Respite Care in Smithsburg, MD
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in Smithsburg for free and hire a caregiver directly, with no agency mark-up.

Respite Care in Smithsburg, MD: the local picture
Most older adults in Smithsburg live with someone: 73% 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 92 Smithsburg residents aged 65 or older report a disability (26%) (32% in Washington County). Many of them rely on a spouse or adult child day to day.
Medicare lists 2 hospices serving Smithsburg ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
Smithsburg compared with Washington County and Maryland
| Census figure | Smithsburg | Washington County | Maryland |
|---|---|---|---|
| Residents 65+ with a disability | 26% | 32% | 30% |
| Residents 65+ in households who live alone | 27% | 28% | 27% |
| Residents 65 or older | 11% | 18% | 17% |
| Residents 85 or older | 0.4% | 2.1% | 1.9% |
| Residents 65+ below the poverty line (approx.) | 17% | 9.0% | 9.5% |
| Households with no vehicle | 1.2% | 7.7% | 8.8% |
| Median income, households headed by someone 65+ | $45,547 | $56,121 | — |
Older residents in towns around Smithsburg
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Robinwood, MD | 4.8 mi | 1,273 | 34% |
| Paramount-Long Meadow, MD | 6.2 mi | 468 | 22% |
| Wayne Heights, PA | 6.6 mi | 483 | 39% |
| Waynesboro, PA | 6.7 mi | 1,607 | 38% |
| Fountainhead-Orchard Hills, MD | 7.7 mi | 1,362 | 43% |
| Hagerstown, MD | 7.7 mi | 6,354 | 41% |
Hospices serving Smithsburg
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Hospice Of Washington County, Inc | Hagerstown, MD | 8.5 mi | (301) 791-6360 |
| Frederick Health Hospice | Frederick, MD | 13 mi | (240) 566-3030 |
Nursing homes near Smithsburg (ask about short stays)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Complete Care At Hagerstown | Hagerstown, MD | 6.5 mi | 1 of 5 | 60 | (301) 733-8700 |
| Hagerstown Healthcare Center | Hagerstown, MD | 6.9 mi | 2 of 5 | 140 | (301) 797-4020 |
| Western Md Hospital Center | Hagerstown, MD | 7.4 mi | 5 of 5 | 63 | (301) 745-4200 |
| Coffman Nursing Home | Hagerstown, MD | 7.4 mi | 3 of 5 | 59 | (301) 733-2914 |
Straight-line miles from the center of Smithsburg. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What respite care costs in Smithsburg
At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 42% of the $3,796 monthly median income of Smithsburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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.
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.
Respite Care in Smithsburg: common questions
Which hospices serve Smithsburg?
Medicare lists 2 hospices for Smithsburg ZIP codes, including Hospice Of Washington County, Inc, Frederick Health Hospice.
How much does respite care cost in Smithsburg?
At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 42% of the $3,796 monthly median income of Smithsburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland'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 Smithsburg. 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 Maryland.
More senior care near Smithsburg
Respite Care in nearby cities
- Respite Care in Robinwood, MD
- Respite Care in Paramount-Long Meadow, MD
- Respite Care in Wayne Heights, PA
- Respite Care in Waynesboro, PA
- Respite Care in Fountainhead-Orchard Hills, MD
- Respite Care in Hagerstown, MD
- Respite Care in Maugansville, MD
- Respite Care in State Line, PA
- Respite Care in Thurmont, MD
- Respite Care in Halfway, MD
- Respite Care in St. James, MD
- Respite Care in Boonsboro, MD
- Respite Care in Carroll Valley, PA
- Respite Care in Greencastle, PA
- Respite Care in Emmitsburg, MD
- Respite Care in Middletown, MD
Other care in Smithsburg
- Companion Care in Smithsburg
- Dementia Care in Smithsburg
- Live-In Caregivers in Smithsburg
- Post-Surgery Care in Smithsburg
- Senior Transportation in Smithsburg
- Home Health Aides in Smithsburg
- Nursing Assistants in Smithsburg
- Personal Care in Smithsburg
- Overnight Caregivers in Smithsburg
- 24-Hour Home Care in Smithsburg
- Mobility Assistance in Smithsburg
- Parkinson’s Care in Smithsburg
- Stroke Recovery Support in Smithsburg
- Disability Care for Adults in Smithsburg
- Hospice Support in Smithsburg
- Senior Meal Preparation in Smithsburg
- Senior Housekeeping in Smithsburg
- Medication Reminders in Smithsburg
- Veterans’ Home Care in Smithsburg
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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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