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

Local figures

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

4.3%

of residents 65+ have difficulty dressing or bathing (6.8% in Nassau County)

82

residents 85 or older (1.9% of all residents)

26%

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

$250,001

median yearly income of households headed by someone 65+

27 Old Westbury residents 65 or older have difficulty dressing or bathing (4.3%; 6.8% in Nassau County), and 70 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 82 residents are 85 or older (1.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Sunharbor Manor in Roslyn Heights (2.6 mi) and Fulton Commons Care Center Inc in East Meadow (4.6 mi).

Old Westbury compared with Nassau County and New York

Census figure	Old Westbury	Nassau County	New York
Residents 65+ with difficulty dressing or bathing	4.3%	6.8%	8.3%
Residents 65+ with serious difficulty walking	11%	17%	21%
Residents 65+ with serious difficulty remembering	2.6%	6.6%	8.2%
Residents 85 or older	1.9%	2.6%	2.2%
Residents 65+ in households who live alone	14%	20%	29%
Residents 65+ below the poverty line (approx.)	5.0%	6.7%	13%
Median income, households headed by someone 65+	$250,001	$100,301	—

Older residents in towns around Old Westbury

Town	Distance	Residents 65+	Self-care difficulty (65+)
East Hills, NY	1.8 mi	1,139	2.1%
Westbury, NY	1.9 mi	2,978	8.3%
Brookville, NY	2.1 mi	303	12%
Roslyn Heights, NY	2.3 mi	1,224	8.5%
New Cassel, NY	2.5 mi	1,468	14%
East Williston, NY	2.6 mi	551	7.6%

Home health agencies serving Old Westbury

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Emerest Home Health Care Of Long Island	Flushing, NY	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(914) 693-6800
Vns Of NY Home Care Chha	New York, NY	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(212) 609-7300
Americare Certified Special Services, Inc Chha	Brooklyn, NY	21 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(718) 535-3100
MT. Sinai At Home	Westbury, NY	2.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(716) 632-6420
Tender Loving Care, An Amedisys Company	Carle Place, NY	2.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(516) 935-3737

Nursing homes near Old Westbury (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Sunharbor Manor	Roslyn Heights, NY	2.6 mi	2 of 5	266	(516) 621-5400
Fulton Commons Care Center Inc	East Meadow, NY	4.6 mi	2 of 5	280	(516) 222-9300
Townhouse Center For Rehabilitation & Nursing	Uniondale, NY	5.1 mi	3 of 5	280	(516) 565-1900
Hempstead Park Nursing Home	Hempstead, NY	5.3 mi	2 of 5	251	(516) 705-9700

Straight-line miles from the center of Old Westbury. 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 Old Westbury

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, 67% of the $20,833 monthly median income of Old Westbury 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 Old Westbury: common questions

How much does 24-hour home care cost in Old Westbury?

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, 67% of the $20,833 monthly median income of Old Westbury 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 Old Westbury

More senior care near Old Westbury

24-Hour Home Care in nearby cities

Other care in Old Westbury

More for Old Westbury 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 Old Westbury, NY