Live-In Caregivers in Cascades, VA: 24-Hour Home Care

Local figures

Live-In Caregivers in Cascades, VA: the local picture

259

residents 85 or older (2.1% of all residents)

464

households headed by someone 65+ own their home (48%)

71%

of Cascades homes have 3 or more bedrooms (81% in Loudoun County)

$12.77

Virginia minimum wage per hour

About 259 Cascades 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. 71% of homes in Cascades have three or more bedrooms (81% in Loudoun County), while 9.2% have one bedroom or none, where live-in care rarely works; the median home has 6.5 rooms.

Of Cascades households headed by someone 65 or older, 464 own their home and 502 rent; among householders 85 and older it is 12 owners and 196 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Cascades compared with Loudoun County and Virginia

Census figure	Cascades	Loudoun County	Virginia
Residents 85 or older	2.1%	1.1%	1.7%
Residents 65+ in households who live alone	26%	19%	27%
Residents 65+ with a disability	22%	28%	31%
Residents 65+ below the poverty line (approx.)	8.9%	5.7%	8.8%
Residents 65 or older	15%	11%	17%
Residents 5+ who speak a language other than English at home	30%	35%	17%
Median income, households headed by someone 65+	$106,316	$104,179	—

Older residents in towns around Cascades

Town	Distance	Residents 65+	Residents 85+
Countryside, VA	1.4 mi	1,290	80
Sugarland Run, VA	1.5 mi	1,431	33
Lowes Island, VA	1.7 mi	1,323	116
Dulles Town Center, VA	2.2 mi	358	53
Sterling, VA	3.1 mi	3,618	388
University Center, VA	3.3 mi	418	0

Emergency hospitals near Cascades

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Reston Hospital Center	Reston, VA	6.4 mi	3 of 5	(703) 689-9000
Stonesprings Hospital Center	Dulles, VA	6.5 mi	4 of 5	(571) 349-4000
Adventist Healthcare Shady Grove Medical Center	Rockville, MD	12 mi	2 of 5	(240) 826-6517

Straight-line miles from the center of Cascades. 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 Cascades

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (36% of the $8,860 monthly median income of Cascades households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (120% of the $8,860 monthly median income of Cascades households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.

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 Cascades: common questions

Where is the nearest emergency hospital to Cascades?

Reston Hospital Center in Reston, about 6.4 mi in a straight line from the center of Cascades (Medicare hospital file). Its listed phone number is (703) 689-9000. In an emergency, call 911.

How much does live-in care cost in Cascades?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (36% of the $8,860 monthly median income of Cascades households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (120% of the $8,860 monthly median income of Cascades households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Cascades?

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 Cascades 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 Cascades

More senior care near Cascades

Live-In Caregivers in nearby cities

Other care in Cascades

More for Cascades 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 Cascades, VA