Live-In Caregivers in Alexandria, MN: 24-Hour Home Care

Local figures

Live-In Caregivers in Alexandria, MN: the local picture

713

residents 85 or older (4.8% of all residents)

1,354

households headed by someone 65+ own their home (59%)

51%

of Alexandria homes have 3 or more bedrooms (66% in Douglas County)

$11.41

Minnesota minimum wage per hour

About 713 Alexandria 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. 51% of homes in Alexandria have three or more bedrooms (66% in Douglas County), while 14% have one bedroom or none, where live-in care rarely works; the median home has 5.6 rooms.

Of Alexandria households headed by someone 65 or older, 1,354 own their home and 952 rent; among householders 85 and older it is 89 owners and 327 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Alexandria compared with Douglas County and Minnesota

Census figure	Alexandria	Douglas County	Minnesota
Residents 85 or older	4.8%	3.2%	2.1%
Residents 65+ in households who live alone	38%	27%	30%
Residents 65+ with a disability	31%	25%	28%
Residents 65+ below the poverty line (approx.)	10%	8.7%	8.8%
Residents 65 or older	24%	24%	17%
Residents 5+ who speak a language other than English at home	4.4%	2.5%	12%
Median income, households headed by someone 65+	$49,867	$57,355	—

Older residents in towns around Alexandria

Town	Distance	Residents 65+	Residents 85+
Glenwood, MN	15 mi	706	148
Sauk Centre, MN	23 mi	1,171	355
Long Prairie, MN	26 mi	887	179
Melrose, MN	30 mi	850	87
Morris, MN	32 mi	804	184
Benson, MN	40 mi	774	188

Emergency hospitals near Alexandria

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Alomere Health	Alexandria, MN	0.4 mi	4 of 5	(320) 762-1511
Glacial Ridge Hospital	Glenwood, MN	16 mi	4 of 5	(320) 634-4521
Centracare Health System - Sauk Centre	Sauk Centre, MN	22 mi	not rated	(320) 352-2221

Straight-line miles from the center of Alexandria. 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 Alexandria

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.45 an hour (the Minnesota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,998 a month (96% of the $4,156 monthly median income of Alexandria households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,432 a month (323% of the $4,156 monthly median income of Alexandria households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Minnesota's minimum wage is $11.41 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 Alexandria: common questions

Where is the nearest emergency hospital to Alexandria?

Alomere Health in Alexandria, about 0.4 mi in a straight line from the center of Alexandria (Medicare hospital file). Its listed phone number is (320) 762-1511. In an emergency, call 911.

How much does live-in care cost in Alexandria?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.45 an hour (the Minnesota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,998 a month (96% of the $4,156 monthly median income of Alexandria households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,432 a month (323% of the $4,156 monthly median income of Alexandria households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Minnesota's minimum wage is $11.41 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Alexandria?

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 Alexandria 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 Alexandria

More senior care near Alexandria

Live-In Caregivers in nearby cities

Other care in Alexandria

More for Alexandria 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 Alexandria, MN