Home Health Aides in St. James, NC
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in St. James for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in St. James, NC: the local picture
8 Medicare-certified home health agencies list St. James ZIP codes in their service area; the highest-rated are below, and 7 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 Carolina earn a median $15.02 an hour (BLS, May 2025), with the middle half between $13.65 and $17.08.
St. James has about 4,439 residents aged 65 or older, 13% of whom report a disability.
St. James compared with Brunswick County and North Carolina
| Census figure | St. James | Brunswick County | North Carolina |
|---|---|---|---|
| Residents 65+ with a disability | 13% | 24% | 33% |
| Residents 65 or older | 63% | 34% | 17% |
| Residents 85 or older | 1.5% | 2.0% | 1.7% |
| Residents 65+ in households who live alone | 8.4% | 20% | 28% |
| Residents 65+ below the poverty line (approx.) | 0.6% | 5.7% | 11% |
| Residents 5+ who speak a language other than English at home | 7.1% | 5.0% | 13% |
| Median income, households headed by someone 65+ | $117,045 | $69,925 | — |
Older residents in towns around St. James
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Oak Island, NC | 2.4 mi | 3,796 | 19% |
| Southport, NC | 5.3 mi | 2,014 | 23% |
| Boiling Spring Lakes, NC | 7.0 mi | 1,290 | 19% |
| Carolina Beach, NC | 13 mi | 1,351 | 21% |
| Shallotte, NC | 16 mi | 1,100 | 28% |
| Myrtle Grove, NC | 17 mi | 2,200 | 27% |
Medicare-certified home health agencies serving St. James
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Pruitthealth At Home - Brunswick | Leland, NC | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (910) 473-5104 |
| Well Care Home Health | Wilmington, NC | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (910) 362-9405 |
| Centerwell Home Health | Delco, NC | 25 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | — |
| Assistedcare Home Health Inc | Leland, NC | 23 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (225) 299-3990 |
| Adoration Home Health | Lenoir, NC | 238 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Nhrmc Home Care | Rocky Point, NC | 35 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Adoration Home Health | Elizabethtown, NC | 56 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
| Liberty Home Care | Supply, NC | 12 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (910) 754-8133 |
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 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 St. James
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 13% of the $9,754 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. North Carolina'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.
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 St. James: common questions
Which home health agencies serve St. James?
Medicare lists 8 certified agencies whose service area includes St. James ZIP codes. The highest-rated on Medicare’s quality stars include Pruitthealth At Home - Brunswick (4.5 of 5), Well Care Home Health (4.5 of 5), Centerwell Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in St. James?
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 13% of the $9,754 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. North Carolina'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 St. James
Home Health Aides in nearby cities
- Home Health Aides in Oak Island, NC
- Home Health Aides in Southport, NC
- Home Health Aides in Boiling Spring Lakes, NC
- Home Health Aides in Carolina Beach, NC
- Home Health Aides in Shallotte, NC
- Home Health Aides in Myrtle Grove, NC
- Home Health Aides in Silver Lake, NC
- Home Health Aides in Leland, NC
- Home Health Aides in Belville, NC
- Home Health Aides in Wilmington, NC
- Home Health Aides in Sunset Beach, NC
- Home Health Aides in Wrightsville Beach, NC
- Home Health Aides in Wrightsboro, NC
- Home Health Aides in Kings Grant, NC
- Home Health Aides in Carolina Shores, NC
- Home Health Aides in Northchase, NC
Other care in St. James
- Companion Care in St. James
- Dementia Care in St. James
- Respite Care in St. James
- Live-In Caregivers in St. James
- Post-Surgery Care in St. James
- Senior Transportation in St. James
- Nursing Assistants in St. James
- Personal Care in St. James
- Overnight Caregivers in St. James
- 24-Hour Home Care in St. James
- Mobility Assistance in St. James
- Parkinson’s Care in St. James
- Stroke Recovery Support in St. James
- Disability Care for Adults in St. James
- Hospice Support in St. James
- Senior Meal Preparation in St. James
- Senior Housekeeping in St. James
- Medication Reminders in St. James
- Veterans’ Home Care in St. James
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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