Live-In Caregivers in Silver Spring, MD: 24-Hour Home Care

Local figures

Live-In Caregivers in Silver Spring, MD: the local picture

899

residents 85 or older (1.1% of all residents)

3,843

households headed by someone 65+ own their home (66%)

37%

of Silver Spring homes have 3 or more bedrooms (64% in Montgomery County)

$15.00

Maryland minimum wage per hour

About 899 Silver Spring 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. 37% of homes in Silver Spring have three or more bedrooms (64% in Montgomery County), while 35% have one bedroom or none, where live-in care rarely works; the median home has 4.2 rooms.

Of Silver Spring households headed by someone 65 or older, 3,843 own their home and 1,956 rent; among householders 85 and older it is 312 owners and 206 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Silver Spring compared with Montgomery County and Maryland

Census figure	Silver Spring	Montgomery County	Maryland
Residents 85 or older	1.1%	2.2%	1.9%
Residents 65+ in households who live alone	31%	23%	27%
Residents 65+ with a disability	25%	26%	30%
Residents 65+ below the poverty line (approx.)	6.7%	7.4%	9.5%
Residents 65 or older	12%	17%	17%
Residents 5+ who speak a language other than English at home	44%	43%	21%
Median income, households headed by someone 65+	$94,154	$109,242	—

Older residents in towns around Silver Spring

Town	Distance	Residents 65+	Residents 85+
Four Corners, MD	1.6 mi	1,116	142
Forest Glen, MD	1.7 mi	1,287	178
Takoma Park, MD	1.8 mi	2,635	177
Langley Park, MD	2.3 mi	1,231	93
Burnt Mills, MD	2.5 mi	500	105
South Kensington, MD	2.6 mi	1,612	315

Emergency hospitals near Silver Spring

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Suburban Hospital	Bethesda, MD	4.4 mi	4 of 5	(301) 896-2576
Walter Reed National Military Med Cen	Bethesda, MD	4.4 mi	not rated	(301) 295-4000
Adventist Healthcare White Oak Medical Center	Silver Spring, MD	4.6 mi	3 of 5	(240) 637-4000

Straight-line miles from the center of Silver Spring. 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 Silver Spring

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (51% of the $7,846 monthly median income of Silver Spring households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (170% of the $7,846 monthly median income of Silver Spring households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland'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.

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 Silver Spring: common questions

Where is the nearest emergency hospital to Silver Spring?

Suburban Hospital in Bethesda, about 4.4 mi in a straight line from the center of Silver Spring (Medicare hospital file). Its listed phone number is (301) 896-2576. In an emergency, call 911.

How much does live-in care cost in Silver Spring?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.29 an hour (the Maryland median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,963 a month (51% of the $7,846 monthly median income of Silver Spring households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,315 a month (170% of the $7,846 monthly median income of Silver Spring households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Maryland'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 Silver Spring?

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 Silver Spring 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 Silver Spring

More senior care near Silver Spring

Live-In Caregivers in nearby cities

Other care in Silver Spring

More for Silver Spring 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 Silver Spring, MD