Alexander City, Alabama

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.

A caregiver helping an older man with a meal at a kitchen table
Local figures

Live-In Caregivers in Alexander City, AL: the local picture

315
residents 85 or older (2.2% of all residents)
1,539
households headed by someone 65+ own their home (78%)
64%
of Alexander City homes have 3 or more bedrooms (71% in Tallapoosa County)
$7.25
Alabama minimum wage per hour

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 figureAlexander CityTallapoosa CountyAlabama
Residents 85 or older2.2%1.9%1.7%
Residents 65+ in households who live alone37%30%29%
Residents 65+ with a disability41%45%38%
Residents 65+ below the poverty line (approx.)18%14%12%
Residents 65 or older22%23%18%
Residents 5+ who speak a language other than English at home7.2%3.8%6.0%
Median income, households headed by someone 65+$29,666$43,613—

Older residents in towns around Alexander City

TownDistanceResidents 65+Residents 85+
Dadeville, AL11 mi549110
Tallassee, AL27 mi1,08482
Sylacauga, AL27 mi2,438276
Lineville, AL29 mi68650
Holtville, AL30 mi69781
Wetumpka, AL30 mi1,13493

Emergency hospitals near Alexander City

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Russell Medical CenterAlexander City, AL0.2 mi3 of 5(256) 329-7100
Lake Martin Community HospitalDadeville, AL12 minot rated(256) 825-7821
Clay County HospitalAshland, AL24 minot 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 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 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.

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 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 near Alexander City

More senior care near Alexander City

Live-In Caregivers in nearby cities

Other care in Alexander City

More for Alexander City 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.

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