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

24-Hour Home Care in Sandston, VA: the local picture
152 Sandston residents 65 or older have difficulty dressing or bathing (15%; 6.6% in Henrico County), and 307 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 142 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 Henrico Health & Rehabilitation Center in Highland Springs (2.1 mi) and Hanover Health And Rehabilitation Center in Mechanicsville (7.8 mi).
Sandston compared with Henrico County and Virginia
| Census figure | Sandston | Henrico County | Virginia |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 15% | 6.6% | 6.7% |
| Residents 65+ with serious difficulty walking | 30% | 18% | 19% |
| Residents 65+ with serious difficulty remembering | 19% | 7.6% | 7.4% |
| Residents 85 or older | 1.9% | 2.1% | 1.7% |
| Residents 65+ in households who live alone | 28% | 32% | 27% |
| Residents 65+ below the poverty line (approx.) | 15% | 9.0% | 8.8% |
| Median income, households headed by someone 65+ | $29,421 | $63,316 | — |
Older residents in towns around Sandston
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Highland Springs, VA | 2.8 mi | 2,549 | 15% |
| Montrose, VA | 3.4 mi | 1,522 | 20% |
| East Highland Park, VA | 6.0 mi | 2,636 | 1.8% |
| Mechanicsville, VA | 8.4 mi | 7,676 | 11% |
| Bensley, VA | 8.6 mi | 566 | 6.7% |
| Richmond, VA | 9.0 mi | 32,244 | 7.1% |
Home health agencies serving Sandston
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Richmond, VA | 12 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (804) 672-7500 |
| Compassus Bsmh Richmond Hha, LLC | Richmond, VA | 5.1 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (804) 627-5200 |
| Amedisys Home Health | Midlothian, VA | 20 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (804) 639-7903 |
| At Home Care | Mechanicsvlle, VA | 8.1 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (804) 359-3400 |
| Commonwealth Home Care | Richmond, VA | 15 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (804) 744-9211 |
Nursing homes near Sandston (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Henrico Health & Rehabilitation Center | Highland Springs, VA | 2.1 mi | not rated | 120 | (804) 737-0172 |
| Hanover Health And Rehabilitation Center | Mechanicsville, VA | 7.8 mi | 2 of 5 | 120 | (804) 559-5030 |
| Covenant Woods Nursing Home | Mechanicsville, VA | 7.9 mi | 4 of 5 | 62 | (804) 569-8003 |
| Autumn Care Of Mechanicsville | Mechanicsville, VA | 8.3 mi | 2 of 5 | 169 | (804) 730-0009 |
Straight-line miles from the center of Sandston. 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 Sandston
24-hour care is 168 paid hours a week. At $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 433% of the $2,452 monthly median income of Sandston households headed by someone 65+. Rates are agreed with each caregiver. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.
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 Sandston: common questions
How much does 24-hour home care cost in Sandston?
24-hour care is 168 paid hours a week. At $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 433% of the $2,452 monthly median income of Sandston households headed by someone 65+. Rates are agreed with each caregiver. Virginia's minimum wage is $12.77 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 Sandston
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Highland Springs, VA
- 24-Hour Home Care in Montrose, VA
- 24-Hour Home Care in East Highland Park, VA
- 24-Hour Home Care in Mechanicsville, VA
- 24-Hour Home Care in Bensley, VA
- 24-Hour Home Care in Richmond, VA
- 24-Hour Home Care in Bellwood, VA
- 24-Hour Home Care in Chamberlayne, VA
- 24-Hour Home Care in Meadowbrook, VA
- 24-Hour Home Care in Lakeside, VA
- 24-Hour Home Care in Dumbarton, VA
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Other care in Sandston
- Companion Care in Sandston
- Dementia Care in Sandston
- Respite Care in Sandston
- Live-In Caregivers in Sandston
- Post-Surgery Care in Sandston
- Senior Transportation in Sandston
- Home Health Aides in Sandston
- Nursing Assistants in Sandston
- Personal Care in Sandston
- Overnight Caregivers in Sandston
- Mobility Assistance in Sandston
- Parkinson’s Care in Sandston
- Stroke Recovery Support in Sandston
- Disability Care for Adults in Sandston
- Hospice Support in Sandston
- Senior Meal Preparation in Sandston
- Senior Housekeeping in Sandston
- Medication Reminders in Sandston
- Veterans’ Home Care in Sandston
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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