Madison, Illinois

Live-In Caregivers in Madison, IL

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.

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Local figures

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

12
residents 85 or older (0.4% of all residents)
244
households headed by someone 65+ own their home (75%)
33%
of Madison homes have 3 or more bedrooms (63% in Madison County)
$15.00
Illinois minimum wage per hour

About 12 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. 33% of homes in Madison have three or more bedrooms (63% in Madison County), while 23% have one bedroom or none, where live-in care rarely works; the median home has 4.4 rooms.

Of Madison households headed by someone 65 or older, 244 own their home and 81 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Madison compared with Madison County and Illinois

Census figureMadisonMadison CountyIllinois
Residents 85 or older0.4%2.1%2.0%
Residents 65+ in households who live alone49%32%30%
Residents 65+ with a disability62%35%32%
Residents 65+ below the poverty line (approx.)39%9.0%10%
Residents 65 or older14%19%17%
Residents 5+ who speak a language other than English at home7.3%3.6%24%

Older residents in towns around Madison

TownDistanceResidents 65+Residents 85+
Pontoon Beach, IL3.2 mi79437
Granite City, IL3.2 mi5,153648
East St. Louis, IL5.1 mi4,154545
Collinsville, IL5.2 mi4,375412
Caseyville, IL5.4 mi82881
Riverview, MO7.1 mi18824

Emergency hospitals near Madison

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Gateway Regional Medical CenterGranite City, IL2.8 mi2 of 5(618) 798-3000
St Louis-John Cochran Va Medical CenterSt. Louis, MO6.4 mi5 of 5(314) 652-4100
Touchette Regional Hospital IncCentreville, IL7.0 minot rated(618) 332-3060

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 $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. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month. 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 Madison: common questions

Where is the nearest emergency hospital to Madison?

Gateway Regional Medical Center in Granite City, about 2.8 mi in a straight line from the center of Madison (Medicare hospital file). Its listed phone number is (618) 798-3000. 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 $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. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month. 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 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. 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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