Effingham, Illinois

Live-In Caregivers in Effingham, IL

A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Effingham for free and hire a caregiver directly, with no agency mark-up.

A smiling caregiver with her arm around an older woman in a bright room at home
Local figures

Live-In Caregivers in Effingham, IL: the local picture

514
residents 85 or older (4.2% of all residents)
1,251
households headed by someone 65+ own their home (75%)
60%
of Effingham homes have 3 or more bedrooms (70% in Effingham County)
$15.00
Illinois minimum wage per hour

About 514 Effingham 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. 60% of homes in Effingham have three or more bedrooms (70% in Effingham County), while 15% have one bedroom or none, where live-in care rarely works; the median home has 5.8 rooms.

Of Effingham households headed by someone 65 or older, 1,251 own their home and 410 rent; among householders 85 and older it is 282 owners and 77 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Effingham compared with Effingham County and Illinois

Census figureEffinghamEffingham CountyIllinois
Residents 85 or older4.2%2.6%2.0%
Residents 65+ in households who live alone40%30%30%
Residents 65+ with a disability47%37%32%
Residents 65+ below the poverty line (approx.)12%9.6%10%
Residents 65 or older21%19%17%
Residents 5+ who speak a language other than English at home5.7%3.2%24%
Median income, households headed by someone 65+$43,155$57,511—

Older residents in towns around Effingham

TownDistanceResidents 65+Residents 85+
Newton, IL23 mi628146
Shelbyville, IL24 mi971216
Mattoon, IL27 mi3,203672
Vandalia, IL32 mi1,067184
Flora, IL32 mi997253
Charleston, IL32 mi2,604374

Emergency hospitals near Effingham

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
St Anthonys Memorial HospitalEffingham, IL0.6 mi3 of 5(217) 342-2121
Sarah Bush Lincoln Health CenterMattoon, IL27 mi3 of 5(217) 258-2513
Hshs Good Shepherd Hospital IncShelbyville, IL27 minot rated(217) 774-3961

Straight-line miles from the center of Effingham. 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 Effingham

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (110% of the $3,596 monthly median income of Effingham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (370% of the $3,596 monthly median income of Effingham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Effingham: common questions

Where is the nearest emergency hospital to Effingham?

St Anthonys Memorial Hospital in Effingham, about 0.6 mi in a straight line from the center of Effingham (Medicare hospital file). Its listed phone number is (217) 342-2121. In an emergency, call 911.

How much does live-in care cost in Effingham?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (110% of the $3,596 monthly median income of Effingham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (370% of the $3,596 monthly median income of Effingham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Effingham?

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 Effingham 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.

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.

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