24-Hour Home Care in Smithfield, NC: Round-the-Clock Care

Local figures

24-Hour Home Care in Smithfield, NC: the local picture

7.8%

of residents 65+ have difficulty dressing or bathing (6.5% in Johnston County)

311

residents 85 or older (2.6% of all residents)

45%

of residents 65+ report a disability (34% in Johnston County)

$40,392

median yearly income of households headed by someone 65+

171 Smithfield residents 65 or older have difficulty dressing or bathing (7.8%; 6.5% in Johnston County), and 641 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 311 residents are 85 or older (2.6% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Barbour Court Nursing And Rehabilitation Center in Smithfield (1.2 mi) and Smithfield Manor Rehabilitation And Healthcare Cen in Smithfield (1.4 mi).

Smithfield compared with Johnston County and North Carolina

Census figure	Smithfield	Johnston County	North Carolina
Residents 65+ with difficulty dressing or bathing	7.8%	6.5%	6.6%
Residents 65+ with serious difficulty walking	29%	22%	21%
Residents 65+ with serious difficulty remembering	9.2%	6.3%	7.9%
Residents 85 or older	2.6%	1.3%	1.7%
Residents 65+ in households who live alone	39%	27%	28%
Residents 65+ below the poverty line (approx.)	19%	9.6%	11%
Median income, households headed by someone 65+	$40,392	$53,545	—

Older residents in towns around Smithfield

Town	Distance	Residents 65+	Self-care difficulty (65+)
Selma, NC	3.6 mi	1,072	11%
Wilson's Mills, NC	4.3 mi	174	4.6%
Clayton, NC	11 mi	2,993	6.6%
Archer Lodge, NC	11 mi	907	7.2%
Benson, NC	14 mi	816	0.0%
Wendell, NC	19 mi	2,044	8.9%

Home health agencies serving Smithfield

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Pruitthealth At Home - Wake	Raleigh, NC	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 838-2768
Centerwell Home Health	Goldsboro, NC	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Centerwell Home Health	Raleigh, NC	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Well Care Home Health Of The Southern Triangle, Inc.	Holly Springs, NC	29 mi	4.5 of 5	—	(919) 346-0075
Well Care Home Health, Inc	Raleigh, NC	29 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 846-1018

Nursing homes near Smithfield (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Barbour Court Nursing And Rehabilitation Center	Smithfield, NC	1.2 mi	4 of 5	165	(919) 934-6017
Smithfield Manor Rehabilitation And Healthcare Cen	Smithfield, NC	1.4 mi	1 of 5	160	(919) 934-3171
Springbrook Nursing And Rehabilitation Center	Clayton, NC	9.4 mi	3 of 5	100	(919) 550-7200
Clayton Rehabilitation And Healthcare Center	Clayton, NC	10 mi	1 of 5	90	(919) 553-8232

Straight-line miles from the center of Smithfield. 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 Smithfield

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 325% of the $3,366 monthly median income of Smithfield households headed by someone 65+. Rates are agreed with each caregiver. North Carolina's minimum wage is $7.25 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 Smithfield: common questions

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

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 325% of the $3,366 monthly median income of Smithfield households headed by someone 65+. Rates are agreed with each caregiver. North Carolina's minimum wage is $7.25 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 Smithfield

More senior care near Smithfield

24-Hour Home Care in nearby cities

Other care in Smithfield

More for Smithfield 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 Smithfield, NC