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.

Live-In Caregivers in Middle Island, NY: the local picture
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 figure | Middle Island | Suffolk County | New York |
|---|---|---|---|
| Residents 85 or older | 3.4% | 2.2% | 2.2% |
| Residents 65+ in households who live alone | 36% | 23% | 29% |
| Residents 65+ with a disability | 32% | 28% | 32% |
| Residents 65+ below the poverty line (approx.) | 12% | 7.3% | 13% |
| Residents 65 or older | 23% | 18% | 18% |
| Residents 5+ who speak a language other than English at home | 10.0% | 25% | 31% |
| Median income, households headed by someone 65+ | $55,898 | $87,077 | — |
Older residents in towns around Middle Island
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Gordon Heights, NY | 2.1 mi | 394 | 42 |
| Coram, NY | 3.0 mi | 7,167 | 768 |
| Rocky Point, NY | 3.4 mi | 1,765 | 152 |
| Ridge, NY | 3.5 mi | 4,309 | 386 |
| Miller Place, NY | 4.1 mi | 2,265 | 261 |
| Yaphank, NY | 4.4 mi | 1,079 | 180 |
Emergency hospitals near Middle Island
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port Jefferson, NY | 6.8 mi | 5 of 5 | (631) 473-1320 |
| St Charles Hospital | Port Jefferson, NY | 6.8 mi | 5 of 5 | (631) 474-6000 |
| Long Island Community Hospital | Patchogue, NY | 9.3 mi | 4 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 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 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.
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 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 senior care near Middle Island
Live-In Caregivers in nearby cities
- Live-In Caregivers in Gordon Heights, NY
- Live-In Caregivers in Coram, NY
- Live-In Caregivers in Rocky Point, NY
- Live-In Caregivers in Ridge, NY
- Live-In Caregivers in Miller Place, NY
- Live-In Caregivers in Yaphank, NY
- Live-In Caregivers in Mount Sinai, NY
- Live-In Caregivers in Sound Beach, NY
- Live-In Caregivers in Selden, NY
- Live-In Caregivers in Medford, NY
- Live-In Caregivers in Terryville, NY
- Live-In Caregivers in East Shoreham, NY
- Live-In Caregivers in Farmingville, NY
- Live-In Caregivers in Port Jefferson, NY
- Live-In Caregivers in Port Jefferson Station, NY
- Live-In Caregivers in Centereach, NY
Other care in Middle Island
- Companion Care in Middle Island
- Dementia Care in Middle Island
- Respite Care in Middle Island
- Post-Surgery Care in Middle Island
- Senior Transportation in Middle Island
- Home Health Aides in Middle Island
- Nursing Assistants in Middle Island
- Personal Care in Middle Island
- Overnight Caregivers in Middle Island
- 24-Hour Home Care in Middle Island
- Mobility Assistance in Middle Island
- Parkinson’s Care in Middle Island
- Stroke Recovery Support in Middle Island
- Disability Care for Adults in Middle Island
- Hospice Support in Middle Island
- Senior Meal Preparation in Middle Island
- Senior Housekeeping in Middle Island
- Medication Reminders in Middle Island
- Veterans’ Home Care in Middle Island
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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