Live-In Caregivers in Alexander City, AL
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 Alexander City for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Alexander City, AL: the local picture
About 315 Alexander City 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. 64% of homes in Alexander City have three or more bedrooms (71% in Tallapoosa County), while 7.3% have one bedroom or none, where live-in care rarely works; the median home has 5.7 rooms.
Of Alexander City households headed by someone 65 or older, 1,539 own their home and 438 rent; among householders 85 and older it is 125 owners and 55 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Alexander City compared with Tallapoosa County and Alabama
| Census figure | Alexander City | Tallapoosa County | Alabama |
|---|---|---|---|
| Residents 85 or older | 2.2% | 1.9% | 1.7% |
| Residents 65+ in households who live alone | 37% | 30% | 29% |
| Residents 65+ with a disability | 41% | 45% | 38% |
| Residents 65+ below the poverty line (approx.) | 18% | 14% | 12% |
| Residents 65 or older | 22% | 23% | 18% |
| Residents 5+ who speak a language other than English at home | 7.2% | 3.8% | 6.0% |
| Median income, households headed by someone 65+ | $29,666 | $43,613 | — |
Older residents in towns around Alexander City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Dadeville, AL | 11 mi | 549 | 110 |
| Tallassee, AL | 27 mi | 1,084 | 82 |
| Sylacauga, AL | 27 mi | 2,438 | 276 |
| Lineville, AL | 29 mi | 686 | 50 |
| Holtville, AL | 30 mi | 697 | 81 |
| Wetumpka, AL | 30 mi | 1,134 | 93 |
Emergency hospitals near Alexander City
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Russell Medical Center | Alexander City, AL | 0.2 mi | 3 of 5 | (256) 329-7100 |
| Lake Martin Community Hospital | Dadeville, AL | 12 mi | not rated | (256) 825-7821 |
| Clay County Hospital | Ashland, AL | 24 mi | not rated | (256) 354-2131 |
Straight-line miles from the center of Alexander City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Alexander City
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (117% of the $2,472 monthly median income of Alexander City households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (394% of the $2,472 monthly median income of Alexander City households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 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.
Live-In Caregivers in Alexander City: common questions
Where is the nearest emergency hospital to Alexander City?
Russell Medical Center in Alexander City, about 0.2 mi in a straight line from the center of Alexander City (Medicare hospital file). Its listed phone number is (256) 329-7100. In an emergency, call 911.
How much does live-in care cost in Alexander City?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (117% of the $2,472 monthly median income of Alexander City households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (394% of the $2,472 monthly median income of Alexander City households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
Live-in or 24-hour care in Alexander City?
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 Alexander City 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 senior care near Alexander City
Live-In Caregivers in nearby cities
- Live-In Caregivers in Dadeville, AL
- Live-In Caregivers in Tallassee, AL
- Live-In Caregivers in Sylacauga, AL
- Live-In Caregivers in Lineville, AL
- Live-In Caregivers in Holtville, AL
- Live-In Caregivers in Wetumpka, AL
- Live-In Caregivers in La Fayette, AL
- Live-In Caregivers in Redland, AL
- Live-In Caregivers in Auburn, AL
- Live-In Caregivers in Emerald Mountain, AL
- Live-In Caregivers in Childersburg, AL
- Live-In Caregivers in Roanoke, AL
- Live-In Caregivers in Talladega, AL
- Live-In Caregivers in Opelika, AL
- Live-In Caregivers in Tuskegee, AL
- Live-In Caregivers in Pine Level, AL
Other care in Alexander City
- Companion Care in Alexander City
- Dementia Care in Alexander City
- Respite Care in Alexander City
- Post-Surgery Care in Alexander City
- Senior Transportation in Alexander City
- Home Health Aides in Alexander City
- Nursing Assistants in Alexander City
- Personal Care in Alexander City
- Overnight Caregivers in Alexander City
- 24-Hour Home Care in Alexander City
- Mobility Assistance in Alexander City
- Parkinson’s Care in Alexander City
- Stroke Recovery Support in Alexander City
- Disability Care for Adults in Alexander City
- Hospice Support in Alexander City
- Senior Meal Preparation in Alexander City
- Senior Housekeeping in Alexander City
- Medication Reminders in Alexander City
- Veterans’ Home Care in Alexander City
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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