24-Hour Home Care in Valley City, ND
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 Valley City for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Valley City, ND: the local picture
103 Valley City residents 65 or older have difficulty dressing or bathing (7.7%; 6.4% in Barnes County), and 309 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 336 residents are 85 or older (5.1% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Smp Health - St Raphael in Valley City (0.7 mi).
Valley City compared with Barnes County and North Dakota
| Census figure | Valley City | Barnes County | North Dakota |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 7.7% | 6.4% | 5.3% |
| Residents 65+ with serious difficulty walking | 23% | 18% | 18% |
| Residents 65+ with serious difficulty remembering | 6.8% | 7.8% | 6.1% |
| Residents 85 or older | 5.1% | 3.9% | 2.2% |
| Residents 65+ in households who live alone | 44% | 36% | 33% |
| Residents 65+ below the poverty line (approx.) | 20% | 14% | 9.9% |
| Median income, households headed by someone 65+ | $41,733 | $51,500 | — |
Older residents in towns around Valley City
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Jamestown, ND | 33 mi | 3,200 | 7.8% |
| Casselton, ND | 37 mi | 293 | 0.0% |
| West Fargo, ND | 52 mi | 4,963 | 5.9% |
| Horace, ND | 53 mi | 294 | 4.8% |
| Fargo, ND | 56 mi | 17,510 | 5.1% |
| Moorhead, MN | 60 mi | 5,703 | 3.4% |
Home health agencies serving Valley City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Chi Health At Home - Hha | Valley City, ND | 0.3 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (701) 845-6550 |
| City County Health District | Valley City, ND | 0.3 mi | not rated | nursing, physical therapy, home health aides | (701) 845-8518 |
Nursing homes near Valley City (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Smp Health - St Raphael | Valley City, ND | 0.7 mi | 3 of 5 | 170 | (701) 845-8222 |
Straight-line miles from the center of Valley City. 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 Valley City
24-hour care is 168 paid hours a week. At $18.96 an hour (the North Dakota median aide wage) that is about $13,803 a month in wages before any overtime, 397% of the $3,478 monthly median income of Valley City households headed by someone 65+. Rates are agreed with each caregiver. North Dakota'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.
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 Valley City: common questions
How much does 24-hour home care cost in Valley City?
24-hour care is 168 paid hours a week. At $18.96 an hour (the North Dakota median aide wage) that is about $13,803 a month in wages before any overtime, 397% of the $3,478 monthly median income of Valley City households headed by someone 65+. Rates are agreed with each caregiver. North Dakota'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 senior care near Valley City
24-Hour Home Care in nearby cities
Other care in Valley City
- Companion Care in Valley City
- Dementia Care in Valley City
- Respite Care in Valley City
- Live-In Caregivers in Valley City
- Post-Surgery Care in Valley City
- Senior Transportation in Valley City
- Home Health Aides in Valley City
- Nursing Assistants in Valley City
- Personal Care in Valley City
- Overnight Caregivers in Valley City
- Mobility Assistance in Valley City
- Parkinson’s Care in Valley City
- Stroke Recovery Support in Valley City
- Disability Care for Adults in Valley City
- Hospice Support in Valley City
- Senior Meal Preparation in Valley City
- Senior Housekeeping in Valley City
- Medication Reminders in Valley City
- Veterans’ Home Care in Valley City
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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