Live-In Caregivers in Astoria, OR: 24-Hour Home Care

Local figures

Live-In Caregivers in Astoria, OR: the local picture

262

residents 85 or older (2.6% of all residents)

903

households headed by someone 65+ own their home (64%)

49%

of Astoria homes have 3 or more bedrooms (58% in Clatsop County)

$16.80

top Oregon minimum wage tier per hour

About 262 Astoria 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. 49% of homes in Astoria have three or more bedrooms (58% in Clatsop County), while 16% have one bedroom or none, where live-in care rarely works; the median home has 5.2 rooms.

Of Astoria households headed by someone 65 or older, 903 own their home and 512 rent; among householders 85 and older it is 39 owners and 43 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Astoria compared with Clatsop County and Oregon

Census figure	Astoria	Clatsop County	Oregon
Residents 85 or older	2.6%	2.0%	2.1%
Residents 65+ in households who live alone	33%	30%	27%
Residents 65+ with a disability	38%	37%	34%
Residents 65+ below the poverty line (approx.)	10%	9.9%	9.9%
Residents 65 or older	21%	25%	19%
Residents 5+ who speak a language other than English at home	7.6%	6.9%	15%
Median income, households headed by someone 65+	$47,225	$56,696	—

Older residents in towns around Astoria

Town	Distance	Residents 65+	Residents 85+
Warrenton, OR	5.6 mi	1,330	80
Seaside, OR	15 mi	1,873	206
Raymond, WA	34 mi	829	139
Vernonia, OR	38 mi	418	41
Longview, WA	41 mi	7,663	978
Longview Heights, WA	41 mi	634	8

Emergency hospitals near Astoria

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Columbia Memorial Hospital	Astoria, OR	2.3 mi	not rated	(503) 325-4321
Ocean Beach Hospital	Ilwaco, WA	13 mi	2 of 5	(360) 642-3181
Providence Seaside Hospital	Seaside, OR	14 mi	3 of 5	(503) 717-7000

Straight-line miles from the center of Astoria. 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 Astoria

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $21.35 an hour (the Oregon median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,626 a month (118% of the $3,935 monthly median income of Astoria households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $15,543 a month (395% of the $3,935 monthly median income of Astoria households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Astoria: common questions

Where is the nearest emergency hospital to Astoria?

Columbia Memorial Hospital in Astoria, about 2.3 mi in a straight line from the center of Astoria (Medicare hospital file). Its listed phone number is (503) 325-4321. In an emergency, call 911.

How much does live-in care cost in Astoria?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $21.35 an hour (the Oregon median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,626 a month (118% of the $3,935 monthly median income of Astoria households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $15,543 a month (395% of the $3,935 monthly median income of Astoria households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Astoria?

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 Astoria 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 Astoria

More senior care near Astoria

Live-In Caregivers in nearby cities

Other care in Astoria

More for Astoria 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 Astoria, OR