Live-In Caregivers in Highland Springs, VA
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 Springs for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Highland Springs, VA: the local picture
About 335 Highland Springs 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. 78% of homes in Highland Springs have three or more bedrooms (68% in Henrico County); the median home has 5.6 rooms.
Of Highland Springs households headed by someone 65 or older, 1,339 own their home and 201 rent; among householders 85 and older it is 283 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Highland Springs compared with Henrico County and Virginia
| Census figure | Highland Springs | Henrico County | Virginia |
|---|---|---|---|
| Residents 85 or older | 2.3% | 2.1% | 1.7% |
| Residents 65+ in households who live alone | 33% | 32% | 27% |
| Residents 65+ with a disability | 41% | 29% | 31% |
| Residents 65+ below the poverty line (approx.) | 25% | 9.0% | 8.8% |
| Residents 65 or older | 18% | 17% | 17% |
| Residents 5+ who speak a language other than English at home | 4.0% | 16% | 17% |
| Median income, households headed by someone 65+ | $34,973 | $63,316 | — |
Older residents in towns around Highland Springs
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Sandston, VA | 2.8 mi | 1,024 | 142 |
| Montrose, VA | 3.3 mi | 1,522 | 366 |
| East Highland Park, VA | 3.7 mi | 2,636 | 245 |
| Mechanicsville, VA | 5.6 mi | 7,676 | 1,156 |
| Chamberlayne, VA | 7.6 mi | 1,366 | 246 |
| Richmond, VA | 8.2 mi | 32,244 | 3,177 |
Emergency hospitals near Highland Springs
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Bon Secours Richmond Community Hospital | Richmond, VA | 3.7 mi | not rated | (804) 225-1701 |
| Medical College Of Virginia Hospitals | Richmond, VA | 5.7 mi | 4 of 5 | (804) 828-9000 |
| Henrico Doctors' Hospital | Richmond, VA | 7.2 mi | 4 of 5 | (804) 289-4500 |
Straight-line miles from the center of Highland Springs. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Highland Springs
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 (108% of the $2,914 monthly median income of Highland Springs 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 (364% of the $2,914 monthly median income of Highland Springs 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.
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.
Live-In Caregivers in Highland Springs: common questions
Where is the nearest emergency hospital to Highland Springs?
Bon Secours Richmond Community Hospital in Richmond, about 3.7 mi in a straight line from the center of Highland Springs (Medicare hospital file). Its listed phone number is (804) 225-1701. In an emergency, call 911.
How much does live-in care cost in Highland Springs?
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 (108% of the $2,914 monthly median income of Highland Springs 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 (364% of the $2,914 monthly median income of Highland Springs 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 Highland Springs?
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 Springs 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 senior care near Highland Springs
Live-In Caregivers in nearby cities
- Live-In Caregivers in Sandston, VA
- Live-In Caregivers in Montrose, VA
- Live-In Caregivers in East Highland Park, VA
- Live-In Caregivers in Mechanicsville, VA
- Live-In Caregivers in Chamberlayne, VA
- Live-In Caregivers in Richmond, VA
- Live-In Caregivers in Lakeside, VA
- Live-In Caregivers in Bensley, VA
- Live-In Caregivers in Dumbarton, VA
- Live-In Caregivers in Laurel, VA
- Live-In Caregivers in Meadowbrook, VA
- Live-In Caregivers in Glen Allen, VA
- Live-In Caregivers in Bellwood, VA
- Live-In Caregivers in Manchester, VA
- Live-In Caregivers in Bon Air, VA
- Live-In Caregivers in Tuckahoe, VA
Other care in Highland Springs
- Companion Care in Highland Springs
- Dementia Care in Highland Springs
- Respite Care in Highland Springs
- Post-Surgery Care in Highland Springs
- Senior Transportation in Highland Springs
- Home Health Aides in Highland Springs
- Nursing Assistants in Highland Springs
- Personal Care in Highland Springs
- Overnight Caregivers in Highland Springs
- 24-Hour Home Care in Highland Springs
- Mobility Assistance in Highland Springs
- Parkinson’s Care in Highland Springs
- Stroke Recovery Support in Highland Springs
- Disability Care for Adults in Highland Springs
- Hospice Support in Highland Springs
- Senior Meal Preparation in Highland Springs
- Senior Housekeeping in Highland Springs
- Medication Reminders in Highland Springs
- Veterans’ Home Care in Highland Springs
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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