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

Local figures

Live-In Caregivers in Pell City, AL: the local picture

380

residents 85 or older (2.8% of all residents)

1,317

households headed by someone 65+ own their home (85%)

76%

of Pell City homes have 3 or more bedrooms (81% in St. Clair County)

$7.25

Alabama minimum wage per hour

About 380 Pell City 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. 76% of homes in Pell City have three or more bedrooms (81% in St. Clair County); the median home has 6.2 rooms.

Of Pell City households headed by someone 65 or older, 1,317 own their home and 236 rent; among householders 85 and older it is 279 owners and 25 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Pell City compared with St. Clair County and Alabama

Census figure	Pell City	St. Clair County	Alabama
Residents 85 or older	2.8%	1.4%	1.7%
Residents 65+ in households who live alone	30%	26%	29%
Residents 65+ with a disability	39%	37%	38%
Residents 65+ below the poverty line (approx.)	7.9%	9.4%	12%
Residents 65 or older	18%	18%	18%
Residents 5+ who speak a language other than English at home	2.3%	3.3%	6.0%
Median income, households headed by someone 65+	$49,447	$49,413	—

Older residents in towns around Pell City

Town	Distance	Residents 65+	Residents 85+
Lincoln, AL	7.9 mi	1,287	87
Talladega, AL	13 mi	2,591	184
Odenville, AL	13 mi	715	109
Moody, AL	14 mi	2,746	156
Margaret, AL	14 mi	501	0
Argo, AL	17 mi	370	14

Emergency hospitals near Pell City

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
St Vincent's St Clair	Pell City, AL	5.3 mi	3 of 5	(205) 338-3301
Citizens Baptist Medical Center	Talladega, AL	12 mi	1 of 5	(256) 761-4542
St. Vincent's East	Birmingham, AL	23 mi	3 of 5	(205) 838-3122

Straight-line miles from the center of Pell City. 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 Pell City

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 (70% of the $4,121 monthly median income of Pell City 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 (237% of the $4,121 monthly median income of Pell City 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 Pell City: common questions

Where is the nearest emergency hospital to Pell City?

St Vincent's St Clair in Pell City, about 5.3 mi in a straight line from the center of Pell City (Medicare hospital file). Its listed phone number is (205) 338-3301. In an emergency, call 911.

How much does live-in care cost in Pell City?

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 (70% of the $4,121 monthly median income of Pell City 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 (237% of the $4,121 monthly median income of Pell City 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 Pell City?

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 Pell City 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 Pell City

More senior care near Pell City

Live-In Caregivers in nearby cities

Other care in Pell City

More for Pell City 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 Pell City, AL