Live-In Caregivers in Portland, OR: 24-Hour Home Care

Local figures

Live-In Caregivers in Portland, OR: the local picture

9,732

residents 85 or older (1.5% of all residents)

40,017

households headed by someone 65+ own their home (68%)

46%

of Portland homes have 3 or more bedrooms (49% in Multnomah County)

$16.80

top Oregon minimum wage tier per hour

About 9,732 Portland 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. 46% of homes in Portland have three or more bedrooms (49% in Multnomah County), while 27% have one bedroom or none, where live-in care rarely works; the median home has 4.7 rooms.

Of Portland households headed by someone 65 or older, 40,017 own their home and 19,204 rent; among householders 85 and older it is 3,470 owners and 2,874 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Portland compared with Multnomah County and Oregon

Census figure	Portland	Multnomah County	Oregon
Residents 85 or older	1.5%	1.5%	2.1%
Residents 65+ in households who live alone	36%	33%	27%
Residents 65+ with a disability	33%	34%	34%
Residents 65+ below the poverty line (approx.)	12%	12%	9.9%
Residents 65 or older	15%	15%	19%
Residents 5+ who speak a language other than English at home	17%	19%	15%
Median income, households headed by someone 65+	$63,808	$64,218	—

Older residents in towns around Portland

Town	Distance	Residents 65+	Residents 85+
West Haven-Sylvan, OR	5.8 mi	1,692	239
Raleigh Hills, OR	6.3 mi	1,598	221
Milwaukie, OR	6.5 mi	3,893	544
West Slope, OR	6.6 mi	1,315	109
Cedar Mill, OR	7.3 mi	2,518	319
Vancouver, WA	7.4 mi	32,641	4,130

Emergency hospitals near Portland

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Legacy Emanuel Medical Center	Portland, OR	1.5 mi	3 of 5	(503) 413-2200
Providence Portland Medical Center	Portland, OR	2.5 mi	4 of 5	(503) 215-1111
Legacy Good Samaritan Medical Center	Portland, OR	2.6 mi	4 of 5	(503) 413-7682

Straight-line miles from the center of Portland. 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 Portland

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $21.35 an hour (the Oregon median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,626 a month (87% of the $5,317 monthly median income of Portland households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $15,543 a month (292% of the $5,317 monthly median income of Portland households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Portland: common questions

Where is the nearest emergency hospital to Portland?

Legacy Emanuel Medical Center in Portland, about 1.5 mi in a straight line from the center of Portland (Medicare hospital file). Its listed phone number is (503) 413-2200. In an emergency, call 911.

How much does live-in care cost in Portland?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $21.35 an hour (the Oregon median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,626 a month (87% of the $5,317 monthly median income of Portland households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $15,543 a month (292% of the $5,317 monthly median income of Portland households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Portland?

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 Portland 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 Portland

More senior care near Portland

Live-In Caregivers in nearby cities

Other care in Portland

More for Portland 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 Portland, OR