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

Live-In Caregivers in Bethalto, IL: the local picture
About 238 Bethalto 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. 60% of homes in Bethalto have three or more bedrooms (63% in Madison County), while 7.2% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Bethalto households headed by someone 65 or older, 1,136 own their home and 192 rent; among householders 85 and older it is 99 owners and 76 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Bethalto compared with Madison County and Illinois
| Census figure | Bethalto | Madison County | Illinois |
|---|---|---|---|
| Residents 85 or older | 2.6% | 2.1% | 2.0% |
| Residents 65+ in households who live alone | 24% | 32% | 30% |
| Residents 65+ with a disability | 28% | 35% | 32% |
| Residents 65+ below the poverty line (approx.) | 3.4% | 9.0% | 10% |
| Residents 65 or older | 23% | 19% | 17% |
| Residents 5+ who speak a language other than English at home | 1.0% | 3.6% | 24% |
| Median income, households headed by someone 65+ | $48,889 | $57,096 | — |
Older residents in towns around Bethalto
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Rosewood Heights, IL | 1.8 mi | 1,068 | 149 |
| Wood River, IL | 3.2 mi | 1,691 | 127 |
| East Alton, IL | 3.6 mi | 890 | 57 |
| Alton, IL | 5.7 mi | 4,354 | 569 |
| Holiday Shores, IL | 6.0 mi | 498 | 0 |
| Edwardsville, IL | 8.2 mi | 3,310 | 361 |
Emergency hospitals near Bethalto
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Alton Memorial Hospital | Alton, IL | 6.0 mi | 4 of 5 | (314) 286-2227 |
| Gateway Regional Medical Center | Granite City, IL | 13 mi | 2 of 5 | (618) 798-3000 |
| Anderson Hospital | Maryville, IL | 14 mi | 3 of 5 | (618) 288-5711 |
Straight-line miles from the center of Bethalto. 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 Bethalto
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (97% of the $4,074 monthly median income of Bethalto households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (327% of the $4,074 monthly median income of Bethalto households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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.
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 Bethalto: common questions
Where is the nearest emergency hospital to Bethalto?
Alton Memorial Hospital in Alton, about 6.0 mi in a straight line from the center of Bethalto (Medicare hospital file). Its listed phone number is (314) 286-2227. In an emergency, call 911.
How much does live-in care cost in Bethalto?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (97% of the $4,074 monthly median income of Bethalto households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (327% of the $4,074 monthly median income of Bethalto households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Bethalto?
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 Bethalto 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 Bethalto
Live-In Caregivers in nearby cities
- Live-In Caregivers in Rosewood Heights, IL
- Live-In Caregivers in Wood River, IL
- Live-In Caregivers in East Alton, IL
- Live-In Caregivers in Alton, IL
- Live-In Caregivers in Holiday Shores, IL
- Live-In Caregivers in Edwardsville, IL
- Live-In Caregivers in Godfrey, IL
- Live-In Caregivers in Glen Carbon, IL
- Live-In Caregivers in Spanish Lake, MO
- Live-In Caregivers in Pontoon Beach, IL
- Live-In Caregivers in Maryville, IL
- Live-In Caregivers in Granite City, IL
- Live-In Caregivers in Glasgow Village, MO
- Live-In Caregivers in Old Jamestown, MO
- Live-In Caregivers in Black Jack, MO
- Live-In Caregivers in Riverview, MO
Other care in Bethalto
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.
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