Certified Nursing Assistants (CNAs) for Home Care in St. James, NC
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in St. James for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in St. James, NC: the local picture
The nearest Medicare-certified nursing homes to St. James are Liberty Commons Nursing & Rehab Center Of Southpor in Southport (4.7 mi), Bolivia Rehabilitation And Healthcare Center in Bolivia (10 mi), Autumn Care Of Shallotte in Shallotte (17 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in North Carolina earn a median $15.02 an hour (BLS, May 2025, home health and personal care aides). North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
St. James has about 108 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
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+ with a disability | 13% | 24% | 33% |
| Residents 65 or older | 63% | 34% | 17% |
| Residents 65+ in households who live alone | 8.4% | 20% | 28% |
| Residents 65+ below the poverty line (approx.) | 0.6% | 5.7% | 11% |
| Households with no vehicle | 0.0% | 2.4% | 5.3% |
| Median income, households headed by someone 65+ | $117,045 | $69,925 | — |
Older residents in towns around St. James
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Oak Island, NC | 2.4 mi | 3,796 | 147 |
| Southport, NC | 5.3 mi | 2,014 | 294 |
| Boiling Spring Lakes, NC | 7.0 mi | 1,290 | 58 |
| Carolina Beach, NC | 13 mi | 1,351 | 50 |
| Shallotte, NC | 16 mi | 1,100 | 137 |
| Myrtle Grove, NC | 17 mi | 2,200 | 166 |
Nursing homes near St. James
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Liberty Commons Nursing & Rehab Center Of Southpor | Southport, NC | 4.7 mi | 3 of 5 | 99 | (910) 457-9581 |
| Bolivia Rehabilitation And Healthcare Center | Bolivia, NC | 10 mi | 1 of 5 | 90 | (910) 755-5955 |
| Autumn Care Of Shallotte | Shallotte, NC | 17 mi | 2 of 5 | 100 | (910) 754-8858 |
| Autumn Care Of Myrtle Grove | Wilmington, NC | 17 mi | 1 of 5 | 90 | (910) 792-1455 |
| Brunswick Cove Nursing Center | Winnabow, NC | 18 mi | 2 of 5 | 175 | (910) 371-9894 |
| Trinity Grove | Wilmington, NC | 18 mi | 3 of 5 | 100 | (910) 442-3000 |
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 | — |
| Adoration Home Health | Lenoir, NC | 238 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | — |
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 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
What CNAs 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 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.
Nursing Assistants in St. James: common questions
What nursing homes are near St. James?
The closest Medicare-certified nursing homes are Liberty Commons Nursing & Rehab Center Of Southpor in Southport (4.7 mi, 3 of 5 overall); Bolivia Rehabilitation And Healthcare Center in Bolivia (10 mi, 1 of 5 overall); Autumn Care Of Shallotte in Shallotte (17 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs 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).
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 senior care near St. James
Nursing Assistants in nearby cities
- Nursing Assistants in Oak Island, NC
- Nursing Assistants in Southport, NC
- Nursing Assistants in Boiling Spring Lakes, NC
- Nursing Assistants in Carolina Beach, NC
- Nursing Assistants in Shallotte, NC
- Nursing Assistants in Myrtle Grove, NC
- Nursing Assistants in Silver Lake, NC
- Nursing Assistants in Leland, NC
- Nursing Assistants in Belville, NC
- Nursing Assistants in Wilmington, NC
- Nursing Assistants in Sunset Beach, NC
- Nursing Assistants in Wrightsville Beach, NC
- Nursing Assistants in Wrightsboro, NC
- Nursing Assistants in Kings Grant, NC
- Nursing Assistants in Carolina Shores, NC
- Nursing Assistants in Northchase, NC
Other 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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