Live-In Caregivers in Casselton, ND: 24-Hour Home Care

Local figures

Live-In Caregivers in Casselton, ND: the local picture

30

residents 85 or older (1.0% of all residents)

173

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

63%

of Casselton homes have 3 or more bedrooms (53% in Cass County)

$7.25

North Dakota minimum wage per hour

About 30 Casselton 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. 63% of homes in Casselton have three or more bedrooms (53% in Cass County), while 14% have one bedroom or none, where live-in care rarely works; the median home has 6.1 rooms.

Of Casselton households headed by someone 65 or older, 173 own their home and 33 rent; among householders 85 and older it is 20 owners and 9 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Casselton compared with Cass County and North Dakota

Census figure	Casselton	Cass County	North Dakota
Residents 85 or older	1.0%	1.5%	2.2%
Residents 65+ in households who live alone	27%	33%	33%
Residents 65+ with a disability	39%	30%	31%
Residents 65+ below the poverty line (approx.)	4.1%	7.6%	9.9%
Residents 65 or older	9.9%	13%	17%
Residents 5+ who speak a language other than English at home	2.1%	8.9%	6.7%
Median income, households headed by someone 65+	$56,439	$62,681	—

Older residents in towns around Casselton

Town	Distance	Residents 65+	Residents 85+
West Fargo, ND	15 mi	4,963	637
Horace, ND	17 mi	294	0
Fargo, ND	18 mi	17,510	2,108
Moorhead, MN	22 mi	5,703	928
Dilworth, MN	24 mi	571	115
Valley City, ND	37 mi	1,510	336

Emergency hospitals near Casselton

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Fargo Va Medical Center	Fargo, ND	18 mi	5 of 5	(701) 232-3241
Essentia Health	Fargo, ND	19 mi	3 of 5	(701) 364-8000
Sanford Medical Center Fargo	Fargo, ND	20 mi	4 of 5	(701) 234-2000

Straight-line miles from the center of Casselton. 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 Casselton

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.96 an hour (the North Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,108 a month (87% of the $4,703 monthly median income of Casselton households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,803 a month (293% of the $4,703 monthly median income of Casselton households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Dakota's minimum wage is $7.25 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.

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 Casselton: common questions

Where is the nearest emergency hospital to Casselton?

Fargo Va Medical Center in Fargo, about 18 mi in a straight line from the center of Casselton (Medicare hospital file). Its listed phone number is (701) 232-3241. In an emergency, call 911.

How much does live-in care cost in Casselton?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.96 an hour (the North Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,108 a month (87% of the $4,703 monthly median income of Casselton households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,803 a month (293% of the $4,703 monthly median income of Casselton households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Dakota's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Casselton?

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 Casselton 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 Casselton

More senior care near Casselton

Live-In Caregivers in nearby cities

Other care in Casselton

More for Casselton families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Casselton, ND