Big Pine Key, Florida

Live-In Caregivers in Big Pine Key, FL

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 Big Pine Key for free and hire a caregiver directly, with no agency mark-up.

A caregiver helping an older man with a meal at a kitchen table
Local figures

Live-In Caregivers in Big Pine Key, FL: the local picture

111
residents 85 or older (2.6% of all residents)
629
households headed by someone 65+ own their home (91%)
37%
of Big Pine Key homes have 3 or more bedrooms (48% in Monroe County)
$15.00
Florida minimum wage per hour

About 111 Big Pine Key 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. 37% of homes in Big Pine Key have three or more bedrooms (48% in Monroe County), while 8.0% have one bedroom or none, where live-in care rarely works; the median home has 4.2 rooms.

Of Big Pine Key households headed by someone 65 or older, 629 own their home and 61 rent; among householders 85 and older it is 85 owners and 9 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Big Pine Key compared with Monroe County and Florida

Census figureBig Pine KeyMonroe CountyFlorida
Residents 85 or older2.6%2.0%2.6%
Residents 65+ in households who live alone23%25%25%
Residents 65+ with a disability30%26%31%
Residents 65+ below the poverty line (approx.)9.9%9.6%12%
Residents 65 or older25%25%21%
Residents 5+ who speak a language other than English at home7.1%22%31%
Median income, households headed by someone 65+$74,844$71,243—

Older residents in towns around Big Pine Key

TownDistanceResidents 65+Residents 85+
Big Coppitt Key, FL20 mi50330
Marathon, FL21 mi2,059106
Stock Island, FL25 mi4080
Key West, FL27 mi5,568609
Islamorada, FL55 mi2,07461
Key Largo, FL67 mi3,513408

Emergency hospitals near Big Pine Key

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Fishermen's Community HospitalMarathon, FL21 minot rated(305) 434-1000
Lower Keys Medical CenterKey West, FL28 mi4 of 5(305) 294-5531

Straight-line miles from the center of Big Pine Key. 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 Big Pine Key

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.25 an hour (the Florida median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,521 a month (56% of the $6,237 monthly median income of Big Pine Key households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $11,830 a month (190% of the $6,237 monthly median income of Big Pine Key households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

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 How to get paid to take care of a family member in Florida: SMMC LTC and the PDO.

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 Big Pine Key: common questions

Where is the nearest emergency hospital to Big Pine Key?

Fishermen's Community Hospital in Marathon, about 21 mi in a straight line from the center of Big Pine Key (Medicare hospital file). Its listed phone number is (305) 434-1000. In an emergency, call 911.

How much does live-in care cost in Big Pine Key?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.25 an hour (the Florida median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,521 a month (56% of the $6,237 monthly median income of Big Pine Key households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $11,830 a month (190% of the $6,237 monthly median income of Big Pine Key households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.

Live-in or 24-hour care in Big Pine Key?

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 Big Pine Key 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; 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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