CNA Home Care in Elma, WA: Nursing Assistants

Local figures

Nursing Assistants in Elma, WA: the local picture

6+

Medicare-certified nursing homes within 25 miles

590

certified beds in the 6 nearest nursing homes

$22.95

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

$17.13

Washington minimum wage per hour

The nearest Medicare-certified nursing homes to Elma are Montesano Health-Rehab Center in Montesano (8.5 mi), Grays Harbor Health & Rehabilitation Center in Aberdeen (21 mi), Fir Lane Care in Shelton (21 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.

Aides in Washington earn a median $22.95 an hour (BLS, May 2025, home health and personal care aides). Washington's minimum wage is $17.13 an hour (U.S. Department of Labor table, updated July 1, 2026).

Elma has about 55 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Elma compared with Grays Harbor County and Washington

Census figure	Elma	Grays Harbor County	Washington
Residents 85 or older	1.6%	2.0%	1.8%
Residents 65+ with a disability	42%	40%	33%
Residents 65 or older	16%	23%	17%
Residents 65+ in households who live alone	37%	30%	26%
Residents 65+ below the poverty line (approx.)	8.1%	10%	8.9%
Households with no vehicle	4.0%	5.4%	7.1%
Median income, households headed by someone 65+	$61,375	$49,629	—

Older residents in towns around Elma

Town	Distance	Residents 65+	Residents 85+
Montesano, WA	8.3 mi	963	117
Central Park, WA	14 mi	529	20
Aberdeen, WA	19 mi	3,211	433
Shelton, WA	21 mi	1,466	212
Rochester, WA	21 mi	1,061	118
Tumwater, WA	23 mi	4,204	457

Nursing homes near Elma

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Montesano Health-Rehab Center	Montesano, WA	8.5 mi	5 of 5	94	(360) 249-2273
Grays Harbor Health & Rehabilitation Center	Aberdeen, WA	21 mi	4 of 5	105	(360) 532-5122
Fir Lane Care	Shelton, WA	21 mi	2 of 5	135	(360) 426-1651
Shelton Health And Rehabilitation	Shelton, WA	21 mi	2 of 5	76	(360) 427-2575
Pacific Care And Rehabilitation	Hoquiam, WA	21 mi	5 of 5	72	(360) 532-7882
Puget Sound Care	Olympia, WA	22 mi	4 of 5	108	(360) 754-9792

Home health agencies serving Elma

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Harbors Home Health / Hospice	Hoquiam, WA	22 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 532-5454
Assured Home Health And Hospice	Centralia, WA	29 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 330-2640

Straight-line miles from the center of Elma. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a nursing assistant can help with

Bathing, dressing, grooming and toileting
Safe transfers, repositioning and walking
Help with eating and fluids
Taking and noting vital signs if asked

Cost

What CNAs costs in Elma

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 39% of the $5,115 monthly median income of Elma households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 nursing assistant

To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.

Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.

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

Questions

Nursing Assistants in Elma: common questions

What nursing homes are near Elma?

The closest Medicare-certified nursing homes are Montesano Health-Rehab Center in Montesano (8.5 mi, 5 of 5 overall); Grays Harbor Health & Rehabilitation Center in Aberdeen (21 mi, 4 of 5 overall); Fir Lane Care in Shelton (21 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Elma?

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 39% of the $5,115 monthly median income of Elma households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can a CNA give medication?

Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.

More near Elma

More senior care near Elma

Nursing Assistants in nearby cities

Other care in Elma

More for Elma 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.

Certified Nursing Assistants (CNAs) for Home Care in Elma, WA