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

Live-In Caregivers in Gadsden, AL: the local picture
About 601 Gadsden 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. 58% of homes in Gadsden have three or more bedrooms (71% in Etowah County), while 9.8% have one bedroom or none, where live-in care rarely works; the median home has 5.7 rooms.
Of Gadsden households headed by someone 65 or older, 2,952 own their home and 1,021 rent; among householders 85 and older it is 370 owners and 66 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Gadsden compared with Etowah County and Alabama
| Census figure | Gadsden | Etowah County | Alabama |
|---|---|---|---|
| Residents 85 or older | 1.8% | 1.7% | 1.7% |
| Residents 65+ in households who live alone | 38% | 30% | 29% |
| Residents 65+ with a disability | 39% | 37% | 38% |
| Residents 65+ below the poverty line (approx.) | 24% | 12% | 12% |
| Residents 65 or older | 18% | 20% | 18% |
| Residents 5+ who speak a language other than English at home | 7.9% | 4.3% | 6.0% |
| Median income, households headed by someone 65+ | $35,137 | $44,181 | — |
Older residents in towns around Gadsden
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Attalla, AL | 6.2 mi | 1,350 | 191 |
| Glencoe, AL | 6.2 mi | 1,184 | 111 |
| Rainbow City, AL | 6.6 mi | 1,947 | 152 |
| Southside, AL | 8.0 mi | 1,962 | 171 |
| Hokes Bluff, AL | 8.9 mi | 1,091 | 18 |
| Boaz, AL | 15 mi | 1,337 | 140 |
Emergency hospitals near Gadsden
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Riverview Regional Medical Center | Gadsden, AL | 6.0 mi | 3 of 5 | (256) 543-5200 |
| Gadsden Regional Medical Center | Gadsden, AL | 6.4 mi | 2 of 5 | (256) 494-4000 |
| Marshall Medical Centers | Boaz, AL | 16 mi | 3 of 5 | (256) 593-8310 |
Straight-line miles from the center of Gadsden. 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 Gadsden
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (99% of the $2,928 monthly median income of Gadsden households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (333% of the $2,928 monthly median income of Gadsden households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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.
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 Gadsden: common questions
Where is the nearest emergency hospital to Gadsden?
Riverview Regional Medical Center in Gadsden, about 6.0 mi in a straight line from the center of Gadsden (Medicare hospital file). Its listed phone number is (256) 543-5200. In an emergency, call 911.
How much does live-in care cost in Gadsden?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (99% of the $2,928 monthly median income of Gadsden households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (333% of the $2,928 monthly median income of Gadsden households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
Live-in or 24-hour care in Gadsden?
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 Gadsden 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 Gadsden
Live-In Caregivers in nearby cities
- Live-In Caregivers in Attalla, AL
- Live-In Caregivers in Glencoe, AL
- Live-In Caregivers in Rainbow City, AL
- Live-In Caregivers in Southside, AL
- Live-In Caregivers in Hokes Bluff, AL
- Live-In Caregivers in Boaz, AL
- Live-In Caregivers in Alexandria, AL
- Live-In Caregivers in Jacksonville, AL
- Live-In Caregivers in Weaver, AL
- Live-In Caregivers in Albertville, AL
- Live-In Caregivers in Centre, AL
- Live-In Caregivers in Saks, AL
- Live-In Caregivers in Piedmont, AL
- Live-In Caregivers in West End-Cobb Town, AL
- Live-In Caregivers in Anniston, AL
- Live-In Caregivers in Oneonta, AL
Other care in Gadsden
- Companion Care in Gadsden
- Dementia Care in Gadsden
- Respite Care in Gadsden
- Post-Surgery Care in Gadsden
- Senior Transportation in Gadsden
- Home Health Aides in Gadsden
- Nursing Assistants in Gadsden
- Personal Care in Gadsden
- Overnight Caregivers in Gadsden
- 24-Hour Home Care in Gadsden
- Mobility Assistance in Gadsden
- Parkinson’s Care in Gadsden
- Stroke Recovery Support in Gadsden
- Disability Care for Adults in Gadsden
- Hospice Support in Gadsden
- Senior Meal Preparation in Gadsden
- Senior Housekeeping in Gadsden
- Medication Reminders in Gadsden
- Veterans’ Home Care in Gadsden
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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