24-Hour Home Care in Seattle, WA: Round-the-Clock Care

Local figures

24-Hour Home Care in Seattle, WA: the local picture

7.6%

of residents 65+ have difficulty dressing or bathing (7.3% in King County)

12,594

residents 85 or older (1.7% of all residents)

30%

of residents 65+ report a disability (30% in King County)

$73,299

median yearly income of households headed by someone 65+

7,295 Seattle residents 65 or older have difficulty dressing or bathing (7.6%; 7.3% in King County), and 16,709 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 12,594 residents are 85 or older (1.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Mirabella in Seattle (1.0 mi) and The Terraces At Skyline in Seattle (1.3 mi).

Seattle compared with King County and Washington

Census figure	Seattle	King County	Washington
Residents 65+ with difficulty dressing or bathing	7.6%	7.3%	7.1%
Residents 65+ with serious difficulty walking	18%	18%	20%
Residents 65+ with serious difficulty remembering	8.3%	8.3%	8.5%
Residents 85 or older	1.7%	1.7%	1.8%
Residents 65+ in households who live alone	34%	28%	26%
Residents 65+ below the poverty line (approx.)	12%	9.3%	8.9%
Median income, households headed by someone 65+	$73,299	$76,893	—

Older residents in towns around Seattle

Town	Distance	Residents 65+	Self-care difficulty (65+)
Medina, WA	5.1 mi	545	8.1%
Clyde Hill, WA	6.3 mi	715	5.2%
Mercer Island, WA	6.8 mi	5,610	7.6%
Bainbridge Island, WA	7.4 mi	6,744	3.6%
Boulevard Park, WA	7.5 mi	519	1.7%
White Center, WA	7.6 mi	1,939	6.6%

Home health agencies serving Seattle

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Alpha Home Health	Everett, WA	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 299-1302
Kline Galland Home Health	Seattle, WA	5.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(206) 805-1930
Eden Home Health	Tukwila, WA	8.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 717-8161
Evergreenhealth Home Care Services	Kirkland, WA	10 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(425) 899-3300
Amedisys Home Health	Bellevue, WA	8.6 mi	4 of 5	nursing, physical therapy, occupational therapy, medical social work	(225) 292-2031

Nursing homes near Seattle (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Mirabella	Seattle, WA	1.0 mi	5 of 5	46	(206) 254-1400
The Terraces At Skyline	Seattle, WA	1.3 mi	2 of 5	34	(206) 407-1700
Queen Anne Healthcare	Seattle, WA	1.7 mi	5 of 5	120	(206) 284-7012
Seattle Medical Post Acute Care	Seattle, WA	2.1 mi	2 of 5	103	(206) 324-8200

Straight-line miles from the center of Seattle. 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 Seattle

24-hour care is 168 paid hours a week. At $22.95 an hour (the Washington median aide wage) that is about $16,708 a month in wages before any overtime, 274% of the $6,108 monthly median income of Seattle households headed by someone 65+. Rates are agreed with each caregiver. Washington's minimum wage is $17.13 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 Seattle: common questions

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

24-hour care is 168 paid hours a week. At $22.95 an hour (the Washington median aide wage) that is about $16,708 a month in wages before any overtime, 274% of the $6,108 monthly median income of Seattle households headed by someone 65+. Rates are agreed with each caregiver. Washington's minimum wage is $17.13 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 Seattle

More senior care near Seattle

24-Hour Home Care in nearby cities

Other care in Seattle

More for Seattle 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 Seattle, WA