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

Live-In Caregivers in Marion, VA: the local picture
About 115 Marion 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. 57% of homes in Marion have three or more bedrooms (67% in Smyth County), while 17% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.
Of Marion households headed by someone 65 or older, 546 own their home and 232 rent; among householders 85 and older it is 60 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Marion compared with Smyth County and Virginia
| Census figure | Marion | Smyth County | Virginia |
|---|---|---|---|
| Residents 85 or older | 2.0% | 2.9% | 1.7% |
| Residents 65+ in households who live alone | 38% | 32% | 27% |
| Residents 65+ with a disability | 31% | 42% | 31% |
| Residents 65+ below the poverty line (approx.) | 19% | 12% | 8.8% |
| Residents 65 or older | 22% | 23% | 17% |
| Residents 5+ who speak a language other than English at home | 2.9% | 2.2% | 17% |
| Median income, households headed by someone 65+ | $42,981 | $38,101 | — |
Older residents in towns around Marion
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Tazewell, VA | 20 mi | 1,062 | 71 |
| Richlands, VA | 24 mi | 1,295 | 138 |
| Wytheville, VA | 25 mi | 1,952 | 406 |
| Abingdon, VA | 27 mi | 2,046 | 310 |
| Mountain City, TN | 30 mi | 704 | 49 |
| Bluefield, VA | 31 mi | 1,257 | 201 |
Emergency hospitals near Marion
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Smyth County Community Hospital | Marion, VA | 1.3 mi | 3 of 5 | (276) 378-1000 |
| Carilion Tazewell Community Hospital | Tazewell, VA | 19 mi | not rated | (276) 988-8700 |
| Clinch Valley Medical Center | Richlands, VA | 24 mi | 3 of 5 | (276) 596-6000 |
Straight-line miles from the center of Marion. 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 Marion
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (88% of the $3,582 monthly median income of Marion households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (296% of the $3,582 monthly median income of Marion households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.
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 Marion: common questions
Where is the nearest emergency hospital to Marion?
Smyth County Community Hospital in Marion, about 1.3 mi in a straight line from the center of Marion (Medicare hospital file). Its listed phone number is (276) 378-1000. In an emergency, call 911.
How much does live-in care cost in Marion?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (88% of the $3,582 monthly median income of Marion households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (296% of the $3,582 monthly median income of Marion households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Marion?
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 Marion 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 Marion
Live-In Caregivers in nearby cities
- Live-In Caregivers in Tazewell, VA
- Live-In Caregivers in Richlands, VA
- Live-In Caregivers in Wytheville, VA
- Live-In Caregivers in Abingdon, VA
- Live-In Caregivers in Mountain City, TN
- Live-In Caregivers in Bluefield, VA
- Live-In Caregivers in Lebanon, VA
- Live-In Caregivers in Bluefield, WV
- Live-In Caregivers in Galax, VA
- Live-In Caregivers in Bristol, VA
- Live-In Caregivers in Welch, WV
- Live-In Caregivers in Bristol, TN
- Live-In Caregivers in Princeton, WV
- Live-In Caregivers in Hillsville, VA
- Live-In Caregivers in Boone, NC
- Live-In Caregivers in Pulaski, VA
Other care in Marion
- Companion Care in Marion
- Dementia Care in Marion
- Respite Care in Marion
- Post-Surgery Care in Marion
- Senior Transportation in Marion
- Home Health Aides in Marion
- Nursing Assistants in Marion
- Personal Care in Marion
- Overnight Caregivers in Marion
- 24-Hour Home Care in Marion
- Mobility Assistance in Marion
- Parkinson’s Care in Marion
- Stroke Recovery Support in Marion
- Disability Care for Adults in Marion
- Hospice Support in Marion
- Senior Meal Preparation in Marion
- Senior Housekeeping in Marion
- Medication Reminders in Marion
- Veterans’ Home Care in Marion
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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