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

Local figures

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

3.9%

of residents 65+ have difficulty dressing or bathing (5.3% in Isle of Wight County)

188

residents 85 or older (2.1% of all residents)

30%

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

$65,688

median yearly income of households headed by someone 65+

59 Smithfield residents 65 or older have difficulty dressing or bathing (3.9%; 5.3% in Isle of Wight County), and 300 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 188 residents are 85 or older (2.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Riverside Lifelong Health & Rehab Smithfield in Smithfield (0.8 mi) and Newport Post Acute in Newport News (9.3 mi).

Smithfield compared with Isle of Wight County and Virginia

Census figure	Smithfield	Isle of Wight County	Virginia
Residents 65+ with difficulty dressing or bathing	3.9%	5.3%	6.7%
Residents 65+ with serious difficulty walking	20%	19%	19%
Residents 65+ with serious difficulty remembering	4.7%	6.2%	7.4%
Residents 85 or older	2.1%	1.7%	1.7%
Residents 65+ in households who live alone	27%	23%	27%
Residents 65+ below the poverty line (approx.)	6.9%	8.0%	8.8%
Median income, households headed by someone 65+	$65,688	$66,678	—

Older residents in towns around Smithfield

Town	Distance	Residents 65+	Self-care difficulty (65+)
Carrollton, VA	5.6 mi	983	4.8%
Newport News, VA	8.8 mi	25,916	7.4%
Windsor, VA	13 mi	555	4.2%
Bethel Manor, VA	14 mi	5	0.0%
Portsmouth, VA	16 mi	15,037	9.3%
Hampton, VA	18 mi	22,962	9.6%

Home health agencies serving Smithfield

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of Newport News	Hampton, VA	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(757) 223-5424
Commonwealth Home Care	Portsmouth, VA	19 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(757) 937-8600
Medi Home Health Agency	Chesapeake, VA	27 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(757) 420-7192
Commonwealth Home Care	Richmond, VA	64 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(804) 744-9211
Bon Secours Home Care	Suffolk, VA	12 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(757) 889-4663

Nursing homes near Smithfield (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Riverside Lifelong Health & Rehab Smithfield	Smithfield, VA	0.8 mi	4 of 5	34	(757) 357-3282
Newport Post Acute	Newport News, VA	9.3 mi	4 of 5	60	(757) 595-3733
Atlantic View Post Acute	Newport News, VA	9.7 mi	2 of 5	154	(757) 595-2273
Newport News Nursing & Rehab	Newport News, VA	11 mi	1 of 5	102	(757) 249-8880

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 $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 194% of the $5,474 monthly median income of Smithfield 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.

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 $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 194% of the $5,474 monthly median income of Smithfield 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 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, VA