Live-In Caregivers in Smithton, IL: 24-Hour Home Care

Local figures

Live-In Caregivers in Smithton, IL: the local picture

62

residents 85 or older (1.7% of all residents)

578

households headed by someone 65+ own their home (92%)

76%

of Smithton homes have 3 or more bedrooms (64% in St. Clair County)

$15.00

Illinois minimum wage per hour

About 62 Smithton 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. 76% of homes in Smithton have three or more bedrooms (64% in St. Clair County); the median home has 6.3 rooms.

Of Smithton households headed by someone 65 or older, 578 own their home and 50 rent; among householders 85 and older it is 38 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Smithton compared with St. Clair County and Illinois

Census figure	Smithton	St. Clair County	Illinois
Residents 85 or older	1.7%	2.1%	2.0%
Residents 65+ in households who live alone	21%	32%	30%
Residents 65+ with a disability	18%	33%	32%
Residents 65+ below the poverty line (approx.)	6.0%	10%	10%
Residents 65 or older	27%	17%	17%
Residents 5+ who speak a language other than English at home	4.3%	5.0%	24%
Median income, households headed by someone 65+	$57,212	$54,949	—

Older residents in towns around Smithton

Town	Distance	Residents 65+	Residents 85+
Freeburg, IL	4.3 mi	934	63
Millstadt, IL	6.0 mi	1,072	79
Belleville, IL	7.0 mi	6,768	1,090
Swansea, IL	9.5 mi	2,699	330
Waterloo, IL	10 mi	2,293	274
Shiloh, IL	10 mi	2,294	357

Emergency hospitals near Smithton

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Memorial Hospital	Belleville, IL	8.4 mi	5 of 5	(618) 233-7750
Hshs St Elizabeth's Hospital	O Fallon, IL	12 mi	4 of 5	(618) 234-2120
Touchette Regional Hospital Inc	Centreville, IL	14 mi	not rated	(618) 332-3060

Straight-line miles from the center of Smithton. 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 Smithton

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 (83% of the $4,768 monthly median income of Smithton 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 (279% of the $4,768 monthly median income of Smithton 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.

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 Smithton: common questions

Where is the nearest emergency hospital to Smithton?

Memorial Hospital in Belleville, about 8.4 mi in a straight line from the center of Smithton (Medicare hospital file). Its listed phone number is (618) 233-7750. In an emergency, call 911.

How much does live-in care cost in Smithton?

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 (83% of the $4,768 monthly median income of Smithton 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 (279% of the $4,768 monthly median income of Smithton 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 Smithton?

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 Smithton 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 Smithton

More senior care near Smithton

Live-In Caregivers in nearby cities

Other care in Smithton

More for Smithton 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 Smithton, IL