24-Hour Home Care in Vestavia Hills, AL

Local figures

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

15%

of residents 65+ have difficulty dressing or bathing (8.5% in Jefferson County)

1,285

residents 85 or older (3.3% of all residents)

38%

of residents 65+ report a disability (38% in Jefferson County)

$91,518

median yearly income of households headed by someone 65+

1,058 Vestavia Hills residents 65 or older have difficulty dressing or bathing (15%; 8.5% in Jefferson County), and 1,981 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 1,285 residents are 85 or older (3.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Elite Nursing And Rehabilitation Care Center in Birmingham (1.7 mi) and Aspire Physical Recovery Center At Cahaba River in Vestavia (2.3 mi).

Vestavia Hills compared with Jefferson County and Alabama

Census figure	Vestavia Hills	Jefferson County	Alabama
Residents 65+ with difficulty dressing or bathing	15%	8.5%	7.9%
Residents 65+ with serious difficulty walking	27%	25%	25%
Residents 65+ with serious difficulty remembering	20%	11%	9.8%
Residents 85 or older	3.3%	1.9%	1.7%
Residents 65+ in households who live alone	24%	31%	29%
Residents 65+ below the poverty line (approx.)	13%	13%	12%
Median income, households headed by someone 65+	$91,518	$51,066	—

Older residents in towns around Vestavia Hills

Town	Distance	Residents 65+	Self-care difficulty (65+)
Mountain Brook, AL	2.0 mi	3,822	3.5%
Brook Highland, AL	3.6 mi	1,161	5.0%
Homewood, AL	4.1 mi	3,070	13%
Meadowbrook, AL	5.1 mi	1,162	6.5%
Birmingham, AL	5.6 mi	32,486	8.6%
Eagle Point, AL	5.6 mi	568	6.2%

Home health agencies serving Vestavia Hills

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Birmingham, AL	4.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 836-0777
Compassus Home Health	Birmingham, AL	1.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Amedisys Home Health Lakeshore Of Birmingham	Homewood, AL	4.0 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 868-0147
Amedisys Home Health Of Walker	Jasper, AL	40 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 295-2434
Centerwell Home Health	Dothan, AL	171 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(334) 944-2290

Nursing homes near Vestavia Hills (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Elite Nursing And Rehabilitation Care Center	Birmingham, AL	1.7 mi	1 of 5	143	(205) 870-5666
Aspire Physical Recovery Center At Cahaba River	Vestavia, AL	2.3 mi	1 of 5	120	(205) 977-7216
Brookdale University Park SNF (Al)	Birmingham, AL	3.3 mi	1 of 5	66	(205) 870-0786
Greenbriar At The Altamont Skilled Nursing Facilit	Birmingham, AL	3.9 mi	3 of 5	95	(205) 323-2724

Straight-line miles from the center of Vestavia Hills. 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 Vestavia Hills

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, 128% of the $7,627 monthly median income of Vestavia Hills 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 Vestavia Hills: common questions

How much does 24-hour home care cost in Vestavia Hills?

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, 128% of the $7,627 monthly median income of Vestavia Hills 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 Vestavia Hills

More senior care near Vestavia Hills

24-Hour Home Care in nearby cities

Other care in Vestavia Hills

More for Vestavia Hills 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.