Home Health Aides in St. Paul, NE
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. Paul for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in St. Paul, NE: the local picture
5 Medicare-certified home health agencies list St. Paul ZIP codes in their service area; the highest-rated are below, and 5 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 Nebraska earn a median $17.38 an hour (BLS, May 2025), with the middle half between $16.47 and $18.54.
St. Paul has about 697 residents aged 65 or older, 50% of whom report a disability.
St. Paul compared with Howard County and Nebraska
| Census figure | St. Paul | Howard County | Nebraska |
|---|---|---|---|
| Residents 65+ with a disability | 50% | 40% | 32% |
| Residents 65 or older | 25% | 23% | 17% |
| Residents 85 or older | 6.2% | 3.3% | 2.0% |
| Residents 65+ in households who live alone | 33% | 28% | 31% |
| Residents 65+ below the poverty line (approx.) | 5.4% | 7.7% | 9.2% |
| Residents 5+ who speak a language other than English at home | 3.2% | 2.5% | 13% |
| Median income, households headed by someone 65+ | $40,250 | $54,107 | — |
Older residents in towns around St. Paul
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Grand Island, NE | 21 mi | 7,806 | 35% |
| Central City, NE | 25 mi | 641 | 45% |
| Aurora, NE | 34 mi | 976 | 25% |
| Hastings, NE | 43 mi | 4,646 | 36% |
| Kearney, NE | 48 mi | 5,546 | 29% |
| York, NE | 51 mi | 1,607 | 45% |
Medicare-certified home health agencies serving St. Paul
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Good Samaritan Society Home Health | Hastings, NE | 43 mi | 5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (308) 382-4054 |
| Chi Health At Home - Grand Island | Grand Island, NE | 20 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (308) 398-2600 |
| Angels Care Progressive Home Health | Grand Island, NE | 21 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (308) 589-0170 |
| Brookestone Home Health & Hospice | Kearney, NE | 47 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (308) 995-4375 |
| Vchs Home Health | Ord, NE | 36 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (308) 728-4355 |
Straight-line miles from the center of St. Paul. 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. Paul
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska'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 St. Paul: common questions
Which home health agencies serve St. Paul?
Medicare lists 5 certified agencies whose service area includes St. Paul ZIP codes. The highest-rated on Medicare’s quality stars include Good Samaritan Society Home Health (5 of 5), Chi Health At Home - Grand Island (4.5 of 5), Angels Care Progressive Home Health (4 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in St. Paul?
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska'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 St. Paul
Home Health Aides in nearby cities
- Home Health Aides in Grand Island, NE
- Home Health Aides in Central City, NE
- Home Health Aides in Aurora, NE
- Home Health Aides in Hastings, NE
- Home Health Aides in Kearney, NE
- Home Health Aides in York, NE
- Home Health Aides in Minden, NE
- Home Health Aides in Columbus, NE
- Home Health Aides in Broken Bow, NE
- Home Health Aides in David City, NE
Other care in St. Paul
- Companion Care in St. Paul
- Dementia Care in St. Paul
- Respite Care in St. Paul
- Live-In Caregivers in St. Paul
- Post-Surgery Care in St. Paul
- Senior Transportation in St. Paul
- Nursing Assistants in St. Paul
- Personal Care in St. Paul
- Overnight Caregivers in St. Paul
- 24-Hour Home Care in St. Paul
- Mobility Assistance in St. Paul
- Parkinson’s Care in St. Paul
- Stroke Recovery Support in St. Paul
- Disability Care for Adults in St. Paul
- Hospice Support in St. Paul
- Senior Meal Preparation in St. Paul
- Senior Housekeeping in St. Paul
- Medication Reminders in St. Paul
- Veterans’ Home Care in St. Paul
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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