Home Health Aides in Astoria, OR: Hire In-Home Help

Local figures

Home Health Aides in Astoria, OR: the local picture

1

Medicare-certified home health agencies list Astoria ZIP codes in their service area

$21.35

median hourly wage of home care aides in Oregon (BLS, May 2025)

2,154

residents 65 or older (21% of Astoria)

38%

of residents 65+ report a disability (37% in Clatsop County)

1 Medicare-certified home health agency lists Astoria ZIP codes in their service area; the highest-rated are below, and 1 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Oregon earn a median $21.35 an hour (BLS, May 2025), with the middle half between $18.94 and $23.25.

Astoria has about 2,154 residents aged 65 or older, 38% of whom report a disability.

Astoria compared with Clatsop County and Oregon

Census figure	Astoria	Clatsop County	Oregon
Residents 65+ with a disability	38%	37%	34%
Residents 65 or older	21%	25%	19%
Residents 85 or older	2.6%	2.0%	2.1%
Residents 65+ in households who live alone	33%	30%	27%
Residents 65+ below the poverty line (approx.)	10%	9.9%	9.9%
Residents 5+ who speak a language other than English at home	7.6%	6.9%	15%
Median income, households headed by someone 65+	$47,225	$56,696	—

Older residents in towns around Astoria

Town	Distance	Residents 65+	65+ with a disability
Warrenton, OR	5.6 mi	1,330	44%
Seaside, OR	15 mi	1,873	42%
Raymond, WA	34 mi	829	59%
Vernonia, OR	38 mi	418	43%
Longview, WA	41 mi	7,663	41%
Longview Heights, WA	41 mi	634	18%

Medicare-certified home health agencies serving Astoria

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Providence Home Health	Portland, OR	74 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 215-4646

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

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Astoria

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Home Health Aides in Astoria: common questions

Which home health agencies serve Astoria?

Medicare lists 1 certified agencies whose service area includes Astoria ZIP codes. The highest-rated on Medicare’s quality stars include Providence Home Health (4 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Astoria?

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Astoria

More senior care near Astoria

Home Health Aides in nearby cities

Other care in Astoria

More for Astoria 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.

Home Health Aides in Astoria, OR