Live-In Caregivers in Great Falls, VA: 24-Hour Home Care

Local figures

Live-In Caregivers in Great Falls, VA: the local picture

204

residents 85 or older (1.3% of all residents)

1,571

households headed by someone 65+ own their home (99%)

99%

of Great Falls homes have 3 or more bedrooms (68% in Fairfax County)

$12.77

Virginia minimum wage per hour

About 204 Great Falls 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. 99% of homes in Great Falls have three or more bedrooms (68% in Fairfax County); the median home has 10 rooms.

Of Great Falls households headed by someone 65 or older, 1,571 own their home and 22 rent; among householders 85 and older it is 104 owners and 11 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Great Falls compared with Fairfax County and Virginia

Census figure	Great Falls	Fairfax County	Virginia
Residents 85 or older	1.3%	1.6%	1.7%
Residents 65+ in households who live alone	14%	22%	27%
Residents 65+ with a disability	22%	24%	31%
Residents 65+ below the poverty line (approx.)	3.8%	5.2%	8.8%
Residents 65 or older	18%	15%	17%
Residents 5+ who speak a language other than English at home	29%	39%	17%
Median income, households headed by someone 65+	$230,560	$119,967	—

Older residents in towns around Great Falls

Town	Distance	Residents 65+	Residents 85+
Sugarland Run, VA	3.7 mi	1,431	33
Lowes Island, VA	3.8 mi	1,323	116
Dranesville, VA	3.8 mi	1,858	140
Travilah, MD	4.3 mi	2,674	380
Reston, VA	4.9 mi	10,441	1,090
Cascades, VA	5.2 mi	1,803	259

Emergency hospitals near Great Falls

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Reston Hospital Center	Reston, VA	4.1 mi	3 of 5	(703) 689-9000
Adventist Healthcare Shady Grove Medical Center	Rockville, MD	8.8 mi	2 of 5	(240) 826-6517
Stonesprings Hospital Center	Dulles, VA	9.4 mi	4 of 5	(571) 349-4000

Straight-line miles from the center of Great Falls. 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 Great Falls

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 (16% of the $19,213 monthly median income of Great Falls 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 (55% of the $19,213 monthly median income of Great Falls 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.

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 Great Falls: common questions

Where is the nearest emergency hospital to Great Falls?

Reston Hospital Center in Reston, about 4.1 mi in a straight line from the center of Great Falls (Medicare hospital file). Its listed phone number is (703) 689-9000. In an emergency, call 911.

How much does live-in care cost in Great Falls?

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 (16% of the $19,213 monthly median income of Great Falls 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 (55% of the $19,213 monthly median income of Great Falls 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 Great Falls?

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 Great Falls 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 Great Falls

More senior care near Great Falls

Live-In Caregivers in nearby cities

Other care in Great Falls

More for Great Falls 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 Great Falls, VA