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

Local figures

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

8.1%

of residents 65+ have difficulty dressing or bathing (6.1% in Madison County)

483

residents 85 or older (1.3% of all residents)

48%

of residents 65+ report a disability (36% in Madison County)

$45,410

median yearly income of households headed by someone 65+

310 Richmond residents 65 or older have difficulty dressing or bathing (8.1%; 6.1% in Madison County), and 1,197 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 483 residents are 85 or older (1.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Kenwood Health And Rehabilitation Center in Richmond (1.0 mi) and Madison Health And Rehabilitation Center in Richmond (1.0 mi).

Richmond compared with Madison County and Kentucky

Census figure	Richmond	Madison County	Kentucky
Residents 65+ with difficulty dressing or bathing	8.1%	6.1%	8.0%
Residents 65+ with serious difficulty walking	31%	22%	25%
Residents 65+ with serious difficulty remembering	8.1%	7.7%	9.4%
Residents 85 or older	1.3%	1.2%	1.7%
Residents 65+ in households who live alone	50%	29%	30%
Residents 65+ below the poverty line (approx.)	12%	10%	13%
Median income, households headed by someone 65+	$45,410	$51,585	—

Older residents in towns around Richmond

Town	Distance	Residents 65+	Self-care difficulty (65+)
Berea, KY	9.7 mi	2,070	2.5%
Lancaster, KY	17 mi	697	14%
Irvine, KY	18 mi	498	14%
Nicholasville, KY	18 mi	4,549	8.8%
Winchester, KY	20 mi	3,498	6.6%
Wilmore, KY	22 mi	841	9.0%

Home health agencies serving Richmond

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Lexington, KY	25 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 252-4206
Family Home Health Care, LLC Dba Adoration Home Health	Lexington, KY	21 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 271-0611
Commonwealth Home Health	Richmond, KY	1.8 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 623-1075
Commonspirit Health At Home - Lexington	Lexington, KY	21 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 277-5111
Commonwealth Home Health	Lexington, KY	23 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 255-4411

Nursing homes near Richmond (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Kenwood Health And Rehabilitation Center	Richmond, KY	1.0 mi	5 of 5	93	(859) 623-9472
Madison Health And Rehabilitation Center	Richmond, KY	1.0 mi	1 of 5	92	(859) 623-3564
Telford Terrace	Richmond, KY	2.4 mi	5 of 5	26	(859) 626-5200
Berea Health And Rehabilitation	Berea, KY	9.1 mi	3 of 5	84	(859) 986-4710

Straight-line miles from the center of Richmond. 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 Richmond

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, 337% of the $3,784 monthly median income of Richmond 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 Richmond: common questions

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

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, 337% of the $3,784 monthly median income of Richmond 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 Richmond

More senior care near Richmond

24-Hour Home Care in nearby cities

Other care in Richmond

More for Richmond 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 Richmond, KY