Companion Care for Seniors in Horace, ND
Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Horace for free and hire a caregiver directly, with no agency mark-up.
Companion Care in Horace, ND: the local picture
About 74 residents of Horace aged 65 or older live alone, 25% of older residents in households (33% in Cass County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
1.2% of Horace households have no vehicle (6.8% in Cass County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 294 Horace residents aged 65 or older, 0 are 85 or older (0.0%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.
165 Horace households headed by someone 65 or older own their home and 8 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.
About 17 older Horace residents (5.8%) live below the poverty line (7.6% in Cass County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.
About 4.3% of Horace residents aged 5 and over speak a language other than English at home. The most common are Spanish (150), French, Haitian or Cajun (14), German or West Germanic languages (8). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.
Horace compared with Cass County and North Dakota
| Census figure | Horace | Cass County | North Dakota |
|---|---|---|---|
| Residents 65+ in households who live alone | 25% | 33% | 33% |
| Residents 65 or older | 6.4% | 13% | 17% |
| Residents 5+ who speak a language other than English at home | 4.3% | 8.9% | 6.7% |
| Households with no vehicle | 1.2% | 6.8% | 5.9% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 7.6% | 9.9% |
| Residents 65+ with a disability | 22% | 30% | 31% |
| Median income, households headed by someone 65+ | $64,861 | $62,681 | — |
Older residents in towns around Horace
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| West Fargo, ND | 6.9 mi | 4,963 | 29% |
| Fargo, ND | 8.4 mi | 17,510 | 36% |
| Moorhead, MN | 11 mi | 5,703 | 38% |
| Dilworth, MN | 13 mi | 571 | 56% |
| Casselton, ND | 17 mi | 293 | 27% |
| Barnesville, MN | 25 mi | 359 | 33% |
Hospitals near Horace (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Essentia Health | Fargo, ND | 4.2 mi | 3 of 5 | (701) 364-8000 |
| Sanford Medical Center Fargo | Fargo, ND | 10 mi | 4 of 5 | (701) 234-2000 |
| Fargo Va Medical Center | Fargo, ND | 12 mi | 5 of 5 | (701) 232-3241 |
Straight-line miles from the center of Horace. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a companion caregiver can help with
- Conversation, cards, puzzles and shared hobbies
- Walks and outings to the park, library or senior center
- Company at meals, and help preparing them
- Rides or escort to appointments, church and visits
What companion care costs in Horace
At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 30% of the $5,405 monthly median income of Horace households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 companion caregiver
Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).
Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Companion Care in Horace: common questions
How many seniors live alone in Horace?
About 74 residents aged 65 or older, 25% of older residents in households (Census ACS 2020–2024) (33% in Cass County).
How much does companion care cost in Horace?
At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 30% of the $5,405 monthly median income of Horace households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
What does a companion caregiver do in Horace?
A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.
More senior care near Horace
Companion Care in nearby cities
- Companion Care in West Fargo, ND
- Companion Care in Fargo, ND
- Companion Care in Moorhead, MN
- Companion Care in Dilworth, MN
- Companion Care in Casselton, ND
- Companion Care in Barnesville, MN
- Companion Care in Wahpeton, ND
- Companion Care in Breckenridge, MN
- Companion Care in Pelican Rapids, MN
- Companion Care in Detroit Lakes, MN
- Companion Care in Fergus Falls, MN
- Companion Care in Valley City, ND
- Companion Care in Perham, MN
Other care in Horace
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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.
Find companion care in Horace
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