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

Local figures

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

1,568

residents 85 or older (1.9% of all residents)

5,125

households headed by someone 65+ own their home (68%)

60%

of Frederick homes have 3 or more bedrooms (77% in Frederick County)

$15.00

Maryland minimum wage per hour

About 1,568 Frederick 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 Frederick have three or more bedrooms (77% in Frederick County), while 12% have one bedroom or none, where live-in care rarely works; the median home has 5.8 rooms.

Of Frederick households headed by someone 65 or older, 5,125 own their home and 2,456 rent; among householders 85 and older it is 407 owners and 502 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Frederick compared with Frederick County and Maryland

Census figure	Frederick	Frederick County	Maryland
Residents 85 or older	1.9%	1.8%	1.9%
Residents 65+ in households who live alone	33%	23%	27%
Residents 65+ with a disability	30%	27%	30%
Residents 65+ below the poverty line (approx.)	7.4%	6.4%	9.5%
Residents 65 or older	14%	15%	17%
Residents 5+ who speak a language other than English at home	26%	18%	21%
Median income, households headed by someone 65+	$78,289	$85,114	—

Older residents in towns around Frederick

Town	Distance	Residents 65+	Residents 85+
Ballenger Creek, MD	3.7 mi	2,704	363
Walkersville, MD	3.9 mi	1,020	215
Spring Ridge, MD	4.5 mi	862	62
Bartonsville, MD	4.5 mi	344	20
Braddock Heights, MD	4.5 mi	720	77
Linganore, MD	6.2 mi	1,112	31

Emergency hospitals near Frederick

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Frederick Health Hospital	Frederick, MD	4.3 mi	3 of 5	(240) 566-3300
Inova Loudoun Hospital	Leesburg, VA	19 mi	5 of 5	(703) 858-6600
Holy Cross Germantown Hospital	Germantown, MD	20 mi	1 of 5	(301) 557-6020

Straight-line miles from the center of Frederick. 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 Frederick

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 (61% of the $6,524 monthly median income of Frederick 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 (204% of the $6,524 monthly median income of Frederick 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 Frederick: common questions

Where is the nearest emergency hospital to Frederick?

Frederick Health Hospital in Frederick, about 4.3 mi in a straight line from the center of Frederick (Medicare hospital file). Its listed phone number is (240) 566-3300. In an emergency, call 911.

How much does live-in care cost in Frederick?

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 (61% of the $6,524 monthly median income of Frederick 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 (204% of the $6,524 monthly median income of Frederick 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 Frederick?

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 Frederick 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 Frederick

More senior care near Frederick

Live-In Caregivers in nearby cities

Other care in Frederick

More for Frederick 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 Frederick, MD