Gastonia, North Carolina

Live-In Caregivers in Gastonia, NC

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 Gastonia for free and hire a caregiver directly, with no agency mark-up.

A smiling caregiver with her arm around an older woman in a bright room at home
Local figures

Live-In Caregivers in Gastonia, NC: the local picture

1,430
residents 85 or older (1.7% of all residents)
5,288
households headed by someone 65+ own their home (71%)
62%
of Gastonia homes have 3 or more bedrooms (67% in Gaston County)
$7.25
North Carolina minimum wage per hour

About 1,430 Gastonia 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. 62% of homes in Gastonia have three or more bedrooms (67% in Gaston County), while 11% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.

Of Gastonia households headed by someone 65 or older, 5,288 own their home and 2,137 rent; among householders 85 and older it is 572 owners and 268 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Gastonia compared with Gaston County and North Carolina

Census figureGastoniaGaston CountyNorth Carolina
Residents 85 or older1.7%1.6%1.7%
Residents 65+ in households who live alone30%30%28%
Residents 65+ with a disability37%36%33%
Residents 65+ below the poverty line (approx.)12%12%11%
Residents 65 or older15%17%17%
Residents 5+ who speak a language other than English at home13%10.0%13%
Median income, households headed by someone 65+$52,093$44,483—

Older residents in towns around Gastonia

TownDistanceResidents 65+Residents 85+
Ranlo, NC4.3 mi76297
Dallas, NC4.8 mi81794
Lowell, NC5.0 mi6070
Bessemer City, NC6.0 mi941100
Cramerton, NC6.5 mi78769
Belmont, NC8.4 mi2,688170

Emergency hospitals near Gastonia

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Caromont Regional Medical CenterGastonia, NC1.9 mi4 of 5(704) 834-4891
Atrium Health LincolnLincolnton, NC16 mi3 of 5(980) 212-2000
Carolinas Medical Center/Behav HealthCharlotte, NC19 mi4 of 5(704) 355-2000

Straight-line miles from the center of Gastonia. 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 Gastonia

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.02 an hour (the North Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,254 a month (75% of the $4,341 monthly median income of Gastonia households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,935 a month (252% of the $4,341 monthly median income of Gastonia households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Carolina's minimum wage is $7.25 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 Gastonia: common questions

Where is the nearest emergency hospital to Gastonia?

Caromont Regional Medical Center in Gastonia, about 1.9 mi in a straight line from the center of Gastonia (Medicare hospital file). Its listed phone number is (704) 834-4891. In an emergency, call 911.

How much does live-in care cost in Gastonia?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.02 an hour (the North Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,254 a month (75% of the $4,341 monthly median income of Gastonia households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,935 a month (252% of the $4,341 monthly median income of Gastonia households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Gastonia?

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 Gastonia 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.

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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