24-Hour Home Care in Southern Gateway, VA

Local figures

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

21%

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

12

residents 85 or older (0.4% of all residents)

78%

of residents 65+ report a disability (28% in Stafford County)

165

residents 65 or older (6.0% of Southern Gateway)

33 Southern Gateway residents 65 or older have difficulty dressing or bathing (21%; 5.3% in Stafford County), and 112 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 12 residents are 85 or older (0.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Falls Run Nursing And Rehabilitation in Fredericksburg (1.6 mi) and Berea Health & Rehab Center in Fredericksburg (1.7 mi).

Southern Gateway compared with Stafford County and Virginia

Census figure	Southern Gateway	Stafford County	Virginia
Residents 65+ with difficulty dressing or bathing	21%	5.3%	6.7%
Residents 65+ with serious difficulty walking	71%	17%	19%
Residents 65+ with serious difficulty remembering	13%	5.7%	7.4%
Residents 85 or older	0.4%	0.9%	1.7%
Residents 65+ in households who live alone	65%	23%	27%
Residents 65+ below the poverty line (approx.)	50%	3.9%	8.8%

Older residents in towns around Southern Gateway

Town	Distance	Residents 65+	Self-care difficulty (65+)
Falmouth, VA	2.2 mi	946	12%
Fredericksburg, VA	3.3 mi	3,300	4.1%
Stafford Courthouse, VA	6.8 mi	422	3.3%
Aquia Harbour, VA	10 mi	878	2.4%
Spotsylvania Courthouse, VA	11 mi	901	12%
Lake Wilderness, VA	12 mi	437	2.1%

Home health agencies serving Southern Gateway

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Five Star Home Health Care	Chantilly, VA	38 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 661-4555
Home & Heart Health, Inc	Fredericksburg, VA	3.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(540) 899-3666
Amedisys Home Health	Midlothian, VA	64 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(804) 639-7903
Mary Washington Home Health Agency	Fredericksburg, VA	3.4 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 741-1667
Blue Dove Home Health Services, LLC	Manassas, VA	28 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 361-1016

Nursing homes near Southern Gateway (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Falls Run Nursing And Rehabilitation	Fredericksburg, VA	1.6 mi	4 of 5	90	(540) 752-0111
Berea Health & Rehab Center	Fredericksburg, VA	1.7 mi	2 of 5	90	(540) 701-9480
Fredericksburg Health And Rehab	Fredericksburg, VA	3.9 mi	2 of 5	177	(540) 786-8351
Woodmont Center	Fredericksburg, VA	4.1 mi	1 of 5	118	(540) 371-9414

Straight-line miles from the center of Southern Gateway. 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 Southern Gateway

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. 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 Southern Gateway: common questions

How much does 24-hour home care cost in Southern Gateway?

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. 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 Southern Gateway

More senior care near Southern Gateway

24-Hour Home Care in nearby cities

Other care in Southern Gateway

More for Southern Gateway families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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.