Live-In Caregivers in Essex, MD: 24-Hour Home Care

Local figures

Live-In Caregivers in Essex, MD: the local picture

834

residents 85 or older (2.1% of all residents)

3,019

households headed by someone 65+ own their home (67%)

57%

of Essex homes have 3 or more bedrooms (64% in Baltimore County)

$15.00

Maryland minimum wage per hour

About 834 Essex 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. 57% of homes in Essex have three or more bedrooms (64% in Baltimore County), while 15% have one bedroom or none, where live-in care rarely works; the median home has 5.8 rooms.

Of Essex households headed by someone 65 or older, 3,019 own their home and 1,488 rent; among householders 85 and older it is 430 owners and 51 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Essex compared with Baltimore County and Maryland

Census figure	Essex	Baltimore County	Maryland
Residents 85 or older	2.1%	2.3%	1.9%
Residents 65+ in households who live alone	30%	30%	27%
Residents 65+ with a disability	35%	29%	30%
Residents 65+ below the poverty line (approx.)	9.6%	10%	9.5%
Residents 65 or older	18%	18%	17%
Residents 5+ who speak a language other than English at home	10%	16%	21%
Median income, households headed by someone 65+	$44,576	$66,579	—

Older residents in towns around Essex

Town	Distance	Residents 65+	Residents 85+
Middle River, MD	2.8 mi	4,304	381
Bowleys Quarters, MD	3.4 mi	1,089	64
Dundalk, MD	3.7 mi	10,646	1,115
Rosedale, MD	3.9 mi	3,746	540
Rossville, MD	4.2 mi	2,724	318
White Marsh, MD	5.6 mi	1,884	143

Emergency hospitals near Essex

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Medstar Franklin Square Medical Center	Rosedale, MD	3.9 mi	3 of 5	(443) 777-7850
Johns Hopkins Bayview Medical Center	Baltimore, MD	6.1 mi	3 of 5	(410) 550-0123
Kennedy Krieger Institute	Baltimore, MD	7.2 mi	not rated	(443) 923-9301

Straight-line miles from the center of Essex. 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 Essex

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (107% of the $3,715 monthly median income of Essex households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (358% of the $3,715 monthly median income of Essex households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland'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 Essex: common questions

Where is the nearest emergency hospital to Essex?

Medstar Franklin Square Medical Center in Rosedale, about 3.9 mi in a straight line from the center of Essex (Medicare hospital file). Its listed phone number is (443) 777-7850. In an emergency, call 911.

How much does live-in care cost in Essex?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (107% of the $3,715 monthly median income of Essex households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (358% of the $3,715 monthly median income of Essex households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland'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 Essex?

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 Essex 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 Essex

More senior care near Essex

Live-In Caregivers in nearby cities

Other care in Essex

More for Essex 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 Essex, MD