Hospice Support in St. James, NC: Caregivers at Home

Local figures

Hospice Support in St. James, NC: the local picture

7

Medicare-certified hospices serve St. James ZIP codes

108

residents 85 or older (1.5% of all residents)

8.4%

of residents 65+ in households live alone (20% in Brunswick County)

13%

of residents 65+ report a disability (24% in Brunswick County)

Medicare lists 7 hospices whose service area includes St. James ZIP codes, the nearest offices being Lower Cape Fear Lifecare in Wilmington (21 mi) and Liberty Home Care And Hospice in Wilmington (23 mi).

373 St. James residents 65 or older live alone (8.4% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

St. James compared with Brunswick County and North Carolina

Census figure	St. James	Brunswick County	North Carolina
Residents 85 or older	1.5%	2.0%	1.7%
Residents 65+ in households who live alone	8.4%	20%	28%
Residents 65+ with a disability	13%	24%	33%
Residents 65+ with difficulty dressing or bathing	2.3%	3.0%	6.6%
Residents 65 or older	63%	34%	17%
Residents 65+ below the poverty line (approx.)	0.6%	5.7%	11%
Median income, households headed by someone 65+	$117,045	$69,925	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Live alone (65+)
Oak Island, NC	2.4 mi	3,796	24%
Southport, NC	5.3 mi	2,014	16%
Boiling Spring Lakes, NC	7.0 mi	1,290	24%
Carolina Beach, NC	13 mi	1,351	18%
Shallotte, NC	16 mi	1,100	37%
Myrtle Grove, NC	17 mi	2,200	21%

Hospices serving St. James

Hospice	Office	Distance	Phone
Lower Cape Fear Lifecare	Wilmington, NC	21 mi	(910) 796-7900
Liberty Home Care And Hospice	Wilmington, NC	23 mi	(910) 251-8111
Amedisys Hospice Care	Pembroke, NC	81 mi	(855) 809-0997
Gentiva	Fayetteville, NC	92 mi	(910) 323-9816
Amedisys Hospice Of South Carolina	Florence, SC	97 mi	(803) 774-4036
3HC	Goldsboro, NC	99 mi	(919) 735-5887

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 caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support 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.

Before you hire

What to know before hiring a caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Hospice Support in St. James: common questions

How much does hospice support 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near St. James

More senior care near St. James

Hospice Support 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.

In-Home Hospice Support in St. James, NC