24-Hour Home Care in Montesano, WA: Round-the-Clock Care

Local figures

24-Hour Home Care in Montesano, WA: the local picture

14%

of residents 65+ have difficulty dressing or bathing (6.9% in Grays Harbor County)

117

residents 85 or older (2.8% of all residents)

36%

of residents 65+ report a disability (40% in Grays Harbor County)

$47,750

median yearly income of households headed by someone 65+

122 Montesano residents 65 or older have difficulty dressing or bathing (14%; 6.9% in Grays Harbor County), and 269 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 117 residents are 85 or older (2.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Montesano Health-Rehab Center in Montesano (1.9 mi) and Grays Harbor Health & Rehabilitation Center in Aberdeen (13 mi).

Montesano compared with Grays Harbor County and Washington

Census figure	Montesano	Grays Harbor County	Washington
Residents 65+ with difficulty dressing or bathing	14%	6.9%	7.1%
Residents 65+ with serious difficulty walking	30%	23%	20%
Residents 65+ with serious difficulty remembering	20%	10%	8.5%
Residents 85 or older	2.8%	2.0%	1.8%
Residents 65+ in households who live alone	28%	30%	26%
Residents 65+ below the poverty line (approx.)	3.8%	10%	8.9%
Median income, households headed by someone 65+	$47,750	$49,629	—

Older residents in towns around Montesano

Town	Distance	Residents 65+	Self-care difficulty (65+)
Central Park, WA	6.2 mi	529	2.1%
Elma, WA	8.3 mi	568	5.7%
Aberdeen, WA	11 mi	3,211	6.7%
Hoquiam, WA	15 mi	1,978	16%
Raymond, WA	24 mi	829	4.0%
Shelton, WA	27 mi	1,466	9.0%

Home health agencies serving Montesano

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Harbors Home Health / Hospice	Hoquiam, WA	14 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 532-5454
Assured Home Health And Hospice	Centralia, WA	35 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 330-2640

Nursing homes near Montesano (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Montesano Health-Rehab Center	Montesano, WA	1.9 mi	5 of 5	94	(360) 249-2273
Grays Harbor Health & Rehabilitation Center	Aberdeen, WA	13 mi	4 of 5	105	(360) 532-5122
Pacific Care And Rehabilitation	Hoquiam, WA	13 mi	5 of 5	72	(360) 532-7882
Willapa Harbor Care	Raymond, WA	25 mi	4 of 5	60	(360) 942-2424

Straight-line miles from the center of Montesano. 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 Montesano

24-hour care is 168 paid hours a week. At $22.95 an hour (the Washington median aide wage) that is about $16,708 a month in wages before any overtime, 420% of the $3,979 monthly median income of Montesano households headed by someone 65+. Rates are agreed with each caregiver. Washington's minimum wage is $17.13 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 Montesano: common questions

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

24-hour care is 168 paid hours a week. At $22.95 an hour (the Washington median aide wage) that is about $16,708 a month in wages before any overtime, 420% of the $3,979 monthly median income of Montesano households headed by someone 65+. Rates are agreed with each caregiver. Washington's minimum wage is $17.13 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 Montesano

More senior care near Montesano

24-Hour Home Care in nearby cities

Other care in Montesano

More for Montesano 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 Montesano, WA