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

Live-In Caregivers in Smyrna, DE: the local picture
About 368 Smyrna 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. 75% of homes in Smyrna have three or more bedrooms (76% in Kent County); the median home has 5.8 rooms.
Of Smyrna households headed by someone 65 or older, 1,004 own their home and 245 rent; among householders 85 and older it is 204 owners and 16 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Smyrna compared with Kent County and Delaware
| Census figure | Smyrna | Kent County | Delaware |
|---|---|---|---|
| Residents 85 or older | 2.8% | 1.9% | 2.0% |
| Residents 65+ in households who live alone | 28% | 27% | 25% |
| Residents 65+ with a disability | 46% | 37% | 30% |
| Residents 65+ below the poverty line (approx.) | 12% | 8.6% | 7.6% |
| Residents 65 or older | 18% | 18% | 21% |
| Residents 5+ who speak a language other than English at home | 11% | 11% | 15% |
| Median income, households headed by someone 65+ | $51,969 | $58,403 | — |
Older residents in towns around Smyrna
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Clayton, DE | 1.9 mi | 400 | 7 |
| Townsend, DE | 9.0 mi | 173 | 25 |
| Dover, DE | 10 mi | 6,984 | 1,018 |
| Middletown, DE | 12 mi | 3,806 | 423 |
| Highland Acres, DE | 13 mi | 928 | 126 |
| Camden, DE | 14 mi | 925 | 37 |
Emergency hospitals near Smyrna
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Bayhealth Medical Center, Kent Campus | Dover, DE | 11 mi | 2 of 5 | (302) 744-7001 |
| Christiana Hospital | Newark, DE | 19 mi | 4 of 5 | (302) 733-3609 |
| University Of Md Shore Medical Ctr At Chestertown | Chestertown, MD | 26 mi | 5 of 5 | (410) 778-7668 |
Straight-line miles from the center of Smyrna. 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 Smyrna
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.50 an hour (the Delaware median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,575 a month (83% of the $4,331 monthly median income of Smyrna households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,012 a month (277% of the $4,331 monthly median income of Smyrna households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Delaware'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 Smyrna: common questions
Where is the nearest emergency hospital to Smyrna?
Bayhealth Medical Center, Kent Campus in Dover, about 11 mi in a straight line from the center of Smyrna (Medicare hospital file). Its listed phone number is (302) 744-7001. In an emergency, call 911.
How much does live-in care cost in Smyrna?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.50 an hour (the Delaware median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,575 a month (83% of the $4,331 monthly median income of Smyrna households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,012 a month (277% of the $4,331 monthly median income of Smyrna households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Delaware'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 Smyrna?
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 Smyrna 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 Smyrna
Live-In Caregivers in nearby cities
- Live-In Caregivers in Clayton, DE
- Live-In Caregivers in Townsend, DE
- Live-In Caregivers in Dover, DE
- Live-In Caregivers in Middletown, DE
- Live-In Caregivers in Highland Acres, DE
- Live-In Caregivers in Camden, DE
- Live-In Caregivers in Dover Base Housing, DE
- Live-In Caregivers in Rising Sun-Lebanon, DE
- Live-In Caregivers in Riverview, DE
- Live-In Caregivers in Salem, NJ
- Live-In Caregivers in Bridgeton, NJ
- Live-In Caregivers in Glasgow, DE
- Live-In Caregivers in Bear, DE
- Live-In Caregivers in Elkton, MD
- Live-In Caregivers in Greensboro, MD
- Live-In Caregivers in Pennsville, NJ
Other care in Smyrna
- Companion Care in Smyrna
- Dementia Care in Smyrna
- Respite Care in Smyrna
- Post-Surgery Care in Smyrna
- Senior Transportation in Smyrna
- Home Health Aides in Smyrna
- Nursing Assistants in Smyrna
- Personal Care in Smyrna
- Overnight Caregivers in Smyrna
- 24-Hour Home Care in Smyrna
- Mobility Assistance in Smyrna
- Parkinson’s Care in Smyrna
- Stroke Recovery Support in Smyrna
- Disability Care for Adults in Smyrna
- Hospice Support in Smyrna
- Senior Meal Preparation in Smyrna
- Senior Housekeeping in Smyrna
- Medication Reminders in Smyrna
- Veterans’ Home Care in Smyrna
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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