Live-In Caregivers in Lewiston, NY
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 Lewiston for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Lewiston, NY: the local picture
About 110 Lewiston 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. 53% of homes in Lewiston have three or more bedrooms (66% in Niagara County), while 7.7% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Lewiston households headed by someone 65 or older, 344 own their home and 119 rent; among householders 85 and older it is 75 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Lewiston compared with Niagara County and New York
| Census figure | Lewiston | Niagara County | New York |
|---|---|---|---|
| Residents 85 or older | 4.3% | 2.5% | 2.2% |
| Residents 65+ in households who live alone | 40% | 32% | 29% |
| Residents 65+ with a disability | 27% | 32% | 32% |
| Residents 65+ below the poverty line (approx.) | 5.4% | 11% | 13% |
| Residents 65 or older | 26% | 21% | 18% |
| Residents 5+ who speak a language other than English at home | 9.8% | 5.9% | 31% |
| Median income, households headed by someone 65+ | $54,063 | $52,607 | — |
Older residents in towns around Lewiston
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Niagara Falls, NY | 5.6 mi | 8,884 | 1,173 |
| North Tonawanda, NY | 12 mi | 6,614 | 691 |
| Grandyle Village, NY | 13 mi | 889 | 51 |
| Tonawanda, NY | 14 mi | 3,101 | 198 |
| Tonawanda Town, NY | 15 mi | 12,029 | 1,824 |
| Kenmore, NY | 17 mi | 2,381 | 189 |
Emergency hospitals near Lewiston
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Mount St. Mary's Hospital & Health Center | Lewiston, NY | 1.0 mi | 2 of 5 | (716) 297-4800 |
| Niagara Falls Memorial Medical Center | Niagara Falls, NY | 5.4 mi | 1 of 5 | (716) 278-4000 |
| Kenmore Mercy Hospital | Kenmore, NY | 16 mi | 3 of 5 | (716) 447-6100 |
Straight-line miles from the center of Lewiston. 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 Lewiston
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.05 an hour (the New York median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,128 a month (92% of the $4,505 monthly median income of Lewiston households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,868 a month (308% of the $4,505 monthly median income of Lewiston households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.
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 Lewiston: common questions
Where is the nearest emergency hospital to Lewiston?
Mount St. Mary's Hospital & Health Center in Lewiston, about 1.0 mi in a straight line from the center of Lewiston (Medicare hospital file). Its listed phone number is (716) 297-4800. In an emergency, call 911.
How much does live-in care cost in Lewiston?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.05 an hour (the New York median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,128 a month (92% of the $4,505 monthly median income of Lewiston households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,868 a month (308% of the $4,505 monthly median income of Lewiston households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Lewiston?
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 Lewiston 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 Lewiston
Live-In Caregivers in nearby cities
- Live-In Caregivers in Niagara Falls, NY
- Live-In Caregivers in North Tonawanda, NY
- Live-In Caregivers in Grandyle Village, NY
- Live-In Caregivers in Tonawanda, NY
- Live-In Caregivers in Tonawanda Town, NY
- Live-In Caregivers in Kenmore, NY
- Live-In Caregivers in Lockport, NY
- Live-In Caregivers in University at Buffalo, NY
- Live-In Caregivers in South Lockport, NY
- Live-In Caregivers in Eggertsville, NY
- Live-In Caregivers in Newfane, NY
- Live-In Caregivers in Williamsville, NY
- Live-In Caregivers in Buffalo, NY
- Live-In Caregivers in Harris Hill, NY
- Live-In Caregivers in Sloan, NY
- Live-In Caregivers in Cheektowaga, NY
Other care in Lewiston
- Companion Care in Lewiston
- Dementia Care in Lewiston
- Respite Care in Lewiston
- Post-Surgery Care in Lewiston
- Senior Transportation in Lewiston
- Home Health Aides in Lewiston
- Nursing Assistants in Lewiston
- Personal Care in Lewiston
- Overnight Caregivers in Lewiston
- 24-Hour Home Care in Lewiston
- Mobility Assistance in Lewiston
- Parkinson’s Care in Lewiston
- Stroke Recovery Support in Lewiston
- Disability Care for Adults in Lewiston
- Hospice Support in Lewiston
- Senior Meal Preparation in Lewiston
- Senior Housekeeping in Lewiston
- Medication Reminders in Lewiston
- Veterans’ Home Care in Lewiston
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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