24-Hour Home Care in Troy, AL: Round-the-Clock Care

Local figures

24-Hour Home Care in Troy, AL: the local picture

7.6%

of residents 65+ have difficulty dressing or bathing (9.4% in Pike County)

310

residents 85 or older (1.7% of all residents)

39%

of residents 65+ report a disability (44% in Pike County)

$68,686

median yearly income of households headed by someone 65+

141 Troy residents 65 or older have difficulty dressing or bathing (7.6%; 9.4% in Pike County), and 509 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 310 residents are 85 or older (1.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Troy Health & Rehabilitation Center in Troy (1.6 mi) and Luverne Health And Rehabilitation, LLC in Luverne (19 mi).

Troy compared with Pike County and Alabama

Census figure	Troy	Pike County	Alabama
Residents 65+ with difficulty dressing or bathing	7.6%	9.4%	7.9%
Residents 65+ with serious difficulty walking	27%	29%	25%
Residents 65+ with serious difficulty remembering	8.4%	10%	9.8%
Residents 85 or older	1.7%	1.6%	1.7%
Residents 65+ in households who live alone	32%	28%	29%
Residents 65+ below the poverty line (approx.)	15%	12%	12%
Median income, households headed by someone 65+	$68,686	$52,255	—

Older residents in towns around Troy

Town	Distance	Residents 65+	Self-care difficulty (65+)
Luverne, AL	19 mi	588	15%
Elba, AL	27 mi	975	10%
Union Springs, AL	28 mi	556	3.2%
Ozark, AL	31 mi	3,213	4.2%
Enterprise, AL	34 mi	4,414	7.9%
Pike Road, AL	34 mi	1,338	4.1%

Home health agencies serving Troy

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of Montgomery	Montgomery, AL	43 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(334) 272-0313
Enhabit Home Health	Troy, AL	3.9 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(334) 566-9238
Centerwell Home Health	Enterprise, AL	33 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(334) 347-0234
Amedisys Home Health	Dothan, AL	50 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 205-0818
Prohealth Home Health	Auburn, AL	59 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(334) 521-8810

Nursing homes near Troy (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Troy Health & Rehabilitation Center	Troy, AL	1.6 mi	1 of 5	220	(334) 566-0880
Luverne Health And Rehabilitation, LLC	Luverne, AL	19 mi	4 of 5	151	(334) 335-6528

Straight-line miles from the center of Troy. 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 Troy

24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 170% of the $5,724 monthly median income of Troy households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Troy: common questions

How much does 24-hour home care cost in Troy?

24-hour care is 168 paid hours a week. At $13.39 an hour (the Alabama median aide wage) that is about $9,748 a month in wages before any overtime, 170% of the $5,724 monthly median income of Troy households headed by someone 65+. Rates are agreed with each caregiver. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Troy

More senior care near Troy

24-Hour Home Care in nearby cities

Other care in Troy

More for Troy 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 Troy, AL