Live-In Caregivers in Louisa, KY: 24-Hour Home Care

Local figures

Live-In Caregivers in Louisa, KY: the local picture

103

residents 85 or older (4.0% of all residents)

201

households headed by someone 65+ own their home (56%)

62%

of Louisa homes have 3 or more bedrooms (70% in Lawrence County)

$7.25

Kentucky minimum wage per hour

About 103 Louisa 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. 62% of homes in Louisa have three or more bedrooms (70% in Lawrence County), while 19% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Louisa households headed by someone 65 or older, 201 own their home and 157 rent; among householders 85 and older it is 53 owners and 18 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Louisa compared with Lawrence County and Kentucky

Census figure	Louisa	Lawrence County	Kentucky
Residents 85 or older	4.0%	1.9%	1.7%
Residents 65+ in households who live alone	54%	31%	30%
Residents 65+ with a disability	66%	50%	39%
Residents 65+ below the poverty line (approx.)	24%	17%	13%
Residents 65 or older	19%	20%	17%
Residents 5+ who speak a language other than English at home	0.6%	1.9%	6.8%
Median income, households headed by someone 65+	$28,056	$41,612	—

Older residents in towns around Louisa

Town	Distance	Residents 65+	Residents 85+
Kenova, WV	20 mi	760	53
Burlington, OH	21 mi	716	52
South Point, OH	22 mi	673	93
Paintsville, KY	23 mi	630	24
Huntington, WV	23 mi	8,425	1,022
Grayson, KY	23 mi	631	54

Emergency hospitals near Louisa

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Three Rivers Medical Center	Louisa, KY	0.7 mi	3 of 5	(606) 638-9451
Huntington Va Medical Center	Huntington, WV	20 mi	5 of 5	(304) 429-0241
Paintsville Arh Hospital	Paintsville, KY	22 mi	2 of 5	(606) 789-3511

Straight-line miles from the center of Louisa. 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 Louisa

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.52 an hour (the Kentucky median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,796 a month (162% of the $2,338 monthly median income of Louisa households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,755 a month (546% of the $2,338 monthly median income of Louisa households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Louisa: common questions

Where is the nearest emergency hospital to Louisa?

Three Rivers Medical Center in Louisa, about 0.7 mi in a straight line from the center of Louisa (Medicare hospital file). Its listed phone number is (606) 638-9451. In an emergency, call 911.

How much does live-in care cost in Louisa?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.52 an hour (the Kentucky median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,796 a month (162% of the $2,338 monthly median income of Louisa households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,755 a month (546% of the $2,338 monthly median income of Louisa households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Kentucky'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 Louisa?

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 Louisa 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 Louisa

More senior care near Louisa

Live-In Caregivers in nearby cities

Other care in Louisa

More for Louisa 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 Louisa, KY