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

Local figures

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

8.3%

of residents 65+ have difficulty dressing or bathing (7.1% in Franklin County)

64

residents 85 or older (1.7% of all residents)

51%

of residents 65+ report a disability (31% in Franklin County)

$31,441

median yearly income of households headed by someone 65+

47 Orange residents 65 or older have difficulty dressing or bathing (8.3%; 7.1% in Franklin County), and 194 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 64 residents are 85 or older (1.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Quabbin Valley Healthcare in Athol (2.6 mi) and Alliance Health At Baldwinville in Baldwinville (12 mi).

Orange compared with Franklin County and Massachusetts

Census figure	Orange	Franklin County	Massachusetts
Residents 65+ with difficulty dressing or bathing	8.3%	7.1%	7.2%
Residents 65+ with serious difficulty walking	34%	18%	18%
Residents 65+ with serious difficulty remembering	8.1%	8.4%	7.5%
Residents 85 or older	1.7%	2.5%	2.2%
Residents 65+ in households who live alone	53%	32%	29%
Residents 65+ below the poverty line (approx.)	22%	9.3%	11%
Median income, households headed by someone 65+	$31,441	$58,674	—

Older residents in towns around Orange

Town	Distance	Residents 65+	Self-care difficulty (65+)
Athol, MA	3.3 mi	1,317	12%
Baldwinville, MA	11 mi	375	15%
Turners Falls, MA	13 mi	881	4.7%
Winchendon, MA	14 mi	672	18%
Gardner, MA	15 mi	4,135	6.3%
Greenfield, MA	16 mi	4,129	16%

Home health agencies serving Orange

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Braintree, MA	72 mi	5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(617) 969-7517
Care Central Vna & Hospice Inc	Gardner, MA	16 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 632-1230
Caretenders	Needham Heights, MA	58 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(617) 332-5015
Complete Vna	Worcester, MA	34 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(508) 244-1530
Aveanna Healthcare	Worcester, MA	33 mi	2.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(508) 421-6800

Nursing homes near Orange (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Quabbin Valley Healthcare	Athol, MA	2.6 mi	2 of 5	142	(978) 895-0147
Alliance Health At Baldwinville	Baldwinville, MA	12 mi	4 of 5	94	(978) 939-2196
Applewood Center	Winchester, NH	12 mi	5 of 5	72	(603) 239-6355
Poet's Seat Healthcare Center	Greenfield, MA	15 mi	2 of 5	63	(413) 774-6318

Straight-line miles from the center of Orange. 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 Orange

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, 547% of the $2,620 monthly median income of Orange 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 Orange: common questions

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

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, 547% of the $2,620 monthly median income of Orange 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 Orange

More senior care near Orange

24-Hour Home Care in nearby cities

Other care in Orange

More for Orange 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 Orange, MA