In-Home Personal Care in Muscle Shoals, AL
Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in Muscle Shoals for free and hire a caregiver directly, with no agency mark-up.

Personal Care in Muscle Shoals, AL: the local picture
About 187 Muscle Shoals residents aged 65 or older have difficulty dressing or bathing (6.3%; 9.6% in Colbert County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
612 have serious difficulty walking or climbing stairs (21%), so many personal care visits also mean help getting to the bathroom or shower safely.
294 of the 3,033 older residents are 85 or older; needs for hands-on help rise with age.
Muscle Shoals compared with Colbert County and Alabama
| Census figure | Muscle Shoals | Colbert County | Alabama |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 6.3% | 9.6% | 7.9% |
| Residents 65+ with serious difficulty walking | 21% | 25% | 25% |
| Residents 85 or older | 1.7% | 2.0% | 1.7% |
| Residents 65+ with a disability | 34% | 41% | 38% |
| Residents 65+ in households who live alone | 30% | 29% | 29% |
| Residents 65+ below the poverty line (approx.) | 13% | 13% | 12% |
| Median income, households headed by someone 65+ | $42,463 | $41,996 | — |
Older residents in towns around Muscle Shoals
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Sheffield, AL | 3.7 mi | 2,392 | 12% |
| Tuscumbia, AL | 4.2 mi | 1,963 | 9.5% |
| Florence, AL | 6.2 mi | 7,294 | 10% |
| Underwood-Petersville, AL | 9.9 mi | 787 | 16% |
| Russellville, AL | 17 mi | 1,593 | 19% |
| Moulton, AL | 27 mi | 967 | 14% |
Home health agencies with aides serving Muscle Shoals
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Preferred Home Health | Florence, AL | 6.2 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 246-9972 |
| Amedisys Home Health Of Florence | Florence, AL | 6.2 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 766-1817 |
| Centerwell Home Health | Moulton, AL | 29 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 974-2741 |
| Enhabit Home Health | Decatur, AL | 38 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 355-5746 |
| Alabama Department Of Public Health Home Care | Montgomery, AL | 181 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (334) 206-5341 |
Straight-line miles from the center of Muscle Shoals. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a personal care aide can help with
- Bathing or showering, with a shower chair if needed
- Dressing and undressing
- Toileting and incontinence care
- Grooming: hair, shaving and oral care
What personal care costs in Muscle Shoals
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 33% of the $3,539 monthly median income of Muscle Shoals households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 personal care aide
The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.
Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Personal Care in Muscle Shoals: common questions
How much does personal care cost in Muscle Shoals?
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 33% of the $3,539 monthly median income of Muscle Shoals households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
What is the difference between personal care and companion care?
Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.
More senior care near Muscle Shoals
Personal Care in nearby cities
- Personal Care in Sheffield, AL
- Personal Care in Tuscumbia, AL
- Personal Care in Florence, AL
- Personal Care in Underwood-Petersville, AL
- Personal Care in Russellville, AL
- Personal Care in Moulton, AL
- Personal Care in Iuka, MS
- Personal Care in Trinity, AL
- Personal Care in Haleyville, AL
- Personal Care in Red Bay, AL
- Personal Care in Decatur, AL
- Personal Care in Athens, AL
- Personal Care in Lawrenceburg, TN
- Personal Care in Hartselle, AL
- Personal Care in Priceville, AL
- Personal Care in Hamilton, AL
Other care in Muscle Shoals
- Companion Care in Muscle Shoals
- Dementia Care in Muscle Shoals
- Respite Care in Muscle Shoals
- Live-In Caregivers in Muscle Shoals
- Post-Surgery Care in Muscle Shoals
- Senior Transportation in Muscle Shoals
- Home Health Aides in Muscle Shoals
- Nursing Assistants in Muscle Shoals
- Overnight Caregivers in Muscle Shoals
- 24-Hour Home Care in Muscle Shoals
- Mobility Assistance in Muscle Shoals
- Parkinson’s Care in Muscle Shoals
- Stroke Recovery Support in Muscle Shoals
- Disability Care for Adults in Muscle Shoals
- Hospice Support in Muscle Shoals
- Senior Meal Preparation in Muscle Shoals
- Senior Housekeeping in Muscle Shoals
- Medication Reminders in Muscle Shoals
- Veterans’ Home Care in Muscle Shoals
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.
Find personal care in Muscle Shoals
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