Muscle Shoals, Alabama

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.

A woman and an older man talking across a wooden table at home
Local figures

Personal Care in Muscle Shoals, AL: the local picture

6.3%
of residents 65+ have difficulty dressing or bathing (9.6% in Colbert County)
21%
of residents 65+ have serious difficulty walking or climbing stairs (25% in Colbert County)
294
residents 85 or older (1.7% of all residents)
6
Medicare-certified home health agencies list Muscle Shoals ZIP codes in their service area

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 figureMuscle ShoalsColbert CountyAlabama
Residents 65+ with difficulty dressing or bathing6.3%9.6%7.9%
Residents 65+ with serious difficulty walking21%25%25%
Residents 85 or older1.7%2.0%1.7%
Residents 65+ with a disability34%41%38%
Residents 65+ in households who live alone30%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

TownDistanceResidents 65+Self-care difficulty (65+)
Sheffield, AL3.7 mi2,39212%
Tuscumbia, AL4.2 mi1,9639.5%
Florence, AL6.2 mi7,29410%
Underwood-Petersville, AL9.9 mi78716%
Russellville, AL17 mi1,59319%
Moulton, AL27 mi96714%

Home health agencies with aides serving Muscle Shoals

AgencyOfficeDistanceCMS quality starsServices listedPhone
Preferred Home HealthFlorence, AL6.2 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(256) 246-9972
Amedisys Home Health Of FlorenceFlorence, AL6.2 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(256) 766-1817
Centerwell Home HealthMoulton, AL29 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(256) 974-2741
Enhabit Home HealthDecatur, AL38 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(256) 355-5746
Alabama Department Of Public Health Home CareMontgomery, AL181 mi3 of 5nursing, 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 it covers

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
Cost

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.

Before you hire

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.

Questions

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.

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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