24-Hour Home Care in Wilmington, MA: Round-the-Clock Care

Local figures

24-Hour Home Care in Wilmington, MA: the local picture

7.6%

of residents 65+ have difficulty dressing or bathing (6.5% in Middlesex County)

336

residents 85 or older (1.4% of all residents)

26%

of residents 65+ report a disability (28% in Middlesex County)

$102,736

median yearly income of households headed by someone 65+

266 Wilmington residents 65 or older have difficulty dressing or bathing (7.6%; 6.5% in Middlesex County), and 446 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 (1.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Willow Brook Rehabilitation And Healthcare Center in Wilmington (2.1 mi) and Care One At Wilmington in Wilmington (2.2 mi).

Wilmington compared with Middlesex County and Massachusetts

Census figure	Wilmington	Middlesex County	Massachusetts
Residents 65+ with difficulty dressing or bathing	7.6%	6.5%	7.2%
Residents 65+ with serious difficulty walking	13%	16%	18%
Residents 65+ with serious difficulty remembering	8.4%	6.7%	7.5%
Residents 85 or older	1.4%	2.0%	2.2%
Residents 65+ in households who live alone	12%	28%	29%
Residents 65+ below the poverty line (approx.)	3.2%	9.2%	11%
Median income, households headed by someone 65+	$102,736	$78,342	—

Older residents in towns around Wilmington

Town	Distance	Residents 65+	Self-care difficulty (65+)
Reading, MA	3.6 mi	5,289	6.5%
Pinehurst, MA	4.1 mi	1,445	5.5%
Burlington, MA	4.6 mi	5,764	8.0%
Woburn, MA	5.3 mi	6,588	7.1%
Andover, MA	6.4 mi	1,732	11%
Wakefield, MA	6.6 mi	5,268	6.1%

Home health agencies serving Wilmington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Caring Hearts Homecare Inc	Wilmington, MA	0.6 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(978) 658-5104
Amedisys Home Health Care	Wakefield, MA	6.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 685-2818
Elara Caring	Newburyport, MA	22 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(978) 904-1454
Alternative Home Health Care, LLC	Methuen, MA	11 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(978) 657-7444
All Care Vna-Greater Lynn Inc	Lynn, MA	13 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(781) 598-2454

Nursing homes near Wilmington (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Willow Brook Rehabilitation And Healthcare Center	Wilmington, MA	2.1 mi	2 of 5	142	(978) 909-4586
Care One At Wilmington	Wilmington, MA	2.2 mi	5 of 5	132	(978) 988-0888
Oc Reading Center LLC	Reading, MA	3.1 mi	1 of 5	123	(781) 942-1210
Royal Meadow View Center	North Reading, MA	3.5 mi	4 of 5	113	(978) 276-2000

Straight-line miles from the center of Wilmington. 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 Wilmington

24-hour care is 168 paid hours a week. At $19.67 an hour (the Massachusetts median aide wage) that is about $14,320 a month in wages before any overtime, 167% of the $8,561 monthly median income of Wilmington households headed by someone 65+. Rates are agreed with each caregiver. Massachusetts's minimum wage is $15.00 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 Wilmington: common questions

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

24-hour care is 168 paid hours a week. At $19.67 an hour (the Massachusetts median aide wage) that is about $14,320 a month in wages before any overtime, 167% of the $8,561 monthly median income of Wilmington households headed by someone 65+. Rates are agreed with each caregiver. Massachusetts's minimum wage is $15.00 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 Wilmington

More senior care near Wilmington

24-Hour Home Care in nearby cities

Other care in Wilmington

More for Wilmington 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 Wilmington, MA