Live-In Caregivers in Royal Oak, MI: 24-Hour Home Care

Local figures

Live-In Caregivers in Royal Oak, MI: the local picture

622

residents 85 or older (1.1% of all residents)

5,307

households headed by someone 65+ own their home (81%)

58%

of Royal Oak homes have 3 or more bedrooms (67% in Oakland County)

$13.73

Michigan minimum wage per hour

About 622 Royal Oak 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. 58% of homes in Royal Oak have three or more bedrooms (67% in Oakland County), while 18% have one bedroom or none, where live-in care rarely works; the median home has 5.5 rooms.

Of Royal Oak households headed by someone 65 or older, 5,307 own their home and 1,278 rent; among householders 85 and older it is 266 owners and 119 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Royal Oak compared with Oakland County and Michigan

Census figure	Royal Oak	Oakland County	Michigan
Residents 85 or older	1.1%	2.1%	2.1%
Residents 65+ in households who live alone	42%	30%	29%
Residents 65+ with a disability	26%	29%	32%
Residents 65+ below the poverty line (approx.)	8.6%	8.9%	9.9%
Residents 65 or older	16%	18%	19%
Residents 5+ who speak a language other than English at home	6.9%	16%	10%
Median income, households headed by someone 65+	$59,184	$67,387	—

Older residents in towns around Royal Oak

Town	Distance	Residents 65+	Residents 85+
Berkley, MI	1.7 mi	2,120	154
Huntington Woods, MI	1.9 mi	1,188	50
Clawson, MI	2.0 mi	2,192	178
Pleasant Ridge, MI	2.6 mi	421	29
Madison Heights, MI	2.6 mi	5,353	711
Oak Park, MI	3.3 mi	5,108	599

Emergency hospitals near Royal Oak

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Beaumont Hospital Royal Oak	Royal Oak, MI	0.8 mi	3 of 5	(248) 898-5400
Ascension Providence Hospital, Southfield And Novi	Southfield, MI	4.8 mi	4 of 5	(248) 849-3000
Sinai-Grace Hospital	Detroit, MI	6.0 mi	1 of 5	(313) 966-3300

Straight-line miles from the center of Royal Oak. 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 Royal Oak

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.83 an hour (the Michigan median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,646 a month (74% of the $4,932 monthly median income of Royal Oak households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,252 a month (248% of the $4,932 monthly median income of Royal Oak households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

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 Royal Oak: common questions

Where is the nearest emergency hospital to Royal Oak?

Beaumont Hospital Royal Oak in Royal Oak, about 0.8 mi in a straight line from the center of Royal Oak (Medicare hospital file). Its listed phone number is (248) 898-5400. In an emergency, call 911.

How much does live-in care cost in Royal Oak?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.83 an hour (the Michigan median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,646 a month (74% of the $4,932 monthly median income of Royal Oak households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,252 a month (248% of the $4,932 monthly median income of Royal Oak households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

Live-in or 24-hour care in Royal Oak?

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 Royal Oak 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 Royal Oak

More senior care near Royal Oak

Live-In Caregivers in nearby cities

Other care in Royal Oak

More for Royal Oak 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 Royal Oak, MI