Live-In Caregivers in Hot Springs, SD: 24-Hour Home Care

Local figures

Live-In Caregivers in Hot Springs, SD: the local picture

203

residents 85 or older (5.7% of all residents)

533

households headed by someone 65+ own their home (69%)

39%

of Hot Springs homes have 3 or more bedrooms (51% in Fall River County)

$11.85

South Dakota minimum wage per hour

About 203 Hot 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. 39% of homes in Hot Springs have three or more bedrooms (51% in Fall River County), while 20% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Hot Springs households headed by someone 65 or older, 533 own their home and 241 rent; among householders 85 and older it is 9 owners and 95 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Hot Springs compared with Fall River County and South Dakota

Census figure	Hot Springs	Fall River County	South Dakota
Residents 85 or older	5.7%	3.6%	2.1%
Residents 65+ in households who live alone	35%	28%	30%
Residents 65+ with a disability	42%	39%	31%
Residents 65+ below the poverty line (approx.)	8.9%	8.3%	10%
Residents 65 or older	38%	33%	18%
Residents 5+ who speak a language other than English at home	6.6%	4.1%	7.1%
Median income, households headed by someone 65+	$59,000	$59,142	—

Older residents in towns around Hot Springs

Town	Distance	Residents 65+	Residents 85+
Colonial Pine Hills, SD	42 mi	793	13
Rapid City, SD	47 mi	16,108	2,099
Newcastle, WY	47 mi	610	96
Chadron, NE	47 mi	805	211
Rapid Valley, SD	48 mi	1,292	118
Blackhawk, SD	51 mi	550	26

Emergency hospitals near Hot Springs

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Fall River Hospital - Cah	Hot Springs, SD	0.6 mi	not rated	(605) 745-8910
Monument Health Custer Hospital	Custer, SD	17 mi	not rated	(605) 673-9400

Straight-line miles from the center of Hot Springs. 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 Hot Springs

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.15 an hour (the South Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,932 a month (80% of the $4,917 monthly median income of Hot Springs households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,213 a month (269% of the $4,917 monthly median income of Hot Springs households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. South Dakota's minimum wage is $11.85 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 Hot Springs: common questions

Where is the nearest emergency hospital to Hot Springs?

Fall River Hospital - Cah in Hot Springs, about 0.6 mi in a straight line from the center of Hot Springs (Medicare hospital file). Its listed phone number is (605) 745-8910. In an emergency, call 911.

How much does live-in care cost in Hot Springs?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.15 an hour (the South Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,932 a month (80% of the $4,917 monthly median income of Hot Springs households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,213 a month (269% of the $4,917 monthly median income of Hot Springs households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Hot 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 Hot 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 near Hot Springs

More senior care near Hot Springs

Live-In Caregivers in nearby cities

Other care in Hot Springs

More for Hot Springs 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 Hot Springs, SD