Live-In Caregivers in East Harwich, MA: 24-Hour Home Care

Local figures

Live-In Caregivers in East Harwich, MA: the local picture

208

residents 85 or older (3.7% of all residents)

1,120

households headed by someone 65+ own their home (92%)

78%

of East Harwich homes have 3 or more bedrooms (67% in Barnstable County)

$15.00

Massachusetts minimum wage per hour

About 208 East Harwich 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. 78% of homes in East Harwich have three or more bedrooms (67% in Barnstable County); the median home has 6.2 rooms.

Of East Harwich households headed by someone 65 or older, 1,120 own their home and 93 rent; among householders 85 and older it is 98 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

East Harwich compared with Barnstable County and Massachusetts

Census figure	East Harwich	Barnstable County	Massachusetts
Residents 85 or older	3.7%	4.1%	2.2%
Residents 65+ in households who live alone	21%	28%	29%
Residents 65+ with a disability	20%	27%	30%
Residents 65+ below the poverty line (approx.)	2.3%	6.8%	11%
Residents 65 or older	35%	33%	18%
Residents 5+ who speak a language other than English at home	9.1%	11%	25%
Median income, households headed by someone 65+	$89,460	$76,945	—

Older residents in towns around East Harwich

Town	Distance	Residents 65+	Residents 85+
Northwest Harwich, MA	3.9 mi	1,445	193
Dennis Port, MA	6.1 mi	1,060	139
South Dennis, MA	6.1 mi	1,122	143
East Dennis, MA	6.7 mi	1,516	89
West Dennis, MA	7.5 mi	1,092	154
South Yarmouth, MA	9.2 mi	3,735	672

Emergency hospitals near East Harwich

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Cape Cod Hospital	Hyannis, MA	14 mi	2 of 5	(508) 771-1800
Nantucket Cottage Hospital	Nantucket, MA	30 mi	3 of 5	(508) 228-1200
Falmouth Hospital	Falmouth, MA	32 mi	4 of 5	(508) 548-5300

Straight-line miles from the center of East Harwich. 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 East Harwich

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.67 an hour (the Massachusetts median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,262 a month (57% of the $7,455 monthly median income of East Harwich households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $14,320 a month (192% of the $7,455 monthly median income of East Harwich households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Massachusetts's minimum wage is $15.00 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 East Harwich: common questions

Where is the nearest emergency hospital to East Harwich?

Cape Cod Hospital in Hyannis, about 14 mi in a straight line from the center of East Harwich (Medicare hospital file). Its listed phone number is (508) 771-1800. In an emergency, call 911.

How much does live-in care cost in East Harwich?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.67 an hour (the Massachusetts median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,262 a month (57% of the $7,455 monthly median income of East Harwich households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $14,320 a month (192% of the $7,455 monthly median income of East Harwich households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Massachusetts's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in East Harwich?

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 East Harwich 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 East Harwich

More senior care near East Harwich

Live-In Caregivers in nearby cities

Other care in East Harwich

More for East Harwich 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 East Harwich, MA