Big Pine Key, Florida

Home Health Aides in Big Pine Key, FL

Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Big Pine Key for free and hire a caregiver directly, with no agency mark-up.

Post your care need free Big Pine Key at a glance

A younger woman and an older woman looking at a phone together on a park bench

Local figures

Home Health Aides in Big Pine Key, FL: the local picture

Medicare-certified home health agencies list Big Pine Key ZIP codes in their service area

$16.25

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

1,069

residents 65 or older (25% of Big Pine Key)

30%

of residents 65+ report a disability (26% in Monroe County)

6 Medicare-certified home health agencies list Big Pine Key ZIP codes in their service area; the highest-rated are below, and 6 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 Florida earn a median $16.25 an hour (BLS, May 2025), with the middle half between $15.16 and $17.25.

Big Pine Key has about 1,069 residents aged 65 or older, 30% of whom report a disability.

Big Pine Key compared with Monroe County and Florida

Census figure	Big Pine Key	Monroe County	Florida
Residents 65+ with a disability	30%	26%	31%
Residents 65 or older	25%	25%	21%
Residents 85 or older	2.6%	2.0%	2.6%
Residents 65+ in households who live alone	23%	25%	25%
Residents 65+ below the poverty line (approx.)	9.9%	9.6%	12%
Residents 5+ who speak a language other than English at home	7.1%	22%	31%
Median income, households headed by someone 65+	$74,844	$71,243	—

Older residents in towns around Big Pine Key

Town	Distance	Residents 65+	65+ with a disability
Big Coppitt Key, FL	20 mi	503	20%
Marathon, FL	21 mi	2,059	28%
Stock Island, FL	25 mi	408	47%
Key West, FL	27 mi	5,568	29%
Islamorada, FL	55 mi	2,074	18%
Key Largo, FL	67 mi	3,513	28%

Medicare-certified home health agencies serving Big Pine Key

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Island Home Care	Key West, FL	28 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 735-4460
Axis Health Systems LLC	Hialeah, FL	105 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	—
The Roads Home Health Care Inc	Miami, FL	101 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 860-7797
Goldencare Home Health Agency Inc	Miami, FL	101 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 553-2553
Medcare Home Health Services, Inc.	Miami, FL	101 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(305) 863-8861
Aldesi Of Florida Inc	Miami, FL	101 mi	not rated	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—

Straight-line miles from the center of Big Pine Key. 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 Big Pine Key

At the Florida median aide wage of $16.25 an hour, 20 hours of help a week comes to about $1,408 a month in wages, which is 23% of the $6,237 monthly median income of Big Pine Key households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

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 take care of a family member in Florida: SMMC LTC and the PDO.

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 Big Pine Key: common questions

Which home health agencies serve Big Pine Key?

Medicare lists 6 certified agencies whose service area includes Big Pine Key ZIP codes. The highest-rated on Medicare’s quality stars include Island Home Care (4 of 5), Axis Health Systems LLC (3 of 5), The Roads Home Health Care Inc (2.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Big Pine Key?

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.

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