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

Live-In Caregivers in Smithfield, VA: the local picture
About 188 Smithfield 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. 82% of homes in Smithfield have three or more bedrooms (80% in Isle of Wight County); the median home has 6.7 rooms.
Of Smithfield households headed by someone 65 or older, 845 own their home and 88 rent; among householders 85 and older it is 115 owners and 40 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Smithfield compared with Isle of Wight County and Virginia
| Census figure | Smithfield | Isle of Wight County | Virginia |
|---|---|---|---|
| Residents 85 or older | 2.1% | 1.7% | 1.7% |
| Residents 65+ in households who live alone | 27% | 23% | 27% |
| Residents 65+ with a disability | 30% | 30% | 31% |
| Residents 65+ below the poverty line (approx.) | 6.9% | 8.0% | 8.8% |
| Residents 65 or older | 19% | 20% | 17% |
| Residents 5+ who speak a language other than English at home | 3.0% | 4.2% | 17% |
| Median income, households headed by someone 65+ | $65,688 | $66,678 | — |
Older residents in towns around Smithfield
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Carrollton, VA | 5.6 mi | 983 | 22 |
| Newport News, VA | 8.8 mi | 25,916 | 2,672 |
| Windsor, VA | 13 mi | 555 | 52 |
| Bethel Manor, VA | 14 mi | 5 | 0 |
| Portsmouth, VA | 16 mi | 15,037 | 1,540 |
| Hampton, VA | 18 mi | 22,962 | 2,048 |
Emergency hospitals near Smithfield
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Riverside Regional Medical Center | Newport News, VA | 10 mi | 3 of 5 | (757) 594-2000 |
| Mary Immaculate Hospital | Newport News, VA | 11 mi | 4 of 5 | (757) 886-6000 |
| Bon Secours Harbour View Medical Center | Suffolk, VA | 12 mi | not rated | (757) 673-5917 |
Straight-line miles from the center of Smithfield. 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 Smithfield
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (58% of the $5,474 monthly median income of Smithfield households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (194% of the $5,474 monthly median income of Smithfield households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.
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 Smithfield: common questions
Where is the nearest emergency hospital to Smithfield?
Riverside Regional Medical Center in Newport News, about 10 mi in a straight line from the center of Smithfield (Medicare hospital file). Its listed phone number is (757) 594-2000. In an emergency, call 911.
How much does live-in care cost in Smithfield?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (58% of the $5,474 monthly median income of Smithfield households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (194% of the $5,474 monthly median income of Smithfield households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Smithfield?
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 Smithfield 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 Smithfield
Live-In Caregivers in nearby cities
- Live-In Caregivers in Carrollton, VA
- Live-In Caregivers in Newport News, VA
- Live-In Caregivers in Windsor, VA
- Live-In Caregivers in Bethel Manor, VA
- Live-In Caregivers in Portsmouth, VA
- Live-In Caregivers in Hampton, VA
- Live-In Caregivers in Suffolk, VA
- Live-In Caregivers in Poquoson, VA
- Live-In Caregivers in Norfolk, VA
- Live-In Caregivers in Williamsburg, VA
- Live-In Caregivers in Gloucester Point, VA
- Live-In Caregivers in Chesapeake, VA
- Live-In Caregivers in Franklin, VA
- Live-In Caregivers in Gloucester Courthouse, VA
- Live-In Caregivers in Virginia Beach, VA
- Live-In Caregivers in Moyock, NC
Other care in Smithfield
- Companion Care in Smithfield
- Dementia Care in Smithfield
- Respite Care in Smithfield
- Post-Surgery Care in Smithfield
- Senior Transportation in Smithfield
- Home Health Aides in Smithfield
- Nursing Assistants in Smithfield
- Personal Care in Smithfield
- Overnight Caregivers in Smithfield
- 24-Hour Home Care in Smithfield
- Mobility Assistance in Smithfield
- Parkinson’s Care in Smithfield
- Stroke Recovery Support in Smithfield
- Disability Care for Adults in Smithfield
- Hospice Support in Smithfield
- Senior Meal Preparation in Smithfield
- Senior Housekeeping in Smithfield
- Medication Reminders in Smithfield
- Veterans’ Home Care in Smithfield
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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