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

Live-In Caregivers in Salem, IL: the local picture
About 229 Salem 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. 57% of homes in Salem have three or more bedrooms (63% in Marion County), while 10% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Salem households headed by someone 65 or older, 698 own their home and 236 rent; among householders 85 and older it is 104 owners and 15 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Salem compared with Marion County and Illinois
| Census figure | Salem | Marion County | Illinois |
|---|---|---|---|
| Residents 85 or older | 3.2% | 2.8% | 2.0% |
| Residents 65+ in households who live alone | 40% | 37% | 30% |
| Residents 65+ with a disability | 43% | 39% | 32% |
| Residents 65+ below the poverty line (approx.) | 9.5% | 8.8% | 10% |
| Residents 65 or older | 21% | 20% | 17% |
| Residents 5+ who speak a language other than English at home | 1.0% | 2.5% | 24% |
| Median income, households headed by someone 65+ | $52,969 | $50,069 | — |
Older residents in towns around Salem
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Centralia, IL | 11 mi | 2,615 | 506 |
| Mount Vernon, IL | 22 mi | 2,757 | 343 |
| Carlyle, IL | 22 mi | 612 | 88 |
| Vandalia, IL | 25 mi | 1,067 | 184 |
| Flora, IL | 26 mi | 997 | 253 |
| Greenville, IL | 29 mi | 1,050 | 246 |
Emergency hospitals near Salem
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Salem Township Hospital | Salem, IL | 0.6 mi | 4 of 5 | (618) 548-3194 |
| Ssm Health St Mary's Hospital -Centralia | Centralia, IL | 12 mi | 3 of 5 | (618) 436-8000 |
| Good Samaritan Regional Hlth Center | Mount Vernon, IL | 22 mi | 4 of 5 | (618) 899-2201 |
Straight-line miles from the center of Salem. 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 Salem
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (90% of the $4,414 monthly median income of Salem households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (302% of the $4,414 monthly median income of Salem households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois's minimum wage is $15.00 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.
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 Salem: common questions
Where is the nearest emergency hospital to Salem?
Salem Township Hospital in Salem, about 0.6 mi in a straight line from the center of Salem (Medicare hospital file). Its listed phone number is (618) 548-3194. In an emergency, call 911.
How much does live-in care cost in Salem?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (90% of the $4,414 monthly median income of Salem households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (302% of the $4,414 monthly median income of Salem households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Salem?
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 Salem 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 Salem
Live-In Caregivers in nearby cities
- Live-In Caregivers in Centralia, IL
- Live-In Caregivers in Mount Vernon, IL
- Live-In Caregivers in Carlyle, IL
- Live-In Caregivers in Vandalia, IL
- Live-In Caregivers in Flora, IL
- Live-In Caregivers in Greenville, IL
- Live-In Caregivers in Nashville, IL
- Live-In Caregivers in Breese, IL
- Live-In Caregivers in Fairfield, IL
- Live-In Caregivers in Trenton, IL
- Live-In Caregivers in Highland, IL
- Live-In Caregivers in Effingham, IL
- Live-In Caregivers in New Baden, IL
- Live-In Caregivers in Pinckneyville, IL
- Live-In Caregivers in Benton, IL
- Live-In Caregivers in McLeansboro, IL
Other care in Salem
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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