Middle Island, New York

Live-In Caregivers in Middle Island, NY

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

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Local figures

Live-In Caregivers in Middle Island, NY: the local picture

372
residents 85 or older (3.4% of all residents)
1,251
households headed by someone 65+ own their home (73%)
47%
of Middle Island homes have 3 or more bedrooms (74% in Suffolk County)
$17.00
top New York minimum wage tier per hour

About 372 Middle Island 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. 47% of homes in Middle Island have three or more bedrooms (74% in Suffolk County), while 22% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.

Of Middle Island households headed by someone 65 or older, 1,251 own their home and 452 rent; among householders 85 and older it is 200 owners and 22 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Middle Island compared with Suffolk County and New York

Census figureMiddle IslandSuffolk CountyNew York
Residents 85 or older3.4%2.2%2.2%
Residents 65+ in households who live alone36%23%29%
Residents 65+ with a disability32%28%32%
Residents 65+ below the poverty line (approx.)12%7.3%13%
Residents 65 or older23%18%18%
Residents 5+ who speak a language other than English at home10.0%25%31%
Median income, households headed by someone 65+$55,898$87,077—

Older residents in towns around Middle Island

TownDistanceResidents 65+Residents 85+
Gordon Heights, NY2.1 mi39442
Coram, NY3.0 mi7,167768
Rocky Point, NY3.4 mi1,765152
Ridge, NY3.5 mi4,309386
Miller Place, NY4.1 mi2,265261
Yaphank, NY4.4 mi1,079180

Emergency hospitals near Middle Island

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY6.8 mi5 of 5(631) 473-1320
St Charles HospitalPort Jefferson, NY6.8 mi5 of 5(631) 474-6000
Long Island Community HospitalPatchogue, NY9.3 mi4 of 5(631) 654-7100

Straight-line miles from the center of Middle Island. 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 Middle Island

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.05 an hour (the New York median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,128 a month (89% of the $4,658 monthly median income of Middle Island households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,868 a month (298% of the $4,658 monthly median income of Middle Island households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Middle Island: common questions

Where is the nearest emergency hospital to Middle Island?

John T Mather Memorial Hospital Of Port Jefferson in Port Jefferson, about 6.8 mi in a straight line from the center of Middle Island (Medicare hospital file). Its listed phone number is (631) 473-1320. In an emergency, call 911.

How much does live-in care cost in Middle Island?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.05 an hour (the New York median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,128 a month (89% of the $4,658 monthly median income of Middle Island households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,868 a month (298% of the $4,658 monthly median income of Middle Island households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Middle Island?

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 Middle Island 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 Middle Island

More senior care near Middle Island

Live-In Caregivers in nearby cities

Other care in Middle Island

More for Middle Island 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.

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