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

24-Hour Home Care in Roanoke Rapids, NC: the local picture
181 Roanoke Rapids residents 65 or older have difficulty dressing or bathing (6.3%; 8.5% in Halifax County), and 747 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 278 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 Signature Healthcare Of Roanoke Rapids in Roanoke Rapids (0.5 mi) and Liberty Commons Nursing And Rehabilitation Center in Weldon (3.1 mi).
Roanoke Rapids compared with Halifax County and North Carolina
| Census figure | Roanoke Rapids | Halifax County | North Carolina |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 6.3% | 8.5% | 6.6% |
| Residents 65+ with serious difficulty walking | 26% | 29% | 21% |
| Residents 65+ with serious difficulty remembering | 10% | 11% | 7.9% |
| Residents 85 or older | 1.9% | 2.7% | 1.7% |
| Residents 65+ in households who live alone | 32% | 33% | 28% |
| Residents 65+ below the poverty line (approx.) | 18% | 19% | 11% |
| Median income, households headed by someone 65+ | $43,607 | $39,502 | — |
Older residents in towns around Roanoke Rapids
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Emporia, VA | 18 mi | 1,008 | 10% |
| Red Oak, NC | 30 mi | 1,046 | 1.7% |
| Murfreesboro, NC | 31 mi | 505 | 6.9% |
| South Hill, VA | 33 mi | 1,251 | 19% |
| Rocky Mount, NC | 34 mi | 10,923 | 7.6% |
| Nashville, NC | 37 mi | 1,248 | 12% |
Home health agencies serving Roanoke Rapids
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Rocky Mount, NC | 33 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Northampton Co. Hha | Jackson, NC | 13 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (252) 534-1291 |
| Liberty Home Care Vi, LLC | Roanoke Rapids, NC | 1.4 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Healthview Home Health & Hospice, LLC | Rocky Mount, NC | 33 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (252) 462-2687 |
Nursing homes near Roanoke Rapids (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Signature Healthcare Of Roanoke Rapids | Roanoke Rapids, NC | 0.5 mi | 2 of 5 | 108 | (252) 537-6181 |
| Liberty Commons Nursing And Rehabilitation Center | Weldon, NC | 3.1 mi | 4 of 5 | 50 | (252) 536-4817 |
| Northampton Nursing And Rehabilitation Center | Jackson, NC | 15 mi | 4 of 5 | 80 | (252) 534-0131 |
| Greensville Health And Rehabilitation Center | Emporia, VA | 19 mi | 3 of 5 | 65 | (434) 348-2150 |
Straight-line miles from the center of Roanoke Rapids. 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 Roanoke Rapids
24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 301% of the $3,634 monthly median income of Roanoke Rapids households headed by someone 65+. Rates are agreed with each caregiver. North Carolina'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 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 Roanoke Rapids: common questions
How much does 24-hour home care cost in Roanoke Rapids?
24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 301% of the $3,634 monthly median income of Roanoke Rapids households headed by someone 65+. Rates are agreed with each caregiver. North Carolina'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 senior care near Roanoke Rapids
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Emporia, VA
- 24-Hour Home Care in Red Oak, NC
- 24-Hour Home Care in Murfreesboro, NC
- 24-Hour Home Care in South Hill, VA
- 24-Hour Home Care in Rocky Mount, NC
- 24-Hour Home Care in Nashville, NC
- 24-Hour Home Care in Tarboro, NC
- 24-Hour Home Care in Ahoskie, NC
- 24-Hour Home Care in Franklin, VA
- 24-Hour Home Care in Henderson, NC
- 24-Hour Home Care in Louisburg, NC
- 24-Hour Home Care in Lake Royale, NC
- 24-Hour Home Care in Blackstone, VA
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Other care in Roanoke Rapids
- Companion Care in Roanoke Rapids
- Dementia Care in Roanoke Rapids
- Respite Care in Roanoke Rapids
- Live-In Caregivers in Roanoke Rapids
- Post-Surgery Care in Roanoke Rapids
- Senior Transportation in Roanoke Rapids
- Home Health Aides in Roanoke Rapids
- Nursing Assistants in Roanoke Rapids
- Personal Care in Roanoke Rapids
- Overnight Caregivers in Roanoke Rapids
- Mobility Assistance in Roanoke Rapids
- Parkinson’s Care in Roanoke Rapids
- Stroke Recovery Support in Roanoke Rapids
- Disability Care for Adults in Roanoke Rapids
- Hospice Support in Roanoke Rapids
- Senior Meal Preparation in Roanoke Rapids
- Senior Housekeeping in Roanoke Rapids
- Medication Reminders in Roanoke Rapids
- Veterans’ Home Care in Roanoke Rapids
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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