Live-In Caregivers in Montesano, WA: 24-Hour Home Care

Local figures

Live-In Caregivers in Montesano, WA: the local picture

117

residents 85 or older (2.8% of all residents)

392

households headed by someone 65+ own their home (74%)

50%

of Montesano homes have 3 or more bedrooms (61% in Grays Harbor County)

$17.13

Washington minimum wage per hour

About 117 Montesano 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. 50% of homes in Montesano have three or more bedrooms (61% in Grays Harbor County), while 15% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of Montesano households headed by someone 65 or older, 392 own their home and 141 rent; among householders 85 and older it is 76 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Montesano compared with Grays Harbor County and Washington

Census figure	Montesano	Grays Harbor County	Washington
Residents 85 or older	2.8%	2.0%	1.8%
Residents 65+ in households who live alone	28%	30%	26%
Residents 65+ with a disability	36%	40%	33%
Residents 65+ below the poverty line (approx.)	3.8%	10%	8.9%
Residents 65 or older	23%	23%	17%
Residents 5+ who speak a language other than English at home	9.6%	10%	21%
Median income, households headed by someone 65+	$47,750	$49,629	—

Older residents in towns around Montesano

Town	Distance	Residents 65+	Residents 85+
Central Park, WA	6.2 mi	529	20
Elma, WA	8.3 mi	568	55
Aberdeen, WA	11 mi	3,211	433
Hoquiam, WA	15 mi	1,978	236
Raymond, WA	24 mi	829	139
Shelton, WA	27 mi	1,466	212

Emergency hospitals near Montesano

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Summit Pacific Medical Center	Elma, WA	8.8 mi	2 of 5	(360) 346-2222
Grays Harbor Community Hospital	Aberdeen, WA	10 mi	3 of 5	(360) 532-8330
Capital Medical Center	Olympia, WA	26 mi	3 of 5	(360) 956-2550

Straight-line miles from the center of Montesano. 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 Montesano

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $22.95 an hour (the Washington median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,973 a month (125% of the $3,979 monthly median income of Montesano households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $16,708 a month (420% of the $3,979 monthly median income of Montesano households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Washington's minimum wage is $17.13 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 Montesano: common questions

Where is the nearest emergency hospital to Montesano?

Summit Pacific Medical Center in Elma, about 8.8 mi in a straight line from the center of Montesano (Medicare hospital file). Its listed phone number is (360) 346-2222. In an emergency, call 911.

How much does live-in care cost in Montesano?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $22.95 an hour (the Washington median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,973 a month (125% of the $3,979 monthly median income of Montesano households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $16,708 a month (420% of the $3,979 monthly median income of Montesano households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Washington's minimum wage is $17.13 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Montesano?

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 Montesano 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 Montesano

More senior care near Montesano

Live-In Caregivers in nearby cities

Other care in Montesano

More for Montesano 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.

Live-In Caregivers in Montesano, WA