Live-In Caregivers in Pelham, AL: 24-Hour Home Care

Local figures

Live-In Caregivers in Pelham, AL: the local picture

516

residents 85 or older (2.1% of all residents)

2,210

households headed by someone 65+ own their home (91%)

82%

of Pelham homes have 3 or more bedrooms (83% in Shelby County)

$7.25

Alabama minimum wage per hour

About 516 Pelham 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. 82% of homes in Pelham have three or more bedrooms (83% in Shelby County); the median home has 6.6 rooms.

Of Pelham households headed by someone 65 or older, 2,210 own their home and 217 rent; among householders 85 and older it is 222 owners and 9 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Pelham compared with Shelby County and Alabama

Census figure	Pelham	Shelby County	Alabama
Residents 85 or older	2.1%	1.5%	1.7%
Residents 65+ in households who live alone	18%	23%	29%
Residents 65+ with a disability	34%	30%	38%
Residents 65+ below the poverty line (approx.)	5.9%	8.2%	12%
Residents 65 or older	18%	17%	18%
Residents 5+ who speak a language other than English at home	13%	8.4%	6.0%
Median income, households headed by someone 65+	$74,111	$69,559	—

Older residents in towns around Pelham

Town	Distance	Residents 65+	Residents 85+
Indian Springs Village, AL	2.7 mi	723	176
Hoover, AL	5.3 mi	15,408	2,011
Meadowbrook, AL	5.5 mi	1,162	10
Chelsea, AL	6.2 mi	2,538	153
Eagle Point, AL	6.6 mi	568	117
Highland Lakes, AL	7.6 mi	1,162	88

Emergency hospitals near Pelham

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Grandview Medical Center	Birmingham, AL	8.6 mi	3 of 5	(205) 971-1000
Shelby Baptist Medical Center	Alabaster, AL	9.4 mi	2 of 5	(205) 620-8100
Baptist Health Brookwood Hospital	Birmingham, AL	11 mi	3 of 5	(205) 877-1000

Straight-line miles from the center of Pelham. 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 Pelham

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (47% of the $6,176 monthly median income of Pelham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (158% of the $6,176 monthly median income of Pelham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Pelham: common questions

Where is the nearest emergency hospital to Pelham?

Grandview Medical Center in Birmingham, about 8.6 mi in a straight line from the center of Pelham (Medicare hospital file). Its listed phone number is (205) 971-1000. In an emergency, call 911.

How much does live-in care cost in Pelham?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (47% of the $6,176 monthly median income of Pelham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (158% of the $6,176 monthly median income of Pelham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Live-in or 24-hour care in Pelham?

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 Pelham 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 Pelham

More senior care near Pelham

Live-In Caregivers in nearby cities

Other care in Pelham

More for Pelham 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 Pelham, AL