Nome, Alaska

Companion Care for Seniors in Nome, AK

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 Nome for free and hire a caregiver directly, with no agency mark-up.

A caregiver helping an older man with a meal at a kitchen table
Local figures

Companion Care in Nome, AK: the local picture

308
residents 65 or older (8.4% of Nome)
41%
of residents 65+ in households live alone (23% in Nome Census Area)
17%
of residents 5+ speak a language other than English at home
24%
of households have no vehicle (56% in Nome Census Area)

About 117 residents of Nome aged 65 or older live alone, 41% of older residents in households (23% in Nome Census Area). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

24% of Nome households have no vehicle (56% in Nome Census Area). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 308 Nome residents aged 65 or older, 19 are 85 or older (6.2%). 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.

140 Nome households headed by someone 65 or older own their home and 70 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 19 older Nome residents (6.7%) live below the poverty line (17% in Nome Census Area). 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 17% of Nome residents aged 5 and over speak a language other than English at home. The most common are other languages (347), Spanish (57), Tagalog (42). 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.

Nome compared with Nome Census Area and Alaska

Census figureNomeNome Census AreaAlaska
Residents 65+ in households who live alone41%23%27%
Residents 65 or older8.4%8.9%14%
Residents 5+ who speak a language other than English at home17%24%15%
Households with no vehicle24%56%9.0%
Residents 65+ below the poverty line (approx.)6.7%17%8.3%
Residents 65+ with a disability42%48%35%
Median income, households headed by someone 65+$84,750$58,594—

Hospitals near Nome (for rides to appointments)

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Norton Sound Regional HospitalNome, AK0.4 minot rated(907) 443-3311

Straight-line miles from the center of Nome. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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
Cost

What companion care costs in Nome

At the Alaska median aide wage of $19.11 an hour, 20 hours of help a week comes to about $1,656 a month in wages, which is 23% of the $7,063 monthly median income of Nome households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alaska's minimum wage is $14.00 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 How to get paid to care for a family member in Alaska: consumer-directed personal care.

Before you hire

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.

Questions

Companion Care in Nome: common questions

How many seniors live alone in Nome?

About 117 residents aged 65 or older, 41% of older residents in households (Census ACS 2020–2024) (23% in Nome Census Area).

How much does companion care cost in Nome?

At the Alaska median aide wage of $19.11 an hour, 20 hours of help a week comes to about $1,656 a month in wages, which is 23% of the $7,063 monthly median income of Nome households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alaska's minimum wage is $14.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

What does a companion caregiver do in Nome?

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.

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 Nome

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