Live-In Caregivers in Russellville, 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 Russellville for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Russellville, AL: the local picture
About 177 Russellville 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 Russellville have three or more bedrooms (74% in Franklin County), while 12% have one bedroom or none, where live-in care rarely works; the median home has 6 rooms.
Of Russellville households headed by someone 65 or older, 705 own their home and 308 rent; among householders 85 and older it is 112 owners and 11 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Russellville compared with Franklin County and Alabama
| Census figure | Russellville | Franklin County | Alabama |
|---|---|---|---|
| Residents 85 or older | 1.6% | 1.9% | 1.7% |
| Residents 65+ in households who live alone | 38% | 32% | 29% |
| Residents 65+ with a disability | 47% | 41% | 38% |
| Residents 65+ below the poverty line (approx.) | 16% | 11% | 12% |
| Residents 65 or older | 15% | 17% | 18% |
| Residents 5+ who speak a language other than English at home | 40% | 18% | 6.0% |
| Median income, households headed by someone 65+ | $30,428 | $40,526 | — |
Older residents in towns around Russellville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Tuscumbia, AL | 15 mi | 1,963 | 171 |
| Muscle Shoals, AL | 17 mi | 3,033 | 294 |
| Sheffield, AL | 17 mi | 2,392 | 225 |
| Haleyville, AL | 20 mi | 700 | 104 |
| Florence, AL | 23 mi | 7,294 | 992 |
| Red Bay, AL | 24 mi | 637 | 126 |
Emergency hospitals near Russellville
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Russellville Hospital | Russellville, AL | 0.2 mi | 4 of 5 | (256) 332-1611 |
| Helen Keller Hospital | Sheffield, AL | 18 mi | 2 of 5 | (256) 386-4556 |
| North Alabama Shoals Hospital | Muscle Shoals, AL | 18 mi | not rated | (256) 386-1601 |
Straight-line miles from the center of Russellville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Russellville
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 (114% of the $2,536 monthly median income of Russellville 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 (384% of the $2,536 monthly median income of Russellville 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.
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.
Live-In Caregivers in Russellville: common questions
Where is the nearest emergency hospital to Russellville?
Russellville Hospital in Russellville, about 0.2 mi in a straight line from the center of Russellville (Medicare hospital file). Its listed phone number is (256) 332-1611. In an emergency, call 911.
How much does live-in care cost in Russellville?
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 (114% of the $2,536 monthly median income of Russellville 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 (384% of the $2,536 monthly median income of Russellville 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 Russellville?
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 Russellville 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 senior care near Russellville
Live-In Caregivers in nearby cities
- Live-In Caregivers in Tuscumbia, AL
- Live-In Caregivers in Muscle Shoals, AL
- Live-In Caregivers in Sheffield, AL
- Live-In Caregivers in Haleyville, AL
- Live-In Caregivers in Florence, AL
- Live-In Caregivers in Red Bay, AL
- Live-In Caregivers in Moulton, AL
- Live-In Caregivers in Underwood-Petersville, AL
- Live-In Caregivers in Hamilton, AL
- Live-In Caregivers in Iuka, MS
- Live-In Caregivers in Trinity, AL
- Live-In Caregivers in Winfield, AL
- Live-In Caregivers in Fulton, MS
- Live-In Caregivers in Decatur, AL
- Live-In Caregivers in Hartselle, AL
- Live-In Caregivers in Athens, AL
Other care in Russellville
- Companion Care in Russellville
- Dementia Care in Russellville
- Respite Care in Russellville
- Post-Surgery Care in Russellville
- Senior Transportation in Russellville
- Home Health Aides in Russellville
- Nursing Assistants in Russellville
- Personal Care in Russellville
- Overnight Caregivers in Russellville
- 24-Hour Home Care in Russellville
- Mobility Assistance in Russellville
- Parkinson’s Care in Russellville
- Stroke Recovery Support in Russellville
- Disability Care for Adults in Russellville
- Hospice Support in Russellville
- Senior Meal Preparation in Russellville
- Senior Housekeeping in Russellville
- Medication Reminders in Russellville
- Veterans’ Home Care in Russellville
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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