Live-In Caregivers in North Royalton, OH: 24-Hour Home Care

Local figures

Live-In Caregivers in North Royalton, OH: the local picture

664

residents 85 or older (2.1% of all residents)

3,477

households headed by someone 65+ own their home (83%)

61%

of North Royalton homes have 3 or more bedrooms (59% in Cuyahoga County)

$11.00

Ohio minimum wage per hour

About 664 North Royalton 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. 61% of homes in North Royalton have three or more bedrooms (59% in Cuyahoga County), while 13% have one bedroom or none, where live-in care rarely works; the median home has 6.1 rooms.

Of North Royalton households headed by someone 65 or older, 3,477 own their home and 708 rent; among householders 85 and older it is 226 owners and 273 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

North Royalton compared with Cuyahoga County and Ohio

Census figure	North Royalton	Cuyahoga County	Ohio
Residents 85 or older	2.1%	2.4%	2.1%
Residents 65+ in households who live alone	26%	37%	32%
Residents 65+ with a disability	24%	33%	33%
Residents 65+ below the poverty line (approx.)	9.2%	12%	10%
Residents 65 or older	22%	19%	18%
Residents 5+ who speak a language other than English at home	17%	12%	8.0%
Median income, households headed by someone 65+	$62,169	$49,922	—

Older residents in towns around North Royalton

Town	Distance	Residents 65+	Residents 85+
Broadview Heights, OH	3.6 mi	4,103	408
Strongsville, OH	4.3 mi	11,116	1,417
Parma Heights, OH	4.7 mi	4,121	440
Parma, OH	4.8 mi	15,795	1,682
Middleburg Heights, OH	5.0 mi	4,134	648
Seven Hills, OH	5.8 mi	3,004	515

Emergency hospitals near North Royalton

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Southwest General Health Center	Middleburg Heights, OH	5.2 mi	4 of 5	(440) 816-8000
Metrohealth System	Cleveland, OH	9.3 mi	3 of 5	(216) 778-7089
Fairview Hospital	Cleveland, OH	9.9 mi	5 of 5	(216) 476-7000

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

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.57 an hour (the Ohio median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,590 a month (69% of the $5,181 monthly median income of North Royalton households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,063 a month (233% of the $5,181 monthly median income of North Royalton households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Ohio's minimum wage is $11.00 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 Royalton: common questions

Where is the nearest emergency hospital to North Royalton?

Southwest General Health Center in Middleburg Heights, about 5.2 mi in a straight line from the center of North Royalton (Medicare hospital file). Its listed phone number is (440) 816-8000. In an emergency, call 911.

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

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.57 an hour (the Ohio median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,590 a month (69% of the $5,181 monthly median income of North Royalton households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,063 a month (233% of the $5,181 monthly median income of North Royalton households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Ohio's minimum wage is $11.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in North Royalton?

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 Royalton 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 Royalton

More senior care near North Royalton

Live-In Caregivers in nearby cities

Other care in North Royalton

More for North Royalton 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 Royalton, OH