24-Hour Home Care in Rockville, MD: Round-the-Clock Care

Local figures

24-Hour Home Care in Rockville, MD: the local picture

8.6%

of residents 65+ have difficulty dressing or bathing (6.6% in Montgomery County)

2,197

residents 85 or older (3.2% of all residents)

34%

of residents 65+ report a disability (26% in Montgomery County)

$94,352

median yearly income of households headed by someone 65+

1,058 Rockville residents 65 or older have difficulty dressing or bathing (8.6%; 6.6% in Montgomery County), and 2,649 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 2,197 residents are 85 or older (3.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Potomac Valley Rehabilitation And Healthcare in Rockville (0.7 mi) and Sterling Care Rockville Nursing in Rockville (0.8 mi).

Rockville compared with Montgomery County and Maryland

Census figure	Rockville	Montgomery County	Maryland
Residents 65+ with difficulty dressing or bathing	8.6%	6.6%	6.6%
Residents 65+ with serious difficulty walking	22%	16%	19%
Residents 65+ with serious difficulty remembering	9.5%	6.2%	6.7%
Residents 85 or older	3.2%	2.2%	1.9%
Residents 65+ in households who live alone	29%	23%	27%
Residents 65+ below the poverty line (approx.)	12%	7.4%	9.5%
Median income, households headed by someone 65+	$94,352	$109,242	—

Older residents in towns around Rockville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Redland, MD	3.4 mi	3,063	9.0%
North Bethesda, MD	3.8 mi	8,632	4.3%
Aspen Hill, MD	4.0 mi	8,084	13%
North Potomac, MD	4.5 mi	5,131	5.7%
Leisure World, MD	4.9 mi	6,874	8.0%
Gaithersburg, MD	5.0 mi	9,875	6.8%

Home health agencies serving Rockville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Columbia, MD	19 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(410) 997-5257
Americare In Home Nursing	Fort Washington, MD	24 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 296-9002
Adventist Home Health Services, Inc.	Silver Spring, MD	8.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 592-4400
Holy Cross Home Care And Hospice	Silver Spring, MD	9.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 754-4663
Amedisys Home Health Care	Largo, MD	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 322-6023

Nursing homes near Rockville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Potomac Valley Rehabilitation And Healthcare	Rockville, MD	0.7 mi	4 of 5	175	(301) 762-0700
Sterling Care Rockville Nursing	Rockville, MD	0.8 mi	4 of 5	100	(301) 279-9000
Collingswood Rehabilitation And Healthcare Center	Rockville, MD	1.3 mi	2 of 5	160	(301) 762-8900
The Village At Rockville	Rockville, MD	2.2 mi	3 of 5	160	(301) 424-9560

Straight-line miles from the center of Rockville. 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 Rockville

24-hour care is 168 paid hours a week. At $18.29 an hour (the Maryland median aide wage) that is about $13,315 a month in wages before any overtime, 169% of the $7,863 monthly median income of Rockville households headed by someone 65+. Rates are agreed with each caregiver. Maryland'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 Rockville: common questions

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

24-hour care is 168 paid hours a week. At $18.29 an hour (the Maryland median aide wage) that is about $13,315 a month in wages before any overtime, 169% of the $7,863 monthly median income of Rockville households headed by someone 65+. Rates are agreed with each caregiver. Maryland'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 Rockville

More senior care near Rockville

24-Hour Home Care in nearby cities

Other care in Rockville

More for Rockville 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 Rockville, MD