Live-In Caregivers in Fredericksburg, VA
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 Fredericksburg for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Fredericksburg, VA: the local picture
About 369 Fredericksburg 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. 48% of homes in Fredericksburg have three or more bedrooms, while 22% have one bedroom or none, where live-in care rarely works; the median home has 4.8 rooms.
Of Fredericksburg households headed by someone 65 or older, 1,329 own their home and 1,099 rent; among householders 85 and older it is 126 owners and 136 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Fredericksburg compared with Virginia
| Census figure | Fredericksburg | Virginia |
|---|---|---|
| Residents 85 or older | 1.3% | 1.7% |
| Residents 65+ in households who live alone | 44% | 27% |
| Residents 65+ with a disability | 26% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 8.8% |
| Residents 65 or older | 11% | 17% |
| Residents 5+ who speak a language other than English at home | 19% | 17% |
| Median income, households headed by someone 65+ | $62,907 | — |
Older residents in towns around Fredericksburg
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Falmouth, VA | 2.4 mi | 946 | 155 |
| Southern Gateway, VA | 3.3 mi | 165 | 12 |
| Spotsylvania Courthouse, VA | 8.9 mi | 901 | 130 |
| Stafford Courthouse, VA | 8.9 mi | 422 | 54 |
| Aquia Harbour, VA | 12 mi | 878 | 60 |
| Lake Wilderness, VA | 13 mi | 437 | 17 |
Emergency hospitals near Fredericksburg
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Mary Washington Hospital | Fredericksburg, VA | 0.5 mi | 3 of 5 | (540) 741-1100 |
| Spotsylvania Regional Medical Center | Fredericksburg, VA | 3.7 mi | 3 of 5 | (540) 498-4000 |
| Stafford Hospital, LLC | Stafford, VA | 11 mi | 4 of 5 | (540) 741-9000 |
Straight-line miles from the center of Fredericksburg. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Fredericksburg
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (60% of the $5,242 monthly median income of Fredericksburg households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (202% of the $5,242 monthly median income of Fredericksburg households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.
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.
Live-In Caregivers in Fredericksburg: common questions
Where is the nearest emergency hospital to Fredericksburg?
Mary Washington Hospital in Fredericksburg, about 0.5 mi in a straight line from the center of Fredericksburg (Medicare hospital file). Its listed phone number is (540) 741-1100. In an emergency, call 911.
How much does live-in care cost in Fredericksburg?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (60% of the $5,242 monthly median income of Fredericksburg households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (202% of the $5,242 monthly median income of Fredericksburg households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Fredericksburg?
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 Fredericksburg 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 senior care near Fredericksburg
Live-In Caregivers in nearby cities
- Live-In Caregivers in Falmouth, VA
- Live-In Caregivers in Southern Gateway, VA
- Live-In Caregivers in Spotsylvania Courthouse, VA
- Live-In Caregivers in Stafford Courthouse, VA
- Live-In Caregivers in Aquia Harbour, VA
- Live-In Caregivers in Lake Wilderness, VA
- Live-In Caregivers in Lake of the Woods, VA
- Live-In Caregivers in King George, VA
- Live-In Caregivers in Quantico Base, VA
- Live-In Caregivers in Triangle, VA
- Live-In Caregivers in Lake Land'Or, VA
- Live-In Caregivers in Dumfries, VA
- Live-In Caregivers in Cherry Hill, VA
- Live-In Caregivers in Lake Caroline, VA
- Live-In Caregivers in Dahlgren, VA
- Live-In Caregivers in Montclair, VA
Other care in Fredericksburg
- Companion Care in Fredericksburg
- Dementia Care in Fredericksburg
- Respite Care in Fredericksburg
- Post-Surgery Care in Fredericksburg
- Senior Transportation in Fredericksburg
- Home Health Aides in Fredericksburg
- Nursing Assistants in Fredericksburg
- Personal Care in Fredericksburg
- Overnight Caregivers in Fredericksburg
- 24-Hour Home Care in Fredericksburg
- Mobility Assistance in Fredericksburg
- Parkinson’s Care in Fredericksburg
- Stroke Recovery Support in Fredericksburg
- Disability Care for Adults in Fredericksburg
- Hospice Support in Fredericksburg
- Senior Meal Preparation in Fredericksburg
- Senior Housekeeping in Fredericksburg
- Medication Reminders in Fredericksburg
- Veterans’ Home Care in Fredericksburg
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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