Respite Care in Hillsboro, IL: Breaks for Family Caregivers

Local figures

Respite Care in Hillsboro, IL: the local picture

862

residents 65 or older (15% of Hillsboro)

57%

of residents 65+ in households live with someone, often a family caregiver

33%

of residents 65+ report a disability (34% in Montgomery County)

10

Medicare-certified hospices serve Hillsboro ZIP codes

Most older adults in Hillsboro live with someone: 57% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.

About 247 Hillsboro residents aged 65 or older report a disability (33%) (34% in Montgomery County). Many of them rely on a spouse or adult child day to day.

Medicare lists 10 hospices serving Hillsboro ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Hillsboro compared with Montgomery County and Illinois

Census figure	Hillsboro	Montgomery County	Illinois
Residents 65+ with a disability	33%	34%	32%
Residents 65+ in households who live alone	43%	35%	30%
Residents 65 or older	15%	21%	17%
Residents 85 or older	1.8%	3.0%	2.0%
Residents 65+ below the poverty line (approx.)	12%	10%	10%
Households with no vehicle	6.7%	6.6%	11%
Median income, households headed by someone 65+	$34,957	$45,548	—

Older residents in towns around Hillsboro

Town	Distance	Residents 65+	65+ with a disability
Litchfield, IL	10 mi	1,682	41%
Gillespie, IL	19 mi	596	39%
Staunton, IL	20 mi	1,045	44%
Greenville, IL	21 mi	1,050	43%
Carlinville, IL	23 mi	1,334	47%
Vandalia, IL	24 mi	1,067	41%

Hospices serving Hillsboro

Hospice	Office	Distance	Phone
Bond County Health Department	Greenville, IL	20 mi	(618) 664-1442
Quad County Hospice	Pana, IL	25 mi	(217) 562-2131
Fayette County Health Department Hospice	Vandalia, IL	26 mi	(618) 283-1044
Osf Saint Anthony's Hospice	Alton, IL	41 mi	(618) 463-5683
Moments Hospice Of Springfield LLC	Springfield, IL	43 mi	(877) 666-3687

Nursing homes near Hillsboro (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillsboro Rehab & Hcc	Hillsboro, IL	1.6 mi	1 of 5	121	(217) 532-6191
Montgomery Nursing & Rehab Ctr	Hillsboro, IL	6.0 mi	4 of 5	110	(217) 532-6126
Litchfield Health & Rehab Center	Litchfield, IL	9.2 mi	4 of 5	92	(217) 324-2153
Avenues At Litchfield	Litchfield, IL	9.2 mi	4 of 5	65	(217) 324-3842

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

What it covers

What a respite caregiver can help with

Taking over the usual routine while you are away
Meals, medication reminders and personal care
Company and activities
Overnight cover for a weekend or a trip

Cost

What respite care costs in Hillsboro

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 54% of the $2,913 monthly median income of Hillsboro households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 respite caregiver

Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.

Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.

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

Questions

Respite Care in Hillsboro: common questions

Which hospices serve Hillsboro?

Medicare lists 10 hospices for Hillsboro ZIP codes, including Bond County Health Department, Quad County Hospice, Fayette County Health Department Hospice.

How much does respite care cost in Hillsboro?

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 54% of the $2,913 monthly median income of Hillsboro households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Does Medicaid or Medicare pay for respite care?

Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Hillsboro. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Illinois.

More near Hillsboro

More senior care near Hillsboro

Respite Care in nearby cities

Other care in Hillsboro

More for Hillsboro 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.

Respite Care in Hillsboro, IL