Live-In Caregivers in Highland Lakes, AL: 24-Hour Home Care

Local figures

Live-In Caregivers in Highland Lakes, AL: the local picture

88

residents 85 or older (1.5% of all residents)

656

households headed by someone 65+ own their home (100%)

94%

of Highland Lakes homes have 3 or more bedrooms (83% in Shelby County)

$7.25

Alabama minimum wage per hour

About 88 Highland Lakes 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. 94% of homes in Highland Lakes have three or more bedrooms (83% in Shelby County); the median home has 10 rooms.

Of Highland Lakes households headed by someone 65 or older, 656 own their home and 0 rent; among householders 85 and older it is 65 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Highland Lakes compared with Shelby County and Alabama

Census figure	Highland Lakes	Shelby County	Alabama
Residents 85 or older	1.5%	1.5%	1.7%
Residents 65+ in households who live alone	17%	23%	29%
Residents 65+ with a disability	35%	30%	38%
Residents 65+ below the poverty line (approx.)	3.9%	8.2%	12%
Residents 65 or older	20%	17%	18%
Residents 5+ who speak a language other than English at home	3.4%	8.4%	6.0%
Median income, households headed by someone 65+	$119,219	$69,559	—

Older residents in towns around Highland Lakes

Town	Distance	Residents 65+	Residents 85+
Eagle Point, AL	1.7 mi	568	117
Meadowbrook, AL	3.3 mi	1,162	10
Brook Highland, AL	3.5 mi	1,161	36
Chelsea, AL	6.2 mi	2,538	153
Indian Springs Village, AL	6.2 mi	723	176
Vestavia Hills, AL	6.9 mi	7,394	1,285

Emergency hospitals near Highland Lakes

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Grandview Medical Center	Birmingham, AL	6.8 mi	3 of 5	(205) 971-1000
Baptist Health Brookwood Hospital	Birmingham, AL	10 mi	3 of 5	(205) 877-1000
St Vincent's Birmingham	Birmingham, AL	11 mi	3 of 5	(205) 939-7000

Straight-line miles from the center of Highland Lakes. 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 Lakes

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 (29% of the $9,935 monthly median income of Highland Lakes 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 (98% of the $9,935 monthly median income of Highland Lakes 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.

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 Lakes: common questions

Where is the nearest emergency hospital to Highland Lakes?

Grandview Medical Center in Birmingham, about 6.8 mi in a straight line from the center of Highland Lakes (Medicare hospital file). Its listed phone number is (205) 971-1000. In an emergency, call 911.

How much does live-in care cost in Highland Lakes?

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 (29% of the $9,935 monthly median income of Highland Lakes 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 (98% of the $9,935 monthly median income of Highland Lakes 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 Highland Lakes?

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 Lakes 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 Highland Lakes

More senior care near Highland Lakes

Live-In Caregivers in nearby cities

Other care in Highland Lakes

More for Highland Lakes 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 Highland Lakes, AL