Live-In Caregivers in Roanoke Rapids, NC: 24-Hour Home Care

Local figures

Live-In Caregivers in Roanoke Rapids, NC: the local picture

278

residents 85 or older (1.9% of all residents)

1,326

households headed by someone 65+ own their home (70%)

59%

of Roanoke Rapids homes have 3 or more bedrooms (69% in Halifax County)

$7.25

North Carolina minimum wage per hour

About 278 Roanoke Rapids 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. 59% of homes in Roanoke Rapids have three or more bedrooms (69% in Halifax County), while 9.9% have one bedroom or none, where live-in care rarely works; the median home has 5.2 rooms.

Of Roanoke Rapids households headed by someone 65 or older, 1,326 own their home and 568 rent; among householders 85 and older it is 154 owners and 63 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Roanoke Rapids compared with Halifax County and North Carolina

Census figure	Roanoke Rapids	Halifax County	North Carolina
Residents 85 or older	1.9%	2.7%	1.7%
Residents 65+ in households who live alone	32%	33%	28%
Residents 65+ with a disability	36%	40%	33%
Residents 65+ below the poverty line (approx.)	18%	19%	11%
Residents 65 or older	20%	22%	17%
Residents 5+ who speak a language other than English at home	7.1%	4.4%	13%
Median income, households headed by someone 65+	$43,607	$39,502	—

Older residents in towns around Roanoke Rapids

Town	Distance	Residents 65+	Residents 85+
Emporia, VA	18 mi	1,008	108
Red Oak, NC	30 mi	1,046	55
Murfreesboro, NC	31 mi	505	87
South Hill, VA	33 mi	1,251	327
Rocky Mount, NC	34 mi	10,923	1,630
Nashville, NC	37 mi	1,248	226

Emergency hospitals near Roanoke Rapids

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Ecu Health North Hospital	Roanoke Rapids, NC	1.4 mi	2 of 5	(252) 535-8005
Bon Secours Southern Virginia Medical Center	Emporia, VA	17 mi	4 of 5	(434) 348-4400
Unc Health Nash	Rocky Mount, NC	33 mi	4 of 5	(252) 443-8000

Straight-line miles from the center of Roanoke Rapids. 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 Rapids

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.02 an hour (the North Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,254 a month (90% of the $3,634 monthly median income of Roanoke Rapids households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,935 a month (301% of the $3,634 monthly median income of Roanoke Rapids households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Carolina's minimum wage is $7.25 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 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 Rapids: common questions

Where is the nearest emergency hospital to Roanoke Rapids?

Ecu Health North Hospital in Roanoke Rapids, about 1.4 mi in a straight line from the center of Roanoke Rapids (Medicare hospital file). Its listed phone number is (252) 535-8005. In an emergency, call 911.

How much does live-in care cost in Roanoke Rapids?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.02 an hour (the North Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,254 a month (90% of the $3,634 monthly median income of Roanoke Rapids households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,935 a month (301% of the $3,634 monthly median income of Roanoke Rapids households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Roanoke Rapids?

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 Rapids 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 Roanoke Rapids

More senior care near Roanoke Rapids

Live-In Caregivers in nearby cities

Other care in Roanoke Rapids

More for Roanoke Rapids 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 Roanoke Rapids, NC