Home Health Aides in Rochester, IL
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Rochester for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Rochester, IL: the local picture
7 Medicare-certified home health agencies list Rochester 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 Illinois earn a median $18.30 an hour (BLS, May 2025), with the middle half between $17.70 and $18.61.
Rochester has about 721 residents aged 65 or older, 25% of whom report a disability.
Rochester compared with Sangamon County and Illinois
| Census figure | Rochester | Sangamon County | Illinois |
|---|---|---|---|
| Residents 65+ with a disability | 25% | 31% | 32% |
| Residents 65 or older | 19% | 19% | 17% |
| Residents 85 or older | 3.7% | 2.2% | 2.0% |
| Residents 65+ in households who live alone | 17% | 34% | 30% |
| Residents 65+ below the poverty line (approx.) | 1.1% | 8.0% | 10% |
| Residents 5+ who speak a language other than English at home | 0.0% | 4.8% | 24% |
| Median income, households headed by someone 65+ | $98,872 | $65,003 | — |
Older residents in towns around Rochester
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Riverton, IL | 7.2 mi | 604 | 28% |
| Springfield, IL | 7.3 mi | 22,574 | 32% |
| Chatham, IL | 10 mi | 1,748 | 35% |
| Pawnee, IL | 11 mi | 430 | 40% |
| Sherman, IL | 11 mi | 891 | 25% |
| Auburn, IL | 16 mi | 706 | 34% |
Medicare-certified home health agencies serving Rochester
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring V | Springfield, IL | 9.1 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 718-4889 |
| Residential Home Health Of Southern Illinois | Glen Carbon, IL | 72 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 642-6099 |
| Enhabit Home Health | Springfield, IL | 5.8 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy | (217) 542-7138 |
| Memorial Home Services | Springfield, IL | 4.5 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 788-4663 |
| SC Home Health Nfp | Springfield, IL | 5.8 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (217) 528-7541 |
| Advanced Healthcare Services, LLC | Springfield, IL | 11 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 726-6956 |
| Hshs Home Care Illinois | Effingham, IL | 67 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 347-1777 |
Straight-line miles from the center of Rochester. 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 Rochester
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 19% of the $8,239 monthly median income of Rochester households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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.
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 Rochester: common questions
Which home health agencies serve Rochester?
Medicare lists 7 certified agencies whose service area includes Rochester ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring V (4.5 of 5), Residential Home Health Of Southern Illinois (4 of 5), Enhabit Home Health (3.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Rochester?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 19% of the $8,239 monthly median income of Rochester households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Rochester
Home Health Aides in nearby cities
- Home Health Aides in Riverton, IL
- Home Health Aides in Springfield, IL
- Home Health Aides in Chatham, IL
- Home Health Aides in Pawnee, IL
- Home Health Aides in Sherman, IL
- Home Health Aides in Auburn, IL
- Home Health Aides in Taylorville, IL
- Home Health Aides in Virden, IL
- Home Health Aides in Lincoln, IL
- Home Health Aides in Decatur, IL
- Home Health Aides in Forsyth, IL
- Home Health Aides in Pana, IL
- Home Health Aides in Mount Zion, IL
- Home Health Aides in Carlinville, IL
- Home Health Aides in South Jacksonville, IL
- Home Health Aides in Jacksonville, IL
Other care in Rochester
- Companion Care in Rochester
- Dementia Care in Rochester
- Respite Care in Rochester
- Live-In Caregivers in Rochester
- Post-Surgery Care in Rochester
- Senior Transportation in Rochester
- Nursing Assistants in Rochester
- Personal Care in Rochester
- Overnight Caregivers in Rochester
- 24-Hour Home Care in Rochester
- Mobility Assistance in Rochester
- Parkinson’s Care in Rochester
- Stroke Recovery Support in Rochester
- Disability Care for Adults in Rochester
- Hospice Support in Rochester
- Senior Meal Preparation in Rochester
- Senior Housekeeping in Rochester
- Medication Reminders in Rochester
- Veterans’ Home Care in Rochester
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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