Roanoke, Alabama

Live-In Caregivers in Roanoke, AL

A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Roanoke for free and hire a caregiver directly, with no agency mark-up.

A caregiver helping an older man with a meal at a kitchen table
Local figures

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

103
residents 85 or older (1.9% of all residents)
536
households headed by someone 65+ own their home (70%)
72%
of Roanoke homes have 3 or more bedrooms (73% in Randolph County)
$7.25
Alabama minimum wage per hour

About 103 Roanoke 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. 72% of homes in Roanoke have three or more bedrooms (73% in Randolph County), while 12% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Roanoke households headed by someone 65 or older, 536 own their home and 233 rent; among householders 85 and older it is 19 owners and 28 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Roanoke compared with Randolph County and Alabama

Census figureRoanokeRandolph CountyAlabama
Residents 85 or older1.9%2.0%1.7%
Residents 65+ in households who live alone29%28%29%
Residents 65+ with a disability46%40%38%
Residents 65+ below the poverty line (approx.)14%17%12%
Residents 65 or older24%22%18%
Residents 5+ who speak a language other than English at home2.0%2.2%6.0%
Median income, households headed by someone 65+$40,372$37,976—

Older residents in towns around Roanoke

TownDistanceResidents 65+Residents 85+
La Fayette, AL17 mi61571
LaGrange, GA21 mi4,747870
West Point, GA22 mi34989
Lanett, AL22 mi1,163103
Huguley, AL22 mi52356
Lineville, AL25 mi68650

Emergency hospitals near Roanoke

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Tanner Medical Center-East AlabamaWedowee, AL12 minot rated(256) 357-2111
Wellstar West Georgia Medical CenterLagrange, GA19 mi5 of 5(706) 882-1411
Eamc - LanierValley, AL26 minot rated(334) 756-9180

Straight-line miles from the center of Roanoke. 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 Roanoke

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 (86% of the $3,364 monthly median income of Roanoke 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 (290% of the $3,364 monthly median income of Roanoke 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 Roanoke: common questions

Where is the nearest emergency hospital to Roanoke?

Tanner Medical Center-East Alabama in Wedowee, about 12 mi in a straight line from the center of Roanoke (Medicare hospital file). Its listed phone number is (256) 357-2111. In an emergency, call 911.

How much does live-in care cost in Roanoke?

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 (86% of the $3,364 monthly median income of Roanoke 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 (290% of the $3,364 monthly median income of Roanoke 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 Roanoke?

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 Roanoke 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.

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.

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