Home Health Aides in Union, OH
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Union for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Union, OH: the local picture
34 Medicare-certified home health agencies list Union 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 Ohio earn a median $16.57 an hour (BLS, May 2025), with the middle half between $14.49 and $17.64.
Union has about 1,469 residents aged 65 or older, 34% of whom report a disability.
Union compared with Montgomery County and Ohio
| Census figure | Union | Montgomery County | Ohio |
|---|---|---|---|
| Residents 65+ with a disability | 34% | 33% | 33% |
| Residents 65 or older | 21% | 19% | 18% |
| Residents 85 or older | 2.6% | 2.2% | 2.1% |
| Residents 65+ in households who live alone | 34% | 37% | 32% |
| Residents 65+ below the poverty line (approx.) | 3.0% | 11% | 10% |
| Residents 5+ who speak a language other than English at home | 1.4% | 7.3% | 8.0% |
| Median income, households headed by someone 65+ | $63,461 | $51,222 | — |
Older residents in towns around Union
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Englewood, OH | 3.0 mi | 3,173 | 28% |
| Clayton, OH | 3.1 mi | 2,965 | 33% |
| West Milton, OH | 4.0 mi | 981 | 19% |
| Vandalia, OH | 5.7 mi | 2,740 | 25% |
| Tipp City, OH | 6.9 mi | 2,152 | 46% |
| Shiloh, OH | 7.1 mi | 2,705 | 24% |
Medicare-certified home health agencies serving Union
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Fidelity Health Care | Moraine, OH | 15 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 208-6412 |
| Buckeye Home Health Care, LLC | Dayton, OH | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 291-3780 |
| Gem City Home Care, LLC | Dayton, OH | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 438-9100 |
| Horizon Home Healthcare, LLC | Vandalia, OH | 5.0 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 410-3838 |
| Ohioans Home Healthcare, Inc | Vandalia, OH | 5.0 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 264-9500 |
| Ohioans Home Healthcare, Inc | Perrysburg, OH | 119 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (419) 843-4422 |
| Kettering Homecare | Kettering, OH | 16 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 298-1111 |
| Bethany Village Home Health Care | Dayton, OH | 19 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (937) 436-7717 |
Straight-line miles from the center of Union. 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 Union
At the Ohio median aide wage of $16.57 an hour, 20 hours of help a week comes to about $1,436 a month in wages, which is 27% of the $5,288 monthly median income of Union households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Ohio's minimum wage is $11.00 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 Union: common questions
Which home health agencies serve Union?
Medicare lists 34 certified agencies whose service area includes Union ZIP codes. The highest-rated on Medicare’s quality stars include Fidelity Health Care (4.5 of 5), Buckeye Home Health Care, LLC (4.5 of 5), Gem City Home Care, LLC (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Union?
At the Ohio median aide wage of $16.57 an hour, 20 hours of help a week comes to about $1,436 a month in wages, which is 27% of the $5,288 monthly median income of Union households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Ohio's minimum wage is $11.00 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 Union
Home Health Aides in nearby cities
- Home Health Aides in Englewood, OH
- Home Health Aides in Clayton, OH
- Home Health Aides in West Milton, OH
- Home Health Aides in Vandalia, OH
- Home Health Aides in Tipp City, OH
- Home Health Aides in Shiloh, OH
- Home Health Aides in Fort McKinley, OH
- Home Health Aides in Brookville, OH
- Home Health Aides in Trotwood, OH
- Home Health Aides in Dayton, OH
- Home Health Aides in Troy, OH
- Home Health Aides in Huber Heights, OH
- Home Health Aides in Riverside, OH
- Home Health Aides in New Lebanon, OH
- Home Health Aides in Park Layne, OH
- Home Health Aides in New Carlisle, OH
Other care in Union
- Companion Care in Union
- Dementia Care in Union
- Respite Care in Union
- Live-In Caregivers in Union
- Post-Surgery Care in Union
- Senior Transportation in Union
- Nursing Assistants in Union
- Personal Care in Union
- Overnight Caregivers in Union
- 24-Hour Home Care in Union
- Mobility Assistance in Union
- Parkinson’s Care in Union
- Stroke Recovery Support in Union
- Disability Care for Adults in Union
- Hospice Support in Union
- Senior Meal Preparation in Union
- Senior Housekeeping in Union
- Medication Reminders in Union
- Veterans’ Home Care in Union
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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