24-Hour Home Care in Royal Oak, MI: Round-the-Clock Care

Local figures

24-Hour Home Care in Royal Oak, MI: the local picture

5.6%

of residents 65+ have difficulty dressing or bathing (6.4% in Oakland County)

622

residents 85 or older (1.1% of all residents)

26%

of residents 65+ report a disability (29% in Oakland County)

$59,184

median yearly income of households headed by someone 65+

494 Royal Oak residents 65 or older have difficulty dressing or bathing (5.6%; 6.4% in Oakland County), and 1,421 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 622 residents are 85 or older (1.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Harmony Village Of Clawson in Clawson (2.1 mi) and Greenfield Rehab And Nursing Center in Royal Oak (2.6 mi).

Royal Oak compared with Oakland County and Michigan

Census figure	Royal Oak	Oakland County	Michigan
Residents 65+ with difficulty dressing or bathing	5.6%	6.4%	6.4%
Residents 65+ with serious difficulty walking	16%	18%	19%
Residents 65+ with serious difficulty remembering	7.6%	6.8%	7.7%
Residents 85 or older	1.1%	2.1%	2.1%
Residents 65+ in households who live alone	42%	30%	29%
Residents 65+ below the poverty line (approx.)	8.6%	8.9%	9.9%
Median income, households headed by someone 65+	$59,184	$67,387	—

Older residents in towns around Royal Oak

Town	Distance	Residents 65+	Self-care difficulty (65+)
Berkley, MI	1.7 mi	2,120	3.2%
Huntington Woods, MI	1.9 mi	1,188	0.7%
Clawson, MI	2.0 mi	2,192	6.8%
Pleasant Ridge, MI	2.6 mi	421	0.0%
Madison Heights, MI	2.6 mi	5,353	13%
Oak Park, MI	3.3 mi	5,108	11%

Home health agencies serving Royal Oak

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Central Home Health Care	Southfield, MI	2.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(248) 569-5410
Global Home Care	Troy, MI	4.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(248) 588-8881
All About Family Home Health Services, LLC	Mount Clemens, MI	15 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(586) 477-1402
Interim Oakland County	Novi, MI	16 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(248) 553-3333
Carebridge Home Health	Canton, MI	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(248) 559-5661

Nursing homes near Royal Oak (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Harmony Village Of Clawson	Clawson, MI	2.1 mi	1 of 5	120	(248) 435-5200
Greenfield Rehab And Nursing Center	Royal Oak, MI	2.6 mi	1 of 5	105	(248) 288-6610
Medilodge Of Southfield	Southfield, MI	2.8 mi	1 of 5	182	(248) 557-0050
Oakridge Manor Nursing And Rehabilitation Center L	Ferndale, MI	2.9 mi	3 of 5	64	(248) 547-6227

Straight-line miles from the center of Royal Oak. 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 Royal Oak

24-hour care is 168 paid hours a week. At $16.83 an hour (the Michigan median aide wage) that is about $12,252 a month in wages before any overtime, 248% of the $4,932 monthly median income of Royal Oak households headed by someone 65+. Rates are agreed with each caregiver. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

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 Royal Oak: common questions

How much does 24-hour home care cost in Royal Oak?

24-hour care is 168 paid hours a week. At $16.83 an hour (the Michigan median aide wage) that is about $12,252 a month in wages before any overtime, 248% of the $4,932 monthly median income of Royal Oak households headed by someone 65+. Rates are agreed with each caregiver. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

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 Royal Oak

More senior care near Royal Oak

24-Hour Home Care in nearby cities

Other care in Royal Oak

More for Royal Oak 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 Royal Oak, MI