Live-In Caregivers in Clay, AL: 24-Hour Home Care

Local figures

Live-In Caregivers in Clay, AL: the local picture

490

residents 85 or older (4.8% of all residents)

1,148

households headed by someone 65+ own their home (96%)

84%

of Clay homes have 3 or more bedrooms (66% in Jefferson County)

$7.25

Alabama minimum wage per hour

About 490 Clay 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. 84% of homes in Clay have three or more bedrooms (66% in Jefferson County); the median home has 6.2 rooms.

Of Clay households headed by someone 65 or older, 1,148 own their home and 49 rent; among householders 85 and older it is 292 owners and 20 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Clay compared with Jefferson County and Alabama

Census figure	Clay	Jefferson County	Alabama
Residents 85 or older	4.8%	1.9%	1.7%
Residents 65+ in households who live alone	13%	31%	29%
Residents 65+ with a disability	45%	38%	38%
Residents 65+ below the poverty line (approx.)	1.1%	13%	12%
Residents 65 or older	19%	17%	18%
Residents 5+ who speak a language other than English at home	3.2%	7.6%	6.0%
Median income, households headed by someone 65+	$39,096	$51,066	—

Older residents in towns around Clay

Town	Distance	Residents 65+	Residents 85+
Pinson, AL	3.3 mi	1,207	88
Trussville, AL	3.9 mi	4,591	280
Grayson Valley, AL	4.0 mi	694	59
Center Point, AL	5.7 mi	1,878	143
Argo, AL	5.9 mi	370	14
Remlap, AL	7.7 mi	611	26

Emergency hospitals near Clay

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
St. Vincent's East	Birmingham, AL	5.0 mi	3 of 5	(205) 838-3122
St Vincent's St Clair	Pell City, AL	17 mi	3 of 5	(205) 338-3301
University Of Alabama Hospital	Birmingham, AL	17 mi	2 of 5	(205) 934-4011

Straight-line miles from the center of Clay. 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 Clay

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (89% of the $3,258 monthly median income of Clay households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (299% of the $3,258 monthly median income of Clay households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Clay: common questions

Where is the nearest emergency hospital to Clay?

St. Vincent's East in Birmingham, about 5.0 mi in a straight line from the center of Clay (Medicare hospital file). Its listed phone number is (205) 838-3122. In an emergency, call 911.

How much does live-in care cost in Clay?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (89% of the $3,258 monthly median income of Clay households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (299% of the $3,258 monthly median income of Clay households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Live-in or 24-hour care in Clay?

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 Clay 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 Clay

More senior care near Clay

Live-In Caregivers in nearby cities

Other care in Clay

More for Clay 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 Clay, AL