Live-In Caregivers in Horace, ND: 24-Hour Home Care

Local figures

Live-In Caregivers in Horace, ND: the local picture

0

residents 85 or older (0.0% of all residents)

165

households headed by someone 65+ own their home (95%)

95%

of Horace homes have 3 or more bedrooms (53% in Cass County)

$7.25

North Dakota minimum wage per hour

About 0 Horace 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. 95% of homes in Horace have three or more bedrooms (53% in Cass County); the median home has 7 rooms.

Of Horace households headed by someone 65 or older, 165 own their home and 8 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Horace compared with Cass County and North Dakota

Census figure	Horace	Cass County	North Dakota
Residents 85 or older	0.0%	1.5%	2.2%
Residents 65+ in households who live alone	25%	33%	33%
Residents 65+ with a disability	22%	30%	31%
Residents 65+ below the poverty line (approx.)	5.8%	7.6%	9.9%
Residents 65 or older	6.4%	13%	17%
Residents 5+ who speak a language other than English at home	4.3%	8.9%	6.7%
Median income, households headed by someone 65+	$64,861	$62,681	—

Older residents in towns around Horace

Town	Distance	Residents 65+	Residents 85+
West Fargo, ND	6.9 mi	4,963	637
Fargo, ND	8.4 mi	17,510	2,108
Moorhead, MN	11 mi	5,703	928
Dilworth, MN	13 mi	571	115
Casselton, ND	17 mi	293	30
Barnesville, MN	25 mi	359	57

Emergency hospitals near Horace

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Essentia Health	Fargo, ND	4.2 mi	3 of 5	(701) 364-8000
Sanford Medical Center Fargo	Fargo, ND	10 mi	4 of 5	(701) 234-2000
Fargo Va Medical Center	Fargo, ND	12 mi	5 of 5	(701) 232-3241

Straight-line miles from the center of Horace. 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 Horace

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.96 an hour (the North Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,108 a month (76% of the $5,405 monthly median income of Horace households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,803 a month (255% of the $5,405 monthly median income of Horace households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Dakota's minimum wage is $7.25 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 Horace: common questions

Where is the nearest emergency hospital to Horace?

Essentia Health in Fargo, about 4.2 mi in a straight line from the center of Horace (Medicare hospital file). Its listed phone number is (701) 364-8000. In an emergency, call 911.

How much does live-in care cost in Horace?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.96 an hour (the North Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,108 a month (76% of the $5,405 monthly median income of Horace households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,803 a month (255% of the $5,405 monthly median income of Horace households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Dakota's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Horace?

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 Horace 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 Horace

More senior care near Horace

Live-In Caregivers in nearby cities

Other care in Horace

More for Horace families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Horace, ND