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

Local figures

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

4.7%

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

899

residents 85 or older (1.1% of all residents)

25%

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

$94,154

median yearly income of households headed by someone 65+

459 Silver Spring residents 65 or older have difficulty dressing or bathing (4.7%; 6.6% in Montgomery County), and 1,436 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 899 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 Woodside Rehab & Nursing in Silver Spring (1.2 mi) and Fox Chase Healthcare in Silver Spring (1.3 mi).

Silver Spring compared with Montgomery County and Maryland

Census figure	Silver Spring	Montgomery County	Maryland
Residents 65+ with difficulty dressing or bathing	4.7%	6.6%	6.6%
Residents 65+ with serious difficulty walking	15%	16%	19%
Residents 65+ with serious difficulty remembering	5.7%	6.2%	6.7%
Residents 85 or older	1.1%	2.2%	1.9%
Residents 65+ in households who live alone	31%	23%	27%
Residents 65+ below the poverty line (approx.)	6.7%	7.4%	9.5%
Median income, households headed by someone 65+	$94,154	$109,242	—

Older residents in towns around Silver Spring

Town	Distance	Residents 65+	Self-care difficulty (65+)
Four Corners, MD	1.6 mi	1,116	4.5%
Forest Glen, MD	1.7 mi	1,287	9.0%
Takoma Park, MD	1.8 mi	2,635	2.8%
Langley Park, MD	2.3 mi	1,231	12%
Burnt Mills, MD	2.5 mi	500	0.0%
South Kensington, MD	2.6 mi	1,612	4.0%

Home health agencies serving Silver Spring

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Americare In Home Nursing	Fort Washington, MD	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 296-9002
Centerwell Home Health	Columbia, MD	17 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(410) 997-5257
Holy Cross Home Care And Hospice	Silver Spring, MD	1.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 754-4663
Adventist Home Health Services, Inc.	Silver Spring, MD	4.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 592-4400
Amedisys Home Health Care	Largo, MD	14 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 322-6023

Nursing homes near Silver Spring (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Woodside Rehab & Nursing	Silver Spring, MD	1.2 mi	3 of 5	92	(301) 588-5544
Fox Chase Healthcare	Silver Spring, MD	1.3 mi	1 of 5	87	(301) 587-2400
Althea Woodland Nursing Home	Silver Spring, MD	1.6 mi	4 of 5	50	(301) 434-2646
Sligo Creek Healthcare	Takoma Park, MD	1.7 mi	3 of 5	102	(301) 270-4200

Straight-line miles from the center of Silver Spring. 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 Silver Spring

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, 170% of the $7,846 monthly median income of Silver Spring 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 Silver Spring: common questions

How much does 24-hour home care cost in Silver Spring?

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, 170% of the $7,846 monthly median income of Silver Spring 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 Silver Spring

More senior care near Silver Spring

24-Hour Home Care in nearby cities

Other care in Silver Spring

More for Silver Spring 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 Silver Spring, MD