24-Hour Home Care in North Middletown, NJ
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 North Middletown for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in North Middletown, NJ: the local picture
23 North Middletown residents 65 or older have difficulty dressing or bathing (9.3%; 5.9% in Monmouth County), and 23 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 23 residents are 85 or older (0.8% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Laurel Bay Health & Rehabilitation Center in Keansburg (1.5 mi) and Arnold Walter Nursing & Rehabilitation Center in Hazlet (1.7 mi).
North Middletown compared with Monmouth County and New Jersey
| Census figure | North Middletown | Monmouth County | New Jersey |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 9.3% | 5.9% | 7.0% |
| Residents 65+ with serious difficulty walking | 9.3% | 17% | 19% |
| Residents 65+ with serious difficulty remembering | 0.0% | 6.1% | 6.8% |
| Residents 85 or older | 0.8% | 2.3% | 2.1% |
| Residents 65+ in households who live alone | 34% | 28% | 27% |
| Residents 65+ below the poverty line (approx.) | 0.0% | 6.9% | 9.7% |
| Median income, households headed by someone 65+ | $57,569 | $82,095 | — |
Older residents in towns around North Middletown
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Port Monmouth, NJ | 1.0 mi | 624 | 0.2% |
| Keansburg, NJ | 2.1 mi | 1,216 | 0.5% |
| Union Beach, NJ | 2.8 mi | 628 | 3.3% |
| Keyport, NJ | 4.3 mi | 1,347 | 9.7% |
| Cliffwood Beach, NJ | 5.2 mi | 531 | 0.4% |
| Atlantic Highlands, NJ | 5.5 mi | 1,162 | 1.8% |
Home health agencies serving North Middletown
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Bayada Home Health Care, Inc. | Cranford, NJ | 18 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (908) 352-5694 |
| Visiting Nurse Association Of Central Jersey Home Care And Hospice | Toms River, NJ | 32 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (732) 818-6872 |
| Hackensack Meridian At Home Monmouth County | Neptune, NJ | 16 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (732) 751-3700 |
Nursing homes near North Middletown (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Laurel Bay Health & Rehabilitation Center | Keansburg, NJ | 1.5 mi | 2 of 5 | 123 | (732) 787-8100 |
| Arnold Walter Nursing & Rehabilitation Center | Hazlet, NJ | 1.7 mi | 3 of 5 | 202 | (732) 787-6300 |
| Anchor Care And Rehabilitation Center | Hazlet, NJ | 4.0 mi | 4 of 5 | 170 | (732) 264-5800 |
| Careone At Middletown | Atlantic Highlands, NJ | 4.1 mi | 2 of 5 | 127 | (732) 291-3400 |
Straight-line miles from the center of North 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 North Middletown
24-hour care is 168 paid hours a week. At $17.83 an hour (the New Jersey median aide wage) that is about $12,980 a month in wages before any overtime, 271% of the $4,797 monthly median income of North Middletown households headed by someone 65+. Rates are agreed with each caregiver. New Jersey's minimum wage is $15.92 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 North Middletown: common questions
How much does 24-hour home care cost in North Middletown?
24-hour care is 168 paid hours a week. At $17.83 an hour (the New Jersey median aide wage) that is about $12,980 a month in wages before any overtime, 271% of the $4,797 monthly median income of North Middletown households headed by someone 65+. Rates are agreed with each caregiver. New Jersey's minimum wage is $15.92 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 North Middletown
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Port Monmouth, NJ
- 24-Hour Home Care in Keansburg, NJ
- 24-Hour Home Care in Union Beach, NJ
- 24-Hour Home Care in Keyport, NJ
- 24-Hour Home Care in Cliffwood Beach, NJ
- 24-Hour Home Care in Atlantic Highlands, NJ
- 24-Hour Home Care in Strathmore, NJ
- 24-Hour Home Care in Matawan, NJ
- 24-Hour Home Care in Fair Haven, NJ
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Other care in North Middletown
- Companion Care in North Middletown
- Dementia Care in North Middletown
- Respite Care in North Middletown
- Live-In Caregivers in North Middletown
- Post-Surgery Care in North Middletown
- Senior Transportation in North Middletown
- Home Health Aides in North Middletown
- Nursing Assistants in North Middletown
- Personal Care in North Middletown
- Overnight Caregivers in North Middletown
- Mobility Assistance in North Middletown
- Parkinson’s Care in North Middletown
- Stroke Recovery Support in North Middletown
- Disability Care for Adults in North Middletown
- Hospice Support in North Middletown
- Senior Meal Preparation in North Middletown
- Senior Housekeeping in North Middletown
- Medication Reminders in North Middletown
- Veterans’ Home Care in North Middletown
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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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