Home Health Aides in Richmond, KY
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Richmond for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Richmond, KY: the local picture
8 Medicare-certified home health agencies list Richmond ZIP codes in their service area; the highest-rated are below, and 8 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.
Richmond has about 3,984 residents aged 65 or older, 48% of whom report a disability.
Richmond compared with Madison County and Kentucky
| Census figure | Richmond | Madison County | Kentucky |
|---|---|---|---|
| Residents 65+ with a disability | 48% | 36% | 39% |
| Residents 65 or older | 11% | 15% | 17% |
| Residents 85 or older | 1.3% | 1.2% | 1.7% |
| Residents 65+ in households who live alone | 50% | 29% | 30% |
| Residents 65+ below the poverty line (approx.) | 12% | 10% | 13% |
| Residents 5+ who speak a language other than English at home | 5.3% | 3.8% | 6.8% |
| Median income, households headed by someone 65+ | $45,410 | $51,585 | — |
Older residents in towns around Richmond
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Berea, KY | 9.7 mi | 2,070 | 31% |
| Lancaster, KY | 17 mi | 697 | 35% |
| Irvine, KY | 18 mi | 498 | 64% |
| Nicholasville, KY | 18 mi | 4,549 | 36% |
| Winchester, KY | 20 mi | 3,498 | 42% |
| Wilmore, KY | 22 mi | 841 | 40% |
Medicare-certified home health agencies serving Richmond
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Lexington, KY | 25 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 252-4206 |
| Family Home Health Care, LLC Dba Adoration Home Health | Lexington, KY | 21 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 271-0611 |
| Commonwealth Home Health | Richmond, KY | 1.8 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 623-1075 |
| Commonspirit Health At Home - Lexington | Lexington, KY | 21 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 277-5111 |
| Commonwealth Home Health | Lexington, KY | 23 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 255-4411 |
| Caretenders | Lexington, KY | 23 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 276-5369 |
| Baptist Health Home Care KY, LLC Dba Baptist Home Health Care | Lexington, KY | 23 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 260-6569 |
| Enhabit Home Health Of Kentucky | Lexington, KY | 25 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 367-7148 |
Straight-line miles from the center of Richmond. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Richmond
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 40% of the $3,784 monthly median income of Richmond 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.
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.
Home Health Aides in Richmond: common questions
Which home health agencies serve Richmond?
Medicare lists 8 certified agencies whose service area includes Richmond ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (4.5 of 5), Family Home Health Care, LLC Dba Adoration Home Health (4 of 5), Commonwealth Home Health (3.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Richmond?
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 40% of the $3,784 monthly median income of Richmond 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 senior care near Richmond
Home Health Aides in nearby cities
- Home Health Aides in Berea, KY
- Home Health Aides in Lancaster, KY
- Home Health Aides in Irvine, KY
- Home Health Aides in Nicholasville, KY
- Home Health Aides in Winchester, KY
- Home Health Aides in Wilmore, KY
- Home Health Aides in Lexington, KY
- Home Health Aides in Stanford, KY
- Home Health Aides in Stanton, KY
- Home Health Aides in Danville, KY
- Home Health Aides in Junction City, KY
- Home Health Aides in Mount Sterling, KY
- Home Health Aides in Harrodsburg, KY
- Home Health Aides in Versailles, KY
- Home Health Aides in Paris, KY
- Home Health Aides in Georgetown, KY
Other care in Richmond
- Companion Care in Richmond
- Dementia Care in Richmond
- Respite Care in Richmond
- Live-In Caregivers in Richmond
- Post-Surgery Care in Richmond
- Senior Transportation in Richmond
- Nursing Assistants in Richmond
- Personal Care in Richmond
- Overnight Caregivers in Richmond
- 24-Hour Home Care in Richmond
- Mobility Assistance in Richmond
- Parkinson’s Care in Richmond
- Stroke Recovery Support in Richmond
- Disability Care for Adults in Richmond
- Hospice Support in Richmond
- Senior Meal Preparation in Richmond
- Senior Housekeeping in Richmond
- Medication Reminders in Richmond
- Veterans’ Home Care in Richmond
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.
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