Live-In Caregivers in Grand Island, NE: 24-Hour Home Care

Local figures

Live-In Caregivers in Grand Island, NE: the local picture

1,163

residents 85 or older (2.2% of all residents)

3,732

households headed by someone 65+ own their home (71%)

55%

of Grand Island homes have 3 or more bedrooms

$15.00

Nebraska minimum wage per hour

About 1,163 Grand Island 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. 55% of homes in Grand Island have three or more bedrooms, while 18% have one bedroom or none, where live-in care rarely works; the median home has 5.5 rooms.

Of Grand Island households headed by someone 65 or older, 3,732 own their home and 1,524 rent; among householders 85 and older it is 465 owners and 433 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Grand Island compared with Nebraska

Census figure	Grand Island	Nebraska
Residents 85 or older	2.2%	2.0%
Residents 65+ in households who live alone	35%	31%
Residents 65+ with a disability	35%	32%
Residents 65+ below the poverty line (approx.)	14%	9.2%
Residents 65 or older	15%	17%
Residents 5+ who speak a language other than English at home	32%	13%
Median income, households headed by someone 65+	$45,630	—

Older residents in towns around Grand Island

Town	Distance	Residents 65+	Residents 85+
Aurora, NE	19 mi	976	161
St. Paul, NE	21 mi	697	172
Hastings, NE	23 mi	4,646	523
Central City, NE	23 mi	641	68
York, NE	40 mi	1,607	213
Kearney, NE	41 mi	5,546	737

Emergency hospitals near Grand Island

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Chi Health St. Francis	Grand Island, NE	1.6 mi	4 of 5	(308) 384-4600
Grand Island Regional Medical Center	Grand Island, NE	1.6 mi	2 of 5	(308) 675-5000
Memorial Hospital	Aurora, NE	18 mi	not rated	(402) 694-3171

Straight-line miles from the center of Grand Island. 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 Grand Island

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.38 an hour (the Nebraska median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,766 a month (99% of the $3,803 monthly median income of Grand Island households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,653 a month (333% of the $3,803 monthly median income of Grand Island households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Nebraska'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 Grand Island: common questions

Where is the nearest emergency hospital to Grand Island?

Chi Health St. Francis in Grand Island, about 1.6 mi in a straight line from the center of Grand Island (Medicare hospital file). Its listed phone number is (308) 384-4600. In an emergency, call 911.

How much does live-in care cost in Grand Island?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.38 an hour (the Nebraska median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,766 a month (99% of the $3,803 monthly median income of Grand Island households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,653 a month (333% of the $3,803 monthly median income of Grand Island households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Nebraska'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 Grand Island?

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 Grand Island 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 Grand Island

More senior care near Grand Island

Live-In Caregivers in nearby cities

Other care in Grand Island

More for Grand Island 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 Grand Island, NE