24-Hour Home Care in St. Helens, OR
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 St. Helens for free and hire a caregiver directly, with no agency mark-up.
24-Hour Home Care in St. Helens, OR: the local picture
312 St. Helens residents 65 or older have difficulty dressing or bathing (14%; 8.5% in Columbia County), and 544 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 284 residents are 85 or older (2.0% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Saint Helens Post Acute in Saint Helens (0.3 mi) and Woodland Convalescent Center in Woodland (4.4 mi).
St. Helens compared with Columbia County and Oregon
| Census figure | St. Helens | Columbia County | Oregon |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 14% | 8.5% | 7.2% |
| Residents 65+ with serious difficulty walking | 25% | 20% | 20% |
| Residents 65+ with serious difficulty remembering | 13% | 8.8% | 9.0% |
| Residents 85 or older | 2.0% | 2.2% | 2.1% |
| Residents 65+ in households who live alone | 26% | 24% | 27% |
| Residents 65+ below the poverty line (approx.) | 13% | 7.7% | 9.9% |
| Median income, households headed by someone 65+ | $47,309 | $56,667 | — |
Older residents in towns around St. Helens
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Woodland, WA | 5.3 mi | 1,246 | 7.6% |
| La Center, WA | 6.8 mi | 550 | 2.4% |
| Scappoose, OR | 7.3 mi | 1,279 | 6.3% |
| Ridgefield, WA | 7.5 mi | 1,689 | 3.5% |
| Felida, WA | 11 mi | 1,774 | 4.1% |
| Kalama, WA | 11 mi | 590 | 21% |
Home health agencies serving St. Helens
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Providence Home Health | Portland, OR | 24 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (503) 215-4646 |
| Signature Healthcare At Home | Tigard, OR | 31 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (503) 783-2470 |
| Eden Home Health | Vancouver, WA | 13 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (360) 504-0122 |
| Amedisys Home Health Care | Portland, OR | 25 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (503) 253-5155 |
| Oregon Continental Home Health Care | Hillsboro, OR | 26 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (503) 245-5305 |
Nursing homes near St. Helens (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Saint Helens Post Acute | Saint Helens, OR | 0.3 mi | 2 of 5 | 92 | (503) 397-2713 |
| Woodland Convalescent Center | Woodland, WA | 4.4 mi | 2 of 5 | 62 | (360) 225-9443 |
| Avalon Care Center - Scappoose | Scappoose, OR | 7.3 mi | 3 of 5 | 40 | (503) 543-7131 |
| Salmon Creek Post Acute & Rehabilitation | Vancouver, WA | 13 mi | 3 of 5 | 120 | (360) 574-5247 |
Straight-line miles from the center of St. Helens. 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 St. Helens
24-hour care is 168 paid hours a week. At $21.35 an hour (the Oregon median aide wage) that is about $15,543 a month in wages before any overtime, 394% of the $3,942 monthly median income of St. Helens households headed by someone 65+. Rates are agreed with each caregiver. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 St. Helens: common questions
How much does 24-hour home care cost in St. Helens?
24-hour care is 168 paid hours a week. At $21.35 an hour (the Oregon median aide wage) that is about $15,543 a month in wages before any overtime, 394% of the $3,942 monthly median income of St. Helens households headed by someone 65+. Rates are agreed with each caregiver. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 St. Helens
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Woodland, WA
- 24-Hour Home Care in La Center, WA
- 24-Hour Home Care in Scappoose, OR
- 24-Hour Home Care in Ridgefield, WA
- 24-Hour Home Care in Felida, WA
- 24-Hour Home Care in Kalama, WA
- 24-Hour Home Care in Mount Vista, WA
- 24-Hour Home Care in Salmon Creek, WA
- 24-Hour Home Care in Lake Shore, WA
- 24-Hour Home Care in Barberton, WA
- 24-Hour Home Care in Battle Ground, WA
- 24-Hour Home Care in Hazel Dell, WA
- 24-Hour Home Care in Brush Prairie, WA
- 24-Hour Home Care in Five Corners, WA
- 24-Hour Home Care in Minnehaha, WA
- 24-Hour Home Care in Venersborg, WA
Other care in St. Helens
- Companion Care in St. Helens
- Dementia Care in St. Helens
- Respite Care in St. Helens
- Live-In Caregivers in St. Helens
- Post-Surgery Care in St. Helens
- Senior Transportation in St. Helens
- Home Health Aides in St. Helens
- Nursing Assistants in St. Helens
- Personal Care in St. Helens
- Overnight Caregivers in St. Helens
- Mobility Assistance in St. Helens
- Parkinson’s Care in St. Helens
- Stroke Recovery Support in St. Helens
- Disability Care for Adults in St. Helens
- Hospice Support in St. Helens
- Senior Meal Preparation in St. Helens
- Senior Housekeeping in St. Helens
- Medication Reminders in St. Helens
- Veterans’ Home Care in St. Helens
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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