Live-In Caregivers in Adams, MA: 24-Hour Home Care

Local figures

Live-In Caregivers in Adams, MA: the local picture

262

residents 85 or older (4.8% of all residents)

678

households headed by someone 65+ own their home (64%)

45%

of Adams homes have 3 or more bedrooms (61% in Berkshire County)

$15.00

Massachusetts minimum wage per hour

About 262 Adams residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 45% of homes in Adams have three or more bedrooms (61% in Berkshire County), while 18% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of Adams households headed by someone 65 or older, 678 own their home and 380 rent; among householders 85 and older it is 104 owners and 127 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Adams compared with Berkshire County and Massachusetts

Census figure	Adams	Berkshire County	Massachusetts
Residents 85 or older	4.8%	3.2%	2.2%
Residents 65+ in households who live alone	53%	33%	29%
Residents 65+ with a disability	27%	27%	30%
Residents 65+ below the poverty line (approx.)	15%	8.4%	11%
Residents 65 or older	25%	25%	18%
Residents 5+ who speak a language other than English at home	4.8%	8.1%	25%
Median income, households headed by someone 65+	$38,185	$59,265	—

Older residents in towns around Adams

Town	Distance	Residents 65+	Residents 85+
North Adams, MA	3.2 mi	2,727	276
Williamstown, MA	6.9 mi	764	109
Pittsfield, MA	14 mi	8,425	946
Bennington, VT	17 mi	2,486	551
Hoosick Falls, NY	22 mi	911	194
West Sand Lake, NY	24 mi	637	7

Emergency hospitals near Adams

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
North Adams Regional Hospital Corporation	North Adams, MA	5.0 mi	not rated	(413) 664-5000
Berkshire Medical Center	Pittsfield, MA	14 mi	4 of 5	(413) 447-2000
Southwestern Vermont Medical Center	Bennington, VT	18 mi	3 of 5	(802) 442-6361

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

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Adams

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.67 an hour (the Massachusetts median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,262 a month (134% of the $3,182 monthly median income of Adams households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $14,320 a month (450% of the $3,182 monthly median income of Adams households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Massachusetts'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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in Adams: common questions

Where is the nearest emergency hospital to Adams?

North Adams Regional Hospital Corporation in North Adams, about 5.0 mi in a straight line from the center of Adams (Medicare hospital file). Its listed phone number is (413) 664-5000. In an emergency, call 911.

How much does live-in care cost in Adams?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.67 an hour (the Massachusetts median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,262 a month (134% of the $3,182 monthly median income of Adams households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $14,320 a month (450% of the $3,182 monthly median income of Adams households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Massachusetts's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Adams?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Adams it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Adams

More senior care near Adams

Live-In Caregivers in nearby cities

Other care in Adams

More for Adams 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.

Live-In Caregivers in Adams, MA