Ohio's minimum wage is $11.00 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 near Middletown

More senior care near Middletown

24-Hour Home Care in nearby cities

Other care in Middletown

More for Middletown 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 Middletown, OH