24-Hour Home Care in St. James, NC: Round-the-Clock Care

Local figures

24-Hour Home Care in St. James, NC: the local picture

2.3%

of residents 65+ have difficulty dressing or bathing (3.0% in Brunswick County)

108

residents 85 or older (1.5% of all residents)

13%

of residents 65+ report a disability (24% in Brunswick County)

$117,045

median yearly income of households headed by someone 65+

104 St. James residents 65 or older have difficulty dressing or bathing (2.3%; 3.0% in Brunswick County), and 220 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 108 residents are 85 or older (1.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Liberty Commons Nursing & Rehab Center Of Southpor in Southport (4.7 mi) and Bolivia Rehabilitation And Healthcare Center in Bolivia (10 mi).

St. James compared with Brunswick County and North Carolina

Census figure	St. James	Brunswick County	North Carolina
Residents 65+ with difficulty dressing or bathing	2.3%	3.0%	6.6%
Residents 65+ with serious difficulty walking	5.0%	13%	21%
Residents 65+ with serious difficulty remembering	1.7%	3.4%	7.9%
Residents 85 or older	1.5%	2.0%	1.7%
Residents 65+ in households who live alone	8.4%	20%	28%
Residents 65+ below the poverty line (approx.)	0.6%	5.7%	11%
Median income, households headed by someone 65+	$117,045	$69,925	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Self-care difficulty (65+)
Oak Island, NC	2.4 mi	3,796	3.6%
Southport, NC	5.3 mi	2,014	2.5%
Boiling Spring Lakes, NC	7.0 mi	1,290	0.7%
Carolina Beach, NC	13 mi	1,351	4.2%
Shallotte, NC	16 mi	1,100	1.5%
Myrtle Grove, NC	17 mi	2,200	4.2%

Home health agencies serving St. James

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Pruitthealth At Home - Brunswick	Leland, NC	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(910) 473-5104
Well Care Home Health	Wilmington, NC	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(910) 362-9405
Centerwell Home Health	Delco, NC	25 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	—
Assistedcare Home Health Inc	Leland, NC	23 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(225) 299-3990
Adoration Home Health	Lenoir, NC	238 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—

Nursing homes near St. James (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Liberty Commons Nursing & Rehab Center Of Southpor	Southport, NC	4.7 mi	3 of 5	99	(910) 457-9581
Bolivia Rehabilitation And Healthcare Center	Bolivia, NC	10 mi	1 of 5	90	(910) 755-5955
Autumn Care Of Shallotte	Shallotte, NC	17 mi	2 of 5	100	(910) 754-8858
Autumn Care Of Myrtle Grove	Wilmington, NC	17 mi	1 of 5	90	(910) 792-1455

Straight-line miles from the center of St. James. 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 St. James

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 112% of the $9,754 monthly median income of St. James households headed by someone 65+. Rates are agreed with each caregiver. North Carolina's minimum wage is $7.25 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.

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 St. James: common questions

How much does 24-hour home care cost in St. James?

24-hour care is 168 paid hours a week. At $15.02 an hour (the North Carolina median aide wage) that is about $10,935 a month in wages before any overtime, 112% of the $9,754 monthly median income of St. James households headed by someone 65+. Rates are agreed with each caregiver. North Carolina's minimum wage is $7.25 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 St. James

More senior care near St. James

24-Hour Home Care in nearby cities

Other care in St. James

More for St. James 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 St. James, NC