24-Hour Home Care in Spokane Valley, WA
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Spokane Valley for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Spokane Valley, WA: the local picture
1,455 Spokane Valley residents 65 or older have difficulty dressing or bathing (8.0%; 7.7% in Spokane County), and 4,287 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 2,341 residents are 85 or older (2.2% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Sullivan Park Care Center in Spokane (1.3 mi) and Aurora Valley Care in Spokane (1.4 mi).
Spokane Valley compared with Spokane County and Washington
| Census figure | Spokane Valley | Spokane County | Washington |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 8.0% | 7.7% | 7.1% |
| Residents 65+ with serious difficulty walking | 24% | 21% | 20% |
| Residents 65+ with serious difficulty remembering | 11% | 8.7% | 8.5% |
| Residents 85 or older | 2.2% | 2.0% | 1.8% |
| Residents 65+ in households who live alone | 32% | 29% | 26% |
| Residents 65+ below the poverty line (approx.) | 11% | 9.9% | 8.9% |
| Median income, households headed by someone 65+ | $49,909 | $57,920 | — |
Older residents in towns around Spokane Valley
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Liberty Lake, WA | 6.0 mi | 2,145 | 2.1% |
| Otis Orchards-East Farms, WA | 7.4 mi | 1,231 | 9.4% |
| Spokane, WA | 9.3 mi | 38,258 | 8.9% |
| Mead, WA | 9.7 mi | 1,227 | 5.2% |
| Town and Country, WA | 9.9 mi | 1,034 | 6.6% |
| Country Homes, WA | 10 mi | 866 | 9.2% |
Home health agencies serving Spokane Valley
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Manito Home Health | Spokane, WA | 6.9 mi | 5 of 5 | — | (509) 210-3741 |
| Eden Home Health | Spokane Valley, WA | 3.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (509) 505-5315 |
| Centerwell Home Health | Spokane Valley, WA | 0.6 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (509) 473-4900 |
| Providence At Home With Compassus Home Health, Inwa | Spokane Valley, WA | 3.4 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (509) 534-4300 |
| Centerwell Health Services | Spokane, WA | 11 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (509) 464-4970 |
Nursing homes near Spokane Valley (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Sullivan Park Care Center | Spokane, WA | 1.3 mi | 2 of 5 | 125 | (509) 922-1644 |
| Aurora Valley Care | Spokane, WA | 1.4 mi | 2 of 5 | 124 | (509) 924-4650 |
| Sunshine Health & Rehab | Spokane, WA | 2.0 mi | 4 of 5 | 37 | (509) 926-3547 |
| Spokane Valley Health And Rehabilitation Of Cascad | Spokane Valley, WA | 4.1 mi | 2 of 5 | 97 | (509) 924-6161 |
Straight-line miles from the center of Spokane Valley. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Spokane Valley
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, 402% of the $4,159 monthly median income of Spokane Valley 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.
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.
24-Hour Home Care in Spokane Valley: common questions
How much does 24-hour home care cost in Spokane Valley?
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, 402% of the $4,159 monthly median income of Spokane Valley 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 senior care near Spokane Valley
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Liberty Lake, WA
- 24-Hour Home Care in Otis Orchards-East Farms, WA
- 24-Hour Home Care in Spokane, WA
- 24-Hour Home Care in Mead, WA
- 24-Hour Home Care in Town and Country, WA
- 24-Hour Home Care in Country Homes, WA
- 24-Hour Home Care in Post Falls, ID
- 24-Hour Home Care in Airway Heights, WA
- 24-Hour Home Care in Rathdrum, ID
- 24-Hour Home Care in Fairchild AFB, WA
- 24-Hour Home Care in Cheney, WA
- 24-Hour Home Care in Coeur d'Alene, ID
- 24-Hour Home Care in Suncrest, WA
- 24-Hour Home Care in Hayden, ID
- 24-Hour Home Care in Medical Lake, WA
- 24-Hour Home Care in Deer Park, WA
Other care in Spokane Valley
- Companion Care in Spokane Valley
- Dementia Care in Spokane Valley
- Respite Care in Spokane Valley
- Live-In Caregivers in Spokane Valley
- Post-Surgery Care in Spokane Valley
- Senior Transportation in Spokane Valley
- Home Health Aides in Spokane Valley
- Nursing Assistants in Spokane Valley
- Personal Care in Spokane Valley
- Overnight Caregivers in Spokane Valley
- Mobility Assistance in Spokane Valley
- Parkinson’s Care in Spokane Valley
- Stroke Recovery Support in Spokane Valley
- Disability Care for Adults in Spokane Valley
- Hospice Support in Spokane Valley
- Senior Meal Preparation in Spokane Valley
- Senior Housekeeping in Spokane Valley
- Medication Reminders in Spokane Valley
- Veterans’ Home Care in Spokane Valley
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.
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