Home Health Aides in Horace, ND: Hire In-Home Help

Local figures

Home Health Aides in Horace, ND: the local picture

4

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

$18.96

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

294

residents 65 or older (6.4% of Horace)

22%

of residents 65+ report a disability (30% in Cass County)

4 Medicare-certified home health agencies list Horace ZIP codes in their service area; the highest-rated are below, and 3 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 North Dakota earn a median $18.96 an hour (BLS, May 2025), with the middle half between $17.84 and $22.02.

Horace has about 294 residents aged 65 or older, 22% of whom report a disability.

Horace compared with Cass County and North Dakota

Census figure	Horace	Cass County	North Dakota
Residents 65+ with a disability	22%	30%	31%
Residents 65 or older	6.4%	13%	17%
Residents 85 or older	0.0%	1.5%	2.2%
Residents 65+ in households who live alone	25%	33%	33%
Residents 65+ below the poverty line (approx.)	5.8%	7.6%	9.9%
Residents 5+ who speak a language other than English at home	4.3%	8.9%	6.7%
Median income, households headed by someone 65+	$64,861	$62,681	—

Older residents in towns around Horace

Town	Distance	Residents 65+	65+ with a disability
West Fargo, ND	6.9 mi	4,963	34%
Fargo, ND	8.4 mi	17,510	30%
Moorhead, MN	11 mi	5,703	31%
Dilworth, MN	13 mi	571	39%
Casselton, ND	17 mi	293	39%
Barnesville, MN	25 mi	359	37%

Medicare-certified home health agencies serving Horace

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Essentia Health Home Care West	Detroit Lakes, MN	51 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(218) 847-0808
Sanford Home Care Fargo	Fargo, ND	8.3 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 234-4900
Ethos Home Health	Fargo, ND	4.2 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(701) 356-3803
Nizhoni Healthcare Services, LLC	Fargo, ND	8.3 mi	not rated	—	(701) 639-4183

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 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 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.

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 Horace: common questions

Which home health agencies serve Horace?

Medicare lists 4 certified agencies whose service area includes Horace ZIP codes. The highest-rated on Medicare’s quality stars include Essentia Health Home Care West (4 of 5), Sanford Home Care Fargo (3.5 of 5), Ethos Home Health (2.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides 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 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 Horace

More senior care near Horace

Home Health Aides in nearby cities

Other care in Horace

More for Horace families

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.

Home Health Aides in Horace, ND