Home Health Aides in St. James, MD: Hire In-Home Help

Local figures

Home Health Aides in St. James, MD: the local picture

3

Medicare-certified home health agencies list St. James ZIP codes in their service area

$18.29

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

953

residents 65 or older (20% of St. James)

31%

of residents 65+ report a disability (32% in Washington County)

3 Medicare-certified home health agencies list St. James 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 Maryland earn a median $18.29 an hour (BLS, May 2025), with the middle half between $17.06 and $20.74.

St. James has about 953 residents aged 65 or older, 31% of whom report a disability.

St. James compared with Washington County and Maryland

Census figure	St. James	Washington County	Maryland
Residents 65+ with a disability	31%	32%	30%
Residents 65 or older	20%	18%	17%
Residents 85 or older	2.0%	2.1%	1.9%
Residents 65+ in households who live alone	26%	28%	27%
Residents 65+ below the poverty line (approx.)	4.5%	9.0%	9.5%
Residents 5+ who speak a language other than English at home	21%	9.4%	21%
Median income, households headed by someone 65+	$74,926	$56,121	—

Older residents in towns around St. James

Town	Distance	Residents 65+	65+ with a disability
Halfway, MD	3.1 mi	2,320	38%
Hagerstown, MD	4.8 mi	6,354	41%
Robinwood, MD	5.8 mi	1,273	34%
Boonsboro, MD	6.2 mi	576	25%
Paramount-Long Meadow, MD	7.9 mi	468	22%
Fountainhead-Orchard Hills, MD	8.0 mi	1,362	43%

Medicare-certified home health agencies serving St. James

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Meritus Medical Center, Inc	Hagerstown, MD	4.1 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 766-7800
Home Call	Frederick, MD	25 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(240) 215-4668
Bayada Home Health Care, Inc	Gaithersburg, MD	41 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 977-6400

Straight-line miles from the center of St. James. 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 St. James

At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 25% of the $6,244 monthly median income of St. James households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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.

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 St. James: common questions

Which home health agencies serve St. James?

Medicare lists 3 certified agencies whose service area includes St. James ZIP codes. The highest-rated on Medicare’s quality stars include Meritus Medical Center, Inc (4 of 5), Home Call (3.5 of 5), Bayada Home Health Care, Inc (3.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in St. James?

At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 25% of the $6,244 monthly median income of St. James households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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 near St. James

More senior care near St. James

Home Health Aides in nearby cities

Other care in St. James

More for St. James 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 St. James, MD