Live-In Caregivers in Macomb, IL: 24-Hour Home Care

Local figures

Live-In Caregivers in Macomb, IL: the local picture

428

residents 85 or older (2.9% of all residents)

1,136

households headed by someone 65+ own their home (71%)

45%

of Macomb homes have 3 or more bedrooms (55% in McDonough County)

$15.00

Illinois minimum wage per hour

About 428 Macomb 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. 45% of homes in Macomb have three or more bedrooms (55% in McDonough County), while 18% have one bedroom or none, where live-in care rarely works; the median home has 4.9 rooms.

Of Macomb households headed by someone 65 or older, 1,136 own their home and 461 rent; among householders 85 and older it is 192 owners and 99 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Macomb compared with McDonough County and Illinois

Census figure	Macomb	McDonough County	Illinois
Residents 85 or older	2.9%	2.7%	2.0%
Residents 65+ in households who live alone	49%	38%	30%
Residents 65+ with a disability	33%	30%	32%
Residents 65+ below the poverty line (approx.)	9.0%	9.1%	10%
Residents 65 or older	16%	19%	17%
Residents 5+ who speak a language other than English at home	6.4%	4.8%	24%
Median income, households headed by someone 65+	$36,060	$48,880	—

Older residents in towns around Macomb

Town	Distance	Residents 65+	Residents 85+
Bushnell, IL	11 mi	655	70
Rushville, IL	25 mi	618	128
Abingdon, IL	27 mi	663	89
Monmouth, IL	31 mi	1,361	171
Burlington, IA	33 mi	5,107	787
Beardstown, IL	34 mi	762	162

Emergency hospitals near Macomb

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Mc Donough District Hospital	Macomb, IL	0.6 mi	3 of 5	(309) 833-4101
Memorial Hospital	Carthage, IL	22 mi	4 of 5	(217) 357-8500
Sarah D Culbertson Memorial Hospital	Rushville, IL	26 mi	not rated	(217) 322-4321

Straight-line miles from the center of Macomb. 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 Macomb

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (132% of the $3,005 monthly median income of Macomb households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (443% of the $3,005 monthly median income of Macomb households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois's minimum wage is $15.00 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 Macomb: common questions

Where is the nearest emergency hospital to Macomb?

Mc Donough District Hospital in Macomb, about 0.6 mi in a straight line from the center of Macomb (Medicare hospital file). Its listed phone number is (309) 833-4101. In an emergency, call 911.

How much does live-in care cost in Macomb?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (132% of the $3,005 monthly median income of Macomb households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (443% of the $3,005 monthly median income of Macomb households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Macomb?

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 Macomb 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 Macomb

More senior care near Macomb

Live-In Caregivers in nearby cities

Other care in Macomb

More for Macomb 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 Macomb, IL