Highland, Illinois

Live-In Caregivers in Highland, IL

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

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Local figures

Live-In Caregivers in Highland, IL: the local picture

331
residents 85 or older (3.2% of all residents)
1,017
households headed by someone 65+ own their home (73%)
62%
of Highland homes have 3 or more bedrooms (63% in Madison County)
$15.00
Illinois minimum wage per hour

About 331 Highland 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 Highland have three or more bedrooms (63% in Madison County), while 9.2% have one bedroom or none, where live-in care rarely works; the median home has 5.6 rooms.

Of Highland households headed by someone 65 or older, 1,017 own their home and 369 rent; among householders 85 and older it is 150 owners and 63 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Highland compared with Madison County and Illinois

Census figureHighlandMadison CountyIllinois
Residents 85 or older3.2%2.1%2.0%
Residents 65+ in households who live alone43%32%30%
Residents 65+ with a disability36%35%32%
Residents 65+ below the poverty line (approx.)8.8%9.0%10%
Residents 65 or older20%19%17%
Residents 5+ who speak a language other than English at home2.6%3.6%24%
Median income, households headed by someone 65+$58,646$57,096—

Older residents in towns around Highland

TownDistanceResidents 65+Residents 85+
Trenton, IL11 mi541116
Troy, IL12 mi1,626276
Lebanon, IL13 mi79470
Breese, IL14 mi869167
Maryville, IL15 mi2,173264
Glen Carbon, IL16 mi2,898435

Emergency hospitals near Highland

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
St Joseph's HospitalHighland, IL0.6 mi3 of 5(618) 651-2600
St Josephs HospitalBreese, IL14 mi4 of 5(618) 526-4511
Anderson HospitalMaryville, IL16 mi3 of 5(618) 288-5711

Straight-line miles from the center of Highland. 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 Highland

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (81% of the $4,887 monthly median income of Highland households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (273% of the $4,887 monthly median income of Highland households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Highland: common questions

Where is the nearest emergency hospital to Highland?

St Joseph's Hospital in Highland, about 0.6 mi in a straight line from the center of Highland (Medicare hospital file). Its listed phone number is (618) 651-2600. In an emergency, call 911.

How much does live-in care cost in Highland?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (81% of the $4,887 monthly median income of Highland households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (273% of the $4,887 monthly median income of Highland households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Highland?

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 Highland 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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