Permanent Home Health Nurse Salary by State
2025 Home Health Nurse Salary Guide: What RNs Earn by State
As more patients choose to receive care at home, demand for permanent home health nurses continues to rise in 2025. Yet, the sector faces persistent staffing shortages, made worse by pandemic-era burnout and an aging workforce. Home health remains one of the fastest-growing areas in healthcare — but also one of the most financially under-supported in many states.
Despite the challenges, permanent home health nursing offers flexible hours, stronger patient relationships, and the chance to deliver care outside the hospital system. But how does it compare when it comes to pay?
🏡 What Is Home Health Care?
Home health nurses provide medical care to patients where they live — most commonly in private homes, but also in assisted living facilities, senior communities, and long-term care environments. While often associated with elderly care, home health RNs serve patients of all ages, including those recovering from surgery, managing chronic conditions, or receiving palliative care.
💸 What Home Health Nurses Make in 2025
According to the latest U.S. Bureau of Labor Statistics estimates and 2025 salary tracking from Goodwork partners, the average hourly wage for permanent home health nurses is $37.24, translating to roughly $1,489/week for a 40-hour workweek. But geographic location plays a major role — with some states offering more than double the pay of others.
📍 Home Health RN Pay by State (Selected Highlights)
| State | Avg. Hourly | Avg. Weekly | Max Hourly | Max Weekly |
|---|---|---|---|---|
| California | $54.44 | $2,177.60 | $95 | $3,800 |
| Hawaii | $50.03 | $2,001.20 | $64 | $2,560 |
| Massachusetts | $44.79 | $1,791.60 | $100 | $4,000 |
| Oregon | $44.69 | $1,787.60 | $60 | $2,400 |
| Alaska | $43.51 | $1,740.40 | $61 | $2,440 |
| … | … | … | … | … |
| Arkansas | $24.61 | $984.40 | $42 | $1,680 |
| Missouri | $25.80 | $1,032.00 | $43 | $1,720 |
| Indiana | $28.33 | $1,133.20 | $50 | $2,000 |
👉 Want the full 50-state breakdown in a sortable format? Explore home health RN jobs and pay by location
💼 Top-Paying States in 2025
These are the five highest-paying states for permanent home health nurses this year:
- California – $2,177/week average
- Hawaii – $2,001/week average
- Massachusetts – $1,791/week average
- Oregon – $1,787/week average
- Alaska – $1,740/week average
These wages rival or exceed those of many hospital-based med-surg roles.
⚠️ States With the Lowest Home Health RN Wages
Nurses in the following states earn significantly below national averages, often $5–$7/hour less than their med-surg counterparts:
- Arkansas – $984/week
- Missouri – $1,032/week
- Indiana – $1,133/week
- South Dakota – $1,145/week
- Pennsylvania – $1,102/week
🏥 Top-Paying Facilities and Agencies
Some of the best wages in home health nursing come from specific facilities and staffing agencies, often in metro regions or hard-to-fill rural assignments.
Top Facilities by Weekly Pay
| Facility | Avg. Hourly | Avg. Weekly |
|---|---|---|
| Facility A | $46 | $1,840 |
| Facility B | $45 | $1,800 |
| Facility C | $44 | $1,760 |
| Facility D | $43 | $1,720 |
| Facility E | $42 | $1,680 |
Top Agencies for Permanent Home Health Roles
| Agency | Avg. Hourly | Avg. Weekly |
|---|---|---|
| Agency A | $56 | $2,240 |
| Agency B | $48 | $1,920 |
| Agency C | $46 | $1,840 |
| Agency D | $45 | $1,800 |
🧠 Goodwork Insight
While permanent home health roles often pay slightly less than hospital jobs, they offer greater autonomy, stronger continuity of care, and better work-life flexibility — all of which remain top priorities for nurses in 2025.
With thousands of vetted home health roles live now, and recruiters who only pay once a nurse is hired, Goodwork is the most efficient way to match great clinicians with great jobs.