Akwesasne, New York

Live-In Caregivers in Akwesasne, NY

A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Akwesasne for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Live-In Caregivers in Akwesasne, NY: the local picture

23
residents 85 or older (0.6% of all residents)
293
households headed by someone 65+ own their home (67%)
75%
of Akwesasne homes have 3 or more bedrooms (61% in Franklin County)
$17.00
top New York minimum wage tier per hour

About 23 Akwesasne 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. 75% of homes in Akwesasne have three or more bedrooms (61% in Franklin County); the median home has 6.6 rooms.

Of Akwesasne households headed by someone 65 or older, 293 own their home and 144 rent; among householders 85 and older it is 3 owners and 18 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Akwesasne compared with Franklin County and New York

Census figureAkwesasneFranklin CountyNew York
Residents 85 or older0.6%1.7%2.2%
Residents 65+ in households who live alone26%31%29%
Residents 65+ with a disability45%35%32%
Residents 65+ below the poverty line (approx.)18%11%13%
Residents 65 or older17%20%18%
Residents 5+ who speak a language other than English at home27%7.0%31%
Median income, households headed by someone 65+$50,598$47,367—

Older residents in towns around Akwesasne

TownDistanceResidents 65+Residents 85+
Massena, NY11 mi2,091320
Malone, NY20 mi99584
Potsdam, NY26 mi845292
Canton, NY35 mi93146
Ogdensburg, NY43 mi1,561261
Dannemora, NY49 mi13114

Emergency hospitals near Akwesasne

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Slhs Massena, IncMassena, NY11 minot rated(315) 769-4234
The University Of Vermont Health Network-Alice HyMalone, NY20 mi1 of 5(518) 481-2458
Canton-Potsdam HospitalPotsdam, NY26 mi2 of 5(315) 265-3300

Straight-line miles from the center of Akwesasne. 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 Akwesasne

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.05 an hour (the New York median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,128 a month (98% of the $4,217 monthly median income of Akwesasne households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,868 a month (329% of the $4,217 monthly median income of Akwesasne households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Akwesasne: common questions

Where is the nearest emergency hospital to Akwesasne?

Slhs Massena, Inc in Massena, about 11 mi in a straight line from the center of Akwesasne (Medicare hospital file). Its listed phone number is (315) 769-4234. In an emergency, call 911.

How much does live-in care cost in Akwesasne?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.05 an hour (the New York median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,128 a month (98% of the $4,217 monthly median income of Akwesasne households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,868 a month (329% of the $4,217 monthly median income of Akwesasne households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Akwesasne?

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 Akwesasne 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.

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.

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