Live-In Caregivers in Elkins, WV: 24-Hour Home Care

Local figures

Live-In Caregivers in Elkins, WV: the local picture

159

residents 85 or older (2.3% of all residents)

631

households headed by someone 65+ own their home (75%)

63%

of Elkins homes have 3 or more bedrooms (71% in Randolph County)

$8.75

West Virginia minimum wage per hour

About 159 Elkins 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 Elkins have three or more bedrooms (71% in Randolph County), while 11% have one bedroom or none, where live-in care rarely works; the median home has 5.6 rooms.

Of Elkins households headed by someone 65 or older, 631 own their home and 211 rent; among householders 85 and older it is 107 owners and 26 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Elkins compared with Randolph County and West Virginia

Census figure	Elkins	Randolph County	West Virginia
Residents 85 or older	2.3%	1.9%	2.1%
Residents 65+ in households who live alone	46%	30%	30%
Residents 65+ with a disability	32%	30%	39%
Residents 65+ below the poverty line (approx.)	20%	15%	12%
Residents 65 or older	17%	23%	21%
Residents 5+ who speak a language other than English at home	3.0%	1.1%	2.5%
Median income, households headed by someone 65+	$25,688	$37,321	—

Older residents in towns around Elkins

Town	Distance	Residents 65+	Residents 85+
Philippi, WV	19 mi	693	98
Buckhannon, WV	21 mi	717	66
Grafton, WV	30 mi	914	159
Bridgeport, WV	33 mi	2,173	320
Weston, WV	34 mi	706	117
Clarksburg, WV	36 mi	2,672	337

Emergency hospitals near Elkins

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Davis Medical Center	Elkins, WV	0.4 mi	2 of 5	(304) 636-3300
Vandalia Health Broaddus Hospital	Philippi, WV	20 mi	not rated	(304) 457-1760
St Joseph's Hospital Of Buckhannon, Inc	Buckhannon, WV	21 mi	3 of 5	(304) 472-2000

Straight-line miles from the center of Elkins. 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 Elkins

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.47 an hour (the West Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,919 a month (136% of the $2,141 monthly median income of Elkins households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,806 a month (458% of the $2,141 monthly median income of Elkins households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

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 Elkins: common questions

Where is the nearest emergency hospital to Elkins?

Davis Medical Center in Elkins, about 0.4 mi in a straight line from the center of Elkins (Medicare hospital file). Its listed phone number is (304) 636-3300. In an emergency, call 911.

How much does live-in care cost in Elkins?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.47 an hour (the West Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,919 a month (136% of the $2,141 monthly median income of Elkins households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,806 a month (458% of the $2,141 monthly median income of Elkins households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. West Virginia's minimum wage is $8.75 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Elkins?

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 Elkins 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 Elkins

More senior care near Elkins

Live-In Caregivers in nearby cities

Other care in Elkins

More for Elkins 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 Elkins, WV