24-Hour Home Care in Needham, MA: Round-the-Clock Care

Local figures

24-Hour Home Care in Needham, MA: the local picture

12%

of residents 65+ have difficulty dressing or bathing (6.5% in Norfolk County)

1,245

residents 85 or older (3.8% of all residents)

29%

of residents 65+ report a disability (27% in Norfolk County)

$119,930

median yearly income of households headed by someone 65+

645 Needham residents 65 or older have difficulty dressing or bathing (12%; 6.5% in Norfolk County), and 1,164 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,245 residents are 85 or older (3.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Briarwood Rehabilitation & Healthcare Center in Needham (0.5 mi) and Skilled Nursing Facility At North Hill (The) in Needham (0.8 mi).

Needham compared with Norfolk County and Massachusetts

Census figure	Needham	Norfolk County	Massachusetts
Residents 65+ with difficulty dressing or bathing	12%	6.5%	7.2%
Residents 65+ with serious difficulty walking	21%	17%	18%
Residents 65+ with serious difficulty remembering	6.1%	6.9%	7.5%
Residents 85 or older	3.8%	2.4%	2.2%
Residents 65+ in households who live alone	25%	29%	29%
Residents 65+ below the poverty line (approx.)	6.8%	9.2%	11%
Median income, households headed by someone 65+	$119,930	$78,127	—

Older residents in towns around Needham

Town	Distance	Residents 65+	Self-care difficulty (65+)
Wellesley, MA	2.7 mi	4,691	5.6%
Newton, MA	3.9 mi	17,046	7.1%
Dedham, MA	4.0 mi	5,528	11%
Brookline, MA	5.9 mi	9,986	4.9%
Cochituate, MA	6.5 mi	1,267	6.1%
Watertown, MA	6.9 mi	6,506	11%

Home health agencies serving Needham

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Central Home Health Care, Inc	Needham, MA	1.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(617) 559-0200
Elara Caring	Braintree, MA	14 mi	5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(617) 969-7517
Metrowest Homecare And Hospice, An Amedisys Company	Marlborough, MA	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(508) 383-7000
Preferred Transitions Home Health Care Inc	Milford, MA	17 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 352-6640
Amedisys Home Health Care	Wakefield, MA	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 685-2818

Nursing homes near Needham (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Briarwood Rehabilitation & Healthcare Center	Needham, MA	0.5 mi	4 of 5	120	(781) 449-4040
Skilled Nursing Facility At North Hill (The)	Needham, MA	0.8 mi	2 of 5	72	(781) 444-9910
Elizabeth Seton	Wellesley, MA	2.2 mi	5 of 5	84	(781) 997-1130
Stone Rehabilitation And Senior Living	Newton Upper Falls, MA	2.4 mi	3 of 5	82	(617) 562-0023

Straight-line miles from the center of Needham. 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 Needham

24-hour care is 168 paid hours a week. At $19.67 an hour (the Massachusetts median aide wage) that is about $14,320 a month in wages before any overtime, 143% of the $9,994 monthly median income of Needham households headed by someone 65+. Rates are agreed with each caregiver. Massachusetts'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.

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 Needham: common questions

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

24-hour care is 168 paid hours a week. At $19.67 an hour (the Massachusetts median aide wage) that is about $14,320 a month in wages before any overtime, 143% of the $9,994 monthly median income of Needham households headed by someone 65+. Rates are agreed with each caregiver. Massachusetts'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 near Needham

More senior care near Needham

24-Hour Home Care in nearby cities

Other care in Needham

More for Needham 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 Needham, MA