24-Hour Home Care in Monticello, NY: Round-the-Clock Care

Local figures

24-Hour Home Care in Monticello, NY: the local picture

7.3%

of residents 65+ have difficulty dressing or bathing (6.3% in Sullivan County)

196

residents 85 or older (2.7% of all residents)

27%

of residents 65+ report a disability (33% in Sullivan County)

$24,091

median yearly income of households headed by someone 65+

86 Monticello residents 65 or older have difficulty dressing or bathing (7.3%; 6.3% in Sullivan County), and 124 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 196 residents are 85 or older (2.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Sullivan County Adult Care Center in Liberty (10 mi) and Achieve Rehab And Nursing Facility in Liberty (10 mi).

Monticello compared with Sullivan County and New York

Census figure	Monticello	Sullivan County	New York
Residents 65+ with difficulty dressing or bathing	7.3%	6.3%	8.3%
Residents 65+ with serious difficulty walking	11%	19%	21%
Residents 65+ with serious difficulty remembering	19%	9.3%	8.2%
Residents 85 or older	2.7%	1.8%	2.2%
Residents 65+ in households who live alone	58%	34%	29%
Residents 65+ below the poverty line (approx.)	33%	12%	13%
Median income, households headed by someone 65+	$24,091	$57,196	—

Older residents in towns around Monticello

Town	Distance	Residents 65+	Self-care difficulty (65+)
Rock Hill, NY	5.6 mi	568	0.0%
Liberty, NY	10 mi	803	6.8%
Ellenville, NY	17 mi	745	1.3%
Port Jervis, NY	19 mi	1,697	4.4%
Matamoras, PA	20 mi	560	3.4%
Middletown, NY	20 mi	4,117	15%

Home health agencies serving Monticello

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Americare Certified Special Services, Inc Chha	Brooklyn, NY	82 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(718) 535-3100
Sullivan County Public Health Services Chha	Liberty, NY	10 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(845) 292-5910

Nursing homes near Monticello (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Sullivan County Adult Care Center	Liberty, NY	10 mi	1 of 5	146	(845) 292-8640
Achieve Rehab And Nursing Facility	Liberty, NY	10 mi	2 of 5	140	(845) 292-4200
St Josephs Place	Port Jervis, NY	19 mi	4 of 5	46	(845) 856-5351
Highland Rehabilitation And Nursing Center	Middletown, NY	20 mi	1 of 5	98	(845) 342-1033

Straight-line miles from the center of Monticello. 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 Monticello

24-hour care is 168 paid hours a week. At $19.05 an hour (the New York median aide wage) that is about $13,868 a month in wages before any overtime, 691% of the $2,008 monthly median income of Monticello households headed by someone 65+. Rates are agreed with each caregiver. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Monticello: common questions

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

24-hour care is 168 paid hours a week. At $19.05 an hour (the New York median aide wage) that is about $13,868 a month in wages before any overtime, 691% of the $2,008 monthly median income of Monticello households headed by someone 65+. Rates are agreed with each caregiver. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 Monticello

More senior care near Monticello

24-Hour Home Care in nearby cities

Other care in Monticello

More for Monticello 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 Monticello, NY