Madison, Alabama

Live-In Caregivers in Madison, AL

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 Madison for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Live-In Caregivers in Madison, AL: the local picture

573
residents 85 or older (1.0% of all residents)
3,950
households headed by someone 65+ own their home (80%)
81%
of Madison homes have 3 or more bedrooms (74% in Madison County)
$7.25
Alabama minimum wage per hour

About 573 Madison 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. 81% of homes in Madison have three or more bedrooms (74% in Madison County), while 8.3% have one bedroom or none, where live-in care rarely works; the median home has 7.1 rooms.

Of Madison households headed by someone 65 or older, 3,950 own their home and 960 rent; among householders 85 and older it is 153 owners and 169 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Madison compared with Madison County and Alabama

Census figureMadisonMadison CountyAlabama
Residents 85 or older1.0%1.7%1.7%
Residents 65+ in households who live alone27%29%29%
Residents 65+ with a disability25%35%38%
Residents 65+ below the poverty line (approx.)8.8%9.5%12%
Residents 65 or older13%16%18%
Residents 5+ who speak a language other than English at home12%7.7%6.0%
Median income, households headed by someone 65+$88,500$65,028—

Older residents in towns around Madison

TownDistanceResidents 65+Residents 85+
Huntsville, AL4.9 mi36,5414,958
Triana, AL8.5 mi3250
Harvest, AL10.0 mi957101
Athens, AL12 mi5,066528
Priceville, AL14 mi46159
Meridianville, AL15 mi1,424129

Emergency hospitals near Madison

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Huntsville HospitalHuntsville, AL11 mi3 of 5(256) 265-1000
Crestwood Medical CenterHuntsville, AL11 mi3 of 5(256) 429-4000
Athens Limestone HospitalAthens, AL14 mi2 of 5(256) 233-9292

Straight-line miles from the center of Madison. 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 Madison

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (39% of the $7,375 monthly median income of Madison households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (132% of the $7,375 monthly median income of Madison households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Madison: common questions

Where is the nearest emergency hospital to Madison?

Huntsville Hospital in Huntsville, about 11 mi in a straight line from the center of Madison (Medicare hospital file). Its listed phone number is (256) 265-1000. In an emergency, call 911.

How much does live-in care cost in Madison?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (39% of the $7,375 monthly median income of Madison households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (132% of the $7,375 monthly median income of Madison households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Live-in or 24-hour care in Madison?

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 Madison 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.

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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