Home Health Aides in Prestonsburg, KY: Hire In-Home Help

Local figures

Home Health Aides in Prestonsburg, KY: the local picture

3

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

$17.52

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

824

residents 65 or older (22% of Prestonsburg)

56%

of residents 65+ report a disability (53% in Floyd County)

3 Medicare-certified home health agencies list Prestonsburg 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 Kentucky earn a median $17.52 an hour (BLS, May 2025), with the middle half between $14.88 and $21.85.

Prestonsburg has about 824 residents aged 65 or older, 56% of whom report a disability.

Prestonsburg compared with Floyd County and Kentucky

Census figure	Prestonsburg	Floyd County	Kentucky
Residents 65+ with a disability	56%	53%	39%
Residents 65 or older	22%	20%	17%
Residents 85 or older	4.1%	1.5%	1.7%
Residents 65+ in households who live alone	45%	31%	30%
Residents 65+ below the poverty line (approx.)	11%	16%	13%
Residents 5+ who speak a language other than English at home	1.9%	1.6%	6.8%
Median income, households headed by someone 65+	$35,195	$35,676	—

Older residents in towns around Prestonsburg

Town	Distance	Residents 65+	65+ with a disability
Paintsville, KY	9.8 mi	630	32%
Pikeville, KY	19 mi	1,283	56%
Williamson, WV	27 mi	616	62%
Louisa, KY	31 mi	499	66%
West Liberty, KY	32 mi	477	53%
Hazard, KY	38 mi	934	47%

Medicare-certified home health agencies serving Prestonsburg

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Home Care Health Services, Inc	Pikeville, KY	18 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(606) 432-2111
Logan Arh Home Health Agency	Logan, WV	44 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 752-2535
Highlands Arh Home Health	Prestonsburg, KY	1.4 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 598-5858

Straight-line miles from the center of Prestonsburg. 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 Prestonsburg

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 52% of the $2,933 monthly median income of Prestonsburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Prestonsburg: common questions

Which home health agencies serve Prestonsburg?

Medicare lists 3 certified agencies whose service area includes Prestonsburg ZIP codes. The highest-rated on Medicare’s quality stars include Home Care Health Services, Inc (4 of 5), Logan Arh Home Health Agency (4 of 5), Highlands Arh Home Health (3.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Prestonsburg?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 52% of the $2,933 monthly median income of Prestonsburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 Prestonsburg

More senior care near Prestonsburg

Home Health Aides in nearby cities

Other care in Prestonsburg

More for Prestonsburg 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 Prestonsburg, KY