24-Hour Home Care in Spotsylvania Courthouse, VA

Local figures

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

12%

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

130

residents 85 or older (1.8% of all residents)

35%

of residents 65+ report a disability (29% in Spotsylvania County)

$60,386

median yearly income of households headed by someone 65+

105 Spotsylvania Courthouse residents 65 or older have difficulty dressing or bathing (12%; 6.6% in Spotsylvania County), and 266 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 130 residents are 85 or older (1.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Carriage Hill Health & Rehab Center in Fredericksburg (6.6 mi) and Fredericksburg Health And Rehab in Fredericksburg (7.2 mi).

Spotsylvania Courthouse compared with Spotsylvania County and Virginia

Census figure	Spotsylvania Courthouse	Spotsylvania County	Virginia
Residents 65+ with difficulty dressing or bathing	12%	6.6%	6.7%
Residents 65+ with serious difficulty walking	30%	17%	19%
Residents 65+ with serious difficulty remembering	5.1%	6.0%	7.4%
Residents 85 or older	1.8%	1.1%	1.7%
Residents 65+ in households who live alone	28%	18%	27%
Residents 65+ below the poverty line (approx.)	10%	7.0%	8.8%
Median income, households headed by someone 65+	$60,386	$77,611	—

Older residents in towns around Spotsylvania Courthouse

Town	Distance	Residents 65+	Self-care difficulty (65+)
Fredericksburg, VA	8.9 mi	3,300	4.1%
Lake Wilderness, VA	10 mi	437	2.1%
Southern Gateway, VA	11 mi	165	21%
Falmouth, VA	11 mi	946	12%
Lake Land'Or, VA	13 mi	536	5.8%
Lake of the Woods, VA	13 mi	2,753	3.2%

Home health agencies serving Spotsylvania Courthouse

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Five Star Home Health Care	Chantilly, VA	48 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	9.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(540) 899-3666
Amedisys Home Health	Midlothian, VA	53 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	9.2 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 741-1667
Healing Home Healthcare Inc	Manassas, VA	41 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 650-0576

Nursing homes near Spotsylvania Courthouse (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Carriage Hill Health & Rehab Center	Fredericksburg, VA	6.6 mi	3 of 5	150	(540) 785-1120
Fredericksburg Health And Rehab	Fredericksburg, VA	7.2 mi	2 of 5	177	(540) 786-8351
Woodmont Center	Fredericksburg, VA	10 mi	1 of 5	118	(540) 371-9414
Falls Run Nursing And Rehabilitation	Fredericksburg, VA	12 mi	4 of 5	90	(540) 752-0111

Straight-line miles from the center of Spotsylvania Courthouse. 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 Spotsylvania Courthouse

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, 211% of the $5,032 monthly median income of Spotsylvania Courthouse 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 Spotsylvania Courthouse: common questions

How much does 24-hour home care cost in Spotsylvania Courthouse?

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, 211% of the $5,032 monthly median income of Spotsylvania Courthouse 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 Spotsylvania Courthouse

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24-Hour Home Care in nearby cities

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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.