Personal Care in Michigan: $29–$37/hr — What Each ADL Costs
Last Reviewed by Austin Adair · April 2026
Personal care in Southeast Michigan runs $29–$37 per hour as an industry average. It's hands-on help with the activities of daily living — bathing, dressing, toileting, transfers, mobility, and medication reminders. The rate is higher than companion care because of transfer mechanics and infection-control training.
The Six Personal-Care ADLs
Personal care covers the six activities of daily living: bathing and hygiene, dressing and grooming, toileting and continence support, safe transfers and mobility, feeding assistance, and medication reminders. Needing help with any two ADLs is the typical threshold for stepping up from companion care to personal care at $29 to $37 per hour.
Bathing & hygiene
Sponge bath, shower assistance, oral care, hair washing. The most-requested ADL.
Dressing
Choosing weather-appropriate clothing, assisting with buttons/zippers, compression sock application.
Toileting & continence
Bathroom escorts, incontinence-product changes, perineal care, dignity protocols.
Mobility & transfers
Bed-to-chair transfers, gait-belt assistance, walker/wheelchair coordination, fall-prevention positioning.
Medication reminders
Reminders only — caregivers do NOT administer or dispense medication. We coordinate with the family/pharmacist on the schedule.
Eating & feeding cues
Meal setup, hand-over-hand feeding when needed, hydration tracking, swallowing precautions per family/SLP.
What a Real Weekly Plan Costs
A real personal-care weekly plan in Southeast Michigan runs about $348 to $444 for 12 hours (three morning bath visits), around $580 to $740 for 20 hours of daily support, and roughly $1,160 to $1,480 for 40 hours of twice-daily visits, at the 2026 $29 to $37 hourly personal-care rate.
12 hrs/week — 3 morning bath visits
~$18,000 – $23,000/year
$348 – $444/week
20 hrs/week — daily 4-hr visits
~$30,000 – $38,500/year
$580 – $740/week
40 hrs/week — twice-daily care
~$60,000 – $77,000/year
$1,160 – $1,480/week
60 hrs/week — heavy ADL needs
~$90,500 – $115,500/year
$1,740 – $2,220/week
When personal care plus overnight needs cross the 60+ hr/week mark, families typically evaluate live-in care or 24-hour shift care as the more economical structure.
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