Live-In Caregivers in North Bethesda, MD: 24-Hour Home Care

Local figures

Live-In Caregivers in North Bethesda, MD: the local picture

1,272

residents 85 or older (2.6% of all residents)

3,640

households headed by someone 65+ own their home (71%)

42%

of North Bethesda homes have 3 or more bedrooms (64% in Montgomery County)

$15.00

Maryland minimum wage per hour

About 1,272 North Bethesda 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. 42% of homes in North Bethesda have three or more bedrooms (64% in Montgomery County), while 29% have one bedroom or none, where live-in care rarely works; the median home has 4.5 rooms.

Of North Bethesda households headed by someone 65 or older, 3,640 own their home and 1,490 rent; among householders 85 and older it is 484 owners and 205 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

North Bethesda compared with Montgomery County and Maryland

Census figure	North Bethesda	Montgomery County	Maryland
Residents 85 or older	2.6%	2.2%	1.9%
Residents 65+ in households who live alone	35%	23%	27%
Residents 65+ with a disability	24%	26%	30%
Residents 65+ below the poverty line (approx.)	5.0%	7.4%	9.5%
Residents 65 or older	17%	17%	17%
Residents 5+ who speak a language other than English at home	40%	43%	21%
Median income, households headed by someone 65+	$105,308	$109,242	—

Older residents in towns around North Bethesda

Town	Distance	Residents 65+	Residents 85+
North Kensington, MD	2.6 mi	1,825	374
South Kensington, MD	3.2 mi	1,612	315
Bethesda, MD	3.4 mi	13,206	1,928
Wheaton, MD	3.4 mi	7,015	867
Rockville, MD	3.8 mi	12,739	2,197
Chevy Chase, MD	3.9 mi	2,265	544

Emergency hospitals near North Bethesda

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Suburban Hospital	Bethesda, MD	2.7 mi	4 of 5	(301) 896-2576
Walter Reed National Military Med Cen	Bethesda, MD	2.7 mi	not rated	(301) 295-4000
Adventist Healthcare Shady Grove Medical Center	Rockville, MD	4.3 mi	2 of 5	(240) 826-6517

Straight-line miles from the center of North Bethesda. 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 North Bethesda

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (45% of the $8,776 monthly median income of North Bethesda households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (152% of the $8,776 monthly median income of North Bethesda households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland'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 North Bethesda: common questions

Where is the nearest emergency hospital to North Bethesda?

Suburban Hospital in Bethesda, about 2.7 mi in a straight line from the center of North Bethesda (Medicare hospital file). Its listed phone number is (301) 896-2576. In an emergency, call 911.

How much does live-in care cost in North Bethesda?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (45% of the $8,776 monthly median income of North Bethesda households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (152% of the $8,776 monthly median income of North Bethesda households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland'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 North Bethesda?

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 North Bethesda 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 North Bethesda

More senior care near North Bethesda

Live-In Caregivers in nearby cities

Other care in North Bethesda

More for North Bethesda 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 North Bethesda, MD