Live-In Caregivers in Richlands, VA: 24-Hour Home Care

Local figures

Live-In Caregivers in Richlands, VA: the local picture

138

residents 85 or older (2.7% of all residents)

667

households headed by someone 65+ own their home (76%)

62%

of Richlands homes have 3 or more bedrooms (69% in Tazewell County)

$12.77

Virginia minimum wage per hour

About 138 Richlands 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. 62% of homes in Richlands have three or more bedrooms (69% in Tazewell County); the median home has 5.1 rooms.

Of Richlands households headed by someone 65 or older, 667 own their home and 206 rent; among householders 85 and older it is 64 owners and 18 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Richlands compared with Tazewell County and Virginia

Census figure	Richlands	Tazewell County	Virginia
Residents 85 or older	2.7%	1.8%	1.7%
Residents 65+ in households who live alone	43%	29%	27%
Residents 65+ with a disability	33%	37%	31%
Residents 65+ below the poverty line (approx.)	22%	13%	8.8%
Residents 65 or older	25%	24%	17%
Residents 5+ who speak a language other than English at home	1.9%	2.5%	17%
Median income, households headed by someone 65+	$26,354	$39,647	—

Older residents in towns around Richlands

Town	Distance	Residents 65+	Residents 85+
Tazewell, VA	17 mi	1,062	71
Lebanon, VA	20 mi	1,014	139
Marion, VA	24 mi	1,241	115
Welch, WV	26 mi	403	31
Abingdon, VA	28 mi	2,046	310
Bluefield, VA	31 mi	1,257	201

Emergency hospitals near Richlands

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Clinch Valley Medical Center	Richlands, VA	0.4 mi	3 of 5	(276) 596-6000
Carilion Tazewell Community Hospital	Tazewell, VA	17 mi	not rated	(276) 988-8700
Russell County Hospital	Lebanon, VA	21 mi	4 of 5	(276) 883-8000

Straight-line miles from the center of Richlands. 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 Richlands

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (144% of the $2,196 monthly median income of Richlands households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (483% of the $2,196 monthly median income of Richlands households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.

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 Richlands: common questions

Where is the nearest emergency hospital to Richlands?

Clinch Valley Medical Center in Richlands, about 0.4 mi in a straight line from the center of Richlands (Medicare hospital file). Its listed phone number is (276) 596-6000. In an emergency, call 911.

How much does live-in care cost in Richlands?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (144% of the $2,196 monthly median income of Richlands households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (483% of the $2,196 monthly median income of Richlands households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Richlands?

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 Richlands 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 Richlands

More senior care near Richlands

Live-In Caregivers in nearby cities

Other care in Richlands

More for Richlands 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 Richlands, VA