Alfred, New York

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.

A younger woman and an older woman looking at a phone together on a park bench
Local figures

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

21
residents 85 or older (0.4% of all residents)
95
households headed by someone 65+ own their home (68%)
45%
of Alfred homes have 3 or more bedrooms (67% in Allegany County)
$17.00
top New York minimum wage tier per hour

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 figureAlfredAllegany CountyNew York
Residents 85 or older0.4%2.6%2.2%
Residents 65+ in households who live alone39%30%29%
Residents 65+ with a disability18%35%32%
Residents 65+ below the poverty line (approx.)4.8%10%13%
Residents 65 or older3.9%20%18%
Residents 5+ who speak a language other than English at home18%5.0%31%
Median income, households headed by someone 65+$77,685$50,207—

Older residents in towns around Alfred

TownDistanceResidents 65+Residents 85+
Hornell, NY8.4 mi1,820213
Wellsville, NY12 mi1,125265
Dansville, NY22 mi1,035140
Bath, NY25 mi1,385156
Mount Morris, NY33 mi40450
Perry, NY34 mi593121

Emergency hospitals near Alfred

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
St James HospitalHornell, NY8.5 mi3 of 5(607) 324-8000
Jones Memorial HospitalWellsville, NY13 mi4 of 5(585) 593-1100
Nicholas H Noyes Memorial HospitalDansville, NY22 mi3 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 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 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.

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 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.

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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