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

24-Hour Home Care in Pelham, AL: the local picture
350 Pelham residents 65 or older have difficulty dressing or bathing (7.7%; 6.5% in Shelby County), and 929 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 516 residents are 85 or older (2.1% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Diversicare Of Riverchase in Birmingham (4.6 mi) and Galleria Woods Skilled Nursing Facility in Birmingham (5.4 mi).
Pelham compared with Shelby County and Alabama
| Census figure | Pelham | Shelby County | Alabama |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 7.7% | 6.5% | 7.9% |
| Residents 65+ with serious difficulty walking | 21% | 19% | 25% |
| Residents 65+ with serious difficulty remembering | 7.2% | 6.2% | 9.8% |
| Residents 85 or older | 2.1% | 1.5% | 1.7% |
| Residents 65+ in households who live alone | 18% | 23% | 29% |
| Residents 65+ below the poverty line (approx.) | 5.9% | 8.2% | 12% |
| Median income, households headed by someone 65+ | $74,111 | $69,559 | — |
Older residents in towns around Pelham
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Indian Springs Village, AL | 2.7 mi | 723 | 14% |
| Hoover, AL | 5.3 mi | 15,408 | 7.6% |
| Meadowbrook, AL | 5.5 mi | 1,162 | 6.5% |
| Chelsea, AL | 6.2 mi | 2,538 | 4.2% |
| Eagle Point, AL | 6.6 mi | 568 | 6.2% |
| Highland Lakes, AL | 7.6 mi | 1,162 | 5.2% |
Home health agencies serving Pelham
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Clanton, AL | 34 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 755-9926 |
| Compassus Home Health | Birmingham, AL | 8.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 313-2800 |
| Amedisys Home Health Lakeshore Of Birmingham | Homewood, AL | 11 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 868-0147 |
| Aveanna Home Health | Hoover, AL | 5.3 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 685-0421 |
| Enhabit Home Health | Hoover, AL | 5.3 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 824-2680 |
Nursing homes near Pelham (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Diversicare Of Riverchase | Birmingham, AL | 4.6 mi | 3 of 5 | 132 | (205) 987-0901 |
| Galleria Woods Skilled Nursing Facility | Birmingham, AL | 5.4 mi | 2 of 5 | 30 | (205) 985-7537 |
| Shelby Ridge Nursing Home | Alabaster, AL | 6.1 mi | 3 of 5 | 131 | (205) 620-8500 |
| The Healthcare Center At Buck Creek | Alabaster, AL | 6.8 mi | 3 of 5 | 198 | (205) 663-3859 |
Straight-line miles from the center of Pelham. 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 Pelham
24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 158% of the $6,176 monthly median income of Pelham households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Pelham: common questions
How much does 24-hour home care cost in Pelham?
24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 158% of the $6,176 monthly median income of Pelham households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Pelham
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Indian Springs Village, AL
- 24-Hour Home Care in Hoover, AL
- 24-Hour Home Care in Meadowbrook, AL
- 24-Hour Home Care in Chelsea, AL
- 24-Hour Home Care in Eagle Point, AL
- 24-Hour Home Care in Highland Lakes, AL
- 24-Hour Home Care in Helena, AL
- 24-Hour Home Care in Brook Highland, AL
- 24-Hour Home Care in Alabaster, AL
- 24-Hour Home Care in Vestavia Hills, AL
- 24-Hour Home Care in Homewood, AL
- 24-Hour Home Care in Columbiana, AL
- 24-Hour Home Care in Mountain Brook, AL
- 24-Hour Home Care in Bessemer, AL
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- 24-Hour Home Care in Midfield, AL
Other care in Pelham
- Companion Care in Pelham
- Dementia Care in Pelham
- Respite Care in Pelham
- Live-In Caregivers in Pelham
- Post-Surgery Care in Pelham
- Senior Transportation in Pelham
- Home Health Aides in Pelham
- Nursing Assistants in Pelham
- Personal Care in Pelham
- Overnight Caregivers in Pelham
- Mobility Assistance in Pelham
- Parkinson’s Care in Pelham
- Stroke Recovery Support in Pelham
- Disability Care for Adults in Pelham
- Hospice Support in Pelham
- Senior Meal Preparation in Pelham
- Senior Housekeeping in Pelham
- Medication Reminders in Pelham
- Veterans’ Home Care in Pelham
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.
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