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

Live-In Caregivers in Alfred, NY: the local picture
About 21 Alfred 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 Alfred have three or more bedrooms (67% in Allegany County), while 36% have one bedroom or none, where live-in care rarely works; the median home has 4.6 rooms.
Of Alfred households headed by someone 65 or older, 95 own their home and 45 rent. Renters should check that the lease allows another adult to live in before anyone moves in.
Alfred compared with Allegany County and New York
| Census figure | Alfred | Allegany County | New York |
|---|---|---|---|
| Residents 85 or older | 0.4% | 2.6% | 2.2% |
| Residents 65+ in households who live alone | 39% | 30% | 29% |
| Residents 65+ with a disability | 18% | 35% | 32% |
| Residents 65+ below the poverty line (approx.) | 4.8% | 10% | 13% |
| Residents 65 or older | 3.9% | 20% | 18% |
| Residents 5+ who speak a language other than English at home | 18% | 5.0% | 31% |
| Median income, households headed by someone 65+ | $77,685 | $50,207 | — |
Older residents in towns around Alfred
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Hornell, NY | 8.4 mi | 1,820 | 213 |
| Wellsville, NY | 12 mi | 1,125 | 265 |
| Dansville, NY | 22 mi | 1,035 | 140 |
| Bath, NY | 25 mi | 1,385 | 156 |
| Mount Morris, NY | 33 mi | 404 | 50 |
| Perry, NY | 34 mi | 593 | 121 |
Emergency hospitals near Alfred
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| St James Hospital | Hornell, NY | 8.5 mi | 3 of 5 | (607) 324-8000 |
| Jones Memorial Hospital | Wellsville, NY | 13 mi | 4 of 5 | (585) 593-1100 |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | 22 mi | 3 of 5 | (585) 335-6001 |
Straight-line miles from the center of Alfred. 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 Alfred
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 (64% of the $6,474 monthly median income of Alfred 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 (214% of the $6,474 monthly median income of Alfred 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.
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 Alfred: common questions
Where is the nearest emergency hospital to Alfred?
St James Hospital in Hornell, about 8.5 mi in a straight line from the center of Alfred (Medicare hospital file). Its listed phone number is (607) 324-8000. In an emergency, call 911.
How much does live-in care cost in Alfred?
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 (64% of the $6,474 monthly median income of Alfred 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 (214% of the $6,474 monthly median income of Alfred 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 Alfred?
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 Alfred 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 Alfred
Live-In Caregivers in nearby cities
- Live-In Caregivers in Hornell, NY
- Live-In Caregivers in Wellsville, NY
- Live-In Caregivers in Dansville, NY
- Live-In Caregivers in Bath, NY
- Live-In Caregivers in Mount Morris, NY
- Live-In Caregivers in Perry, NY
- Live-In Caregivers in Gang Mills, NY
- Live-In Caregivers in Olean, NY
- Live-In Caregivers in Geneseo, NY
- Live-In Caregivers in Warsaw, NY
- Live-In Caregivers in Corning, NY
- Live-In Caregivers in Wellsboro, PA
- Live-In Caregivers in Big Flats, NY
- Live-In Caregivers in Avon, NY
- Live-In Caregivers in Penn Yan, NY
- Live-In Caregivers in Mansfield, PA
Other care in Alfred
- Companion Care in Alfred
- Dementia Care in Alfred
- Respite Care in Alfred
- Post-Surgery Care in Alfred
- Senior Transportation in Alfred
- Home Health Aides in Alfred
- Nursing Assistants in Alfred
- Personal Care in Alfred
- Overnight Caregivers in Alfred
- 24-Hour Home Care in Alfred
- Mobility Assistance in Alfred
- Parkinson’s Care in Alfred
- Stroke Recovery Support in Alfred
- Disability Care for Adults in Alfred
- Hospice Support in Alfred
- Senior Meal Preparation in Alfred
- Senior Housekeeping in Alfred
- Medication Reminders in Alfred
- Veterans’ Home Care in Alfred
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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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