24-Hour Home Care in Pikeville, KY: Round-the-Clock Care

Local figures

24-Hour Home Care in Pikeville, KY: the local picture

8.8%

of residents 65+ have difficulty dressing or bathing (11% in Pike County)

207

residents 85 or older (2.8% of all residents)

56%

of residents 65+ report a disability (53% in Pike County)

$45,521

median yearly income of households headed by someone 65+

105 Pikeville residents 65 or older have difficulty dressing or bathing (8.8%; 11% in Pike County), and 477 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 207 residents are 85 or older (2.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Pikeville Nursing And Rehab Center, LLC in Pikeville (0.5 mi) and Elkhorn Health & Rehabilitation in Elkhorn City (16 mi).

Pikeville compared with Pike County and Kentucky

Census figure	Pikeville	Pike County	Kentucky
Residents 65+ with difficulty dressing or bathing	8.8%	11%	8.0%
Residents 65+ with serious difficulty walking	40%	37%	25%
Residents 65+ with serious difficulty remembering	12%	12%	9.4%
Residents 85 or older	2.8%	1.8%	1.7%
Residents 65+ in households who live alone	28%	30%	30%
Residents 65+ below the poverty line (approx.)	15%	21%	13%
Median income, households headed by someone 65+	$45,521	$32,207	—

Older residents in towns around Pikeville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Prestonsburg, KY	19 mi	824	22%
Williamson, WV	20 mi	616	10%
Paintsville, KY	28 mi	630	8.6%
Wise, VA	35 mi	514	25%
Norton, VA	38 mi	761	6.9%
Hazard, KY	40 mi	934	11%

Home health agencies serving Pikeville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Arh Pike County Home Health Agency	Pikeville, KY	2.8 mi	4.5 of 5	nursing, physical therapy, home health aides	(606) 437-0060
Home Care Health Services, Inc	Pikeville, KY	2.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(606) 432-2111

Nursing homes near Pikeville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pikeville Nursing And Rehab Center, LLC	Pikeville, KY	0.5 mi	3 of 5	106	(606) 437-7327
Elkhorn Health & Rehabilitation	Elkhorn City, KY	16 mi	5 of 5	106	(606) 754-4134
Riverview Health Care Center	Prestonsburg, KY	18 mi	3 of 5	121	(606) 886-9178
Tug Valley Arh Skilled Nursing Facility	South Williamson, KY	19 mi	4 of 5	34	(606) 237-1725

Straight-line miles from the center of Pikeville. 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 Pikeville

24-hour care is 168 paid hours a week. At $17.52 an hour (the Kentucky median aide wage) that is about $12,755 a month in wages before any overtime, 336% of the $3,793 monthly median income of Pikeville households headed by someone 65+. Rates are agreed with each caregiver. Kentucky's minimum wage is $7.25 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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Pikeville: common questions

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

24-hour care is 168 paid hours a week. At $17.52 an hour (the Kentucky median aide wage) that is about $12,755 a month in wages before any overtime, 336% of the $3,793 monthly median income of Pikeville households headed by someone 65+. Rates are agreed with each caregiver. Kentucky's minimum wage is $7.25 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 Pikeville

More senior care near Pikeville

24-Hour Home Care in nearby cities

Other care in Pikeville

More for Pikeville 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 Pikeville, KY