Live-In Caregivers in Birmingham, MI: 24-Hour Home Care

Local figures

Live-In Caregivers in Birmingham, MI: the local picture

621

residents 85 or older (2.9% of all residents)

2,320

households headed by someone 65+ own their home (84%)

69%

of Birmingham homes have 3 or more bedrooms (67% in Oakland County)

$13.73

Michigan minimum wage per hour

About 621 Birmingham 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. 69% of homes in Birmingham have three or more bedrooms (67% in Oakland County), while 8.7% have one bedroom or none, where live-in care rarely works; the median home has 6.7 rooms.

Of Birmingham households headed by someone 65 or older, 2,320 own their home and 454 rent; among householders 85 and older it is 283 owners and 191 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Birmingham compared with Oakland County and Michigan

Census figure	Birmingham	Oakland County	Michigan
Residents 85 or older	2.9%	2.1%	2.1%
Residents 65+ in households who live alone	36%	30%	29%
Residents 65+ with a disability	20%	29%	32%
Residents 65+ below the poverty line (approx.)	4.1%	8.9%	9.9%
Residents 65 or older	18%	18%	19%
Residents 5+ who speak a language other than English at home	11%	16%	10%
Median income, households headed by someone 65+	$90,513	$67,387	—

Older residents in towns around Birmingham

Town	Distance	Residents 65+	Residents 85+
Beverly Hills, MI	2.0 mi	2,306	384
Bloomfield Hills, MI	2.9 mi	1,271	373
Clawson, MI	3.4 mi	2,192	178
Berkley, MI	3.6 mi	2,120	154
Lathrup Village, MI	3.7 mi	1,153	102
Royal Oak, MI	4.1 mi	9,015	622

Emergency hospitals near Birmingham

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Beaumont Hospital Royal Oak	Royal Oak, MI	3.5 mi	3 of 5	(248) 898-5400
Ascension Providence Hospital, Southfield And Novi	Southfield, MI	5.6 mi	4 of 5	(248) 849-3000
Beaumont Hospital, Troy	Troy, MI	6.3 mi	4 of 5	(248) 964-8800

Straight-line miles from the center of Birmingham. 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 Birmingham

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.83 an hour (the Michigan median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,646 a month (48% of the $7,543 monthly median income of Birmingham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,252 a month (162% of the $7,543 monthly median income of Birmingham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

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 Birmingham: common questions

Where is the nearest emergency hospital to Birmingham?

Beaumont Hospital Royal Oak in Royal Oak, about 3.5 mi in a straight line from the center of Birmingham (Medicare hospital file). Its listed phone number is (248) 898-5400. In an emergency, call 911.

How much does live-in care cost in Birmingham?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.83 an hour (the Michigan median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,646 a month (48% of the $7,543 monthly median income of Birmingham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,252 a month (162% of the $7,543 monthly median income of Birmingham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

Live-in or 24-hour care in Birmingham?

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 Birmingham 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 Birmingham

More senior care near Birmingham

Live-In Caregivers in nearby cities

Other care in Birmingham

More for Birmingham 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 Birmingham, MI