Live-In Caregivers in Elk Point, SD: 24-Hour Home Care

Local figures

Live-In Caregivers in Elk Point, SD: the local picture

144

residents 85 or older (5.7% of all residents)

193

households headed by someone 65+ own their home (63%)

73%

of Elk Point homes have 3 or more bedrooms (68% in Union County)

$11.85

South Dakota minimum wage per hour

About 144 Elk Point 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. 73% of homes in Elk Point have three or more bedrooms (68% in Union County), while 6.3% have one bedroom or none, where live-in care rarely works; the median home has 6.4 rooms.

Of Elk Point households headed by someone 65 or older, 193 own their home and 112 rent; among householders 85 and older it is 59 owners and 69 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Elk Point compared with Union County and South Dakota

Census figure	Elk Point	Union County	South Dakota
Residents 85 or older	5.7%	2.1%	2.1%
Residents 65+ in households who live alone	37%	26%	30%
Residents 65+ with a disability	44%	24%	31%
Residents 65+ below the poverty line (approx.)	7.5%	12%	10%
Residents 65 or older	18%	19%	18%
Residents 5+ who speak a language other than English at home	0.9%	3.0%	7.1%
Median income, households headed by someone 65+	$50,868	$53,750	—

Older residents in towns around Elk Point

Town	Distance	Residents 65+	Residents 85+
North Sioux City, SD	14 mi	640	0
Vermillion, SD	14 mi	1,136	177
Dakota Dunes, SD	17 mi	756	0
Sioux City, IA	20 mi	12,804	1,235
South Sioux City, NE	20 mi	1,535	261
Dakota City, NE	22 mi	295	39

Emergency hospitals near Elk Point

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Sanford Vermillion Medical Center	Vermillion, SD	15 mi	not rated	(605) 624-2611
St Lukes Regional Medical Center	Sioux City, IA	18 mi	2 of 5	(712) 279-3500
Mercyone Siouxland Medical Center	Sioux City, IA	19 mi	2 of 5	(712) 279-2010

Straight-line miles from the center of Elk Point. 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 Elk Point

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.15 an hour (the South Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,932 a month (93% of the $4,239 monthly median income of Elk Point households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,213 a month (312% of the $4,239 monthly median income of Elk Point households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. South Dakota's minimum wage is $11.85 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 Elk Point: common questions

Where is the nearest emergency hospital to Elk Point?

Sanford Vermillion Medical Center in Vermillion, about 15 mi in a straight line from the center of Elk Point (Medicare hospital file). Its listed phone number is (605) 624-2611. In an emergency, call 911.

How much does live-in care cost in Elk Point?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.15 an hour (the South Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,932 a month (93% of the $4,239 monthly median income of Elk Point households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,213 a month (312% of the $4,239 monthly median income of Elk Point households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Elk Point?

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 Elk Point 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 Elk Point

More senior care near Elk Point

Live-In Caregivers in nearby cities

Other care in Elk Point

More for Elk Point 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 Elk Point, SD