Live-In Caregivers in Ashton-Sandy Spring, MD

Local figures

Live-In Caregivers in Ashton-Sandy Spring, MD: the local picture

177

residents 85 or older (3.1% of all residents)

787

households headed by someone 65+ own their home (92%)

91%

of Ashton-Sandy Spring homes have 3 or more bedrooms (64% in Montgomery County)

$15.00

Maryland minimum wage per hour

About 177 Ashton-Sandy Spring 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. 91% of homes in Ashton-Sandy Spring have three or more bedrooms (64% in Montgomery County); the median home has 10 rooms.

Of Ashton-Sandy Spring households headed by someone 65 or older, 787 own their home and 64 rent; among householders 85 and older it is 71 owners and 18 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Ashton-Sandy Spring compared with Montgomery County and Maryland

Census figure	Ashton-Sandy Spring	Montgomery County	Maryland
Residents 85 or older	3.1%	2.2%	1.9%
Residents 65+ in households who live alone	13%	23%	27%
Residents 65+ with a disability	14%	26%	30%
Residents 65+ below the poverty line (approx.)	2.2%	7.4%	9.5%
Residents 65 or older	28%	17%	17%
Residents 5+ who speak a language other than English at home	17%	43%	21%
Median income, households headed by someone 65+	$128,404	$109,242	—

Older residents in towns around Ashton-Sandy Spring

Town	Distance	Residents 65+	Residents 85+
Cloverly, MD	3.1 mi	3,392	442
Burtonsville, MD	3.9 mi	1,753	111
Olney, MD	3.9 mi	5,915	545
Layhill, MD	4.6 mi	1,044	97
Fulton, MD	4.7 mi	441	36
Leisure World, MD	4.8 mi	6,874	1,851

Emergency hospitals near Ashton-Sandy Spring

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Medstar Montgomery Medical Center	Olney, MD	4.1 mi	3 of 5	(301) 774-8882
Adventist Healthcare White Oak Medical Center	Silver Spring, MD	5.7 mi	3 of 5	(240) 637-4000
Johns Hopkins Howard County Medical Center	Columbia, MD	7.9 mi	3 of 5	(410) 740-7890

Straight-line miles from the center of Ashton-Sandy Spring. 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 Ashton-Sandy Spring

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (37% of the $10,700 monthly median income of Ashton-Sandy Spring households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (124% of the $10,700 monthly median income of Ashton-Sandy Spring households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland's minimum wage is $15.00 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 Ashton-Sandy Spring: common questions

Where is the nearest emergency hospital to Ashton-Sandy Spring?

Medstar Montgomery Medical Center in Olney, about 4.1 mi in a straight line from the center of Ashton-Sandy Spring (Medicare hospital file). Its listed phone number is (301) 774-8882. In an emergency, call 911.

How much does live-in care cost in Ashton-Sandy Spring?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (37% of the $10,700 monthly median income of Ashton-Sandy Spring households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (124% of the $10,700 monthly median income of Ashton-Sandy Spring households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Ashton-Sandy Spring?

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 Ashton-Sandy Spring 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 Ashton-Sandy Spring

More senior care near Ashton-Sandy Spring

Live-In Caregivers in nearby cities

Other care in Ashton-Sandy Spring

More for Ashton-Sandy Spring 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.