Live-In Caregivers in St. Albans, WV: 24-Hour Home Care

Local figures

Live-In Caregivers in St. Albans, WV: the local picture

412

residents 85 or older (3.9% of all residents)

1,538

households headed by someone 65+ own their home (81%)

70%

of St. Albans homes have 3 or more bedrooms (64% in Kanawha County)

$8.75

West Virginia minimum wage per hour

About 412 St. Albans 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. 70% of homes in St. Albans have three or more bedrooms (64% in Kanawha County); the median home has 6.2 rooms.

Of St. Albans households headed by someone 65 or older, 1,538 own their home and 361 rent; among householders 85 and older it is 309 owners and 43 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

St. Albans compared with Kanawha County and West Virginia

Census figure	St. Albans	Kanawha County	West Virginia
Residents 85 or older	3.9%	2.5%	2.1%
Residents 65+ in households who live alone	38%	31%	30%
Residents 65+ with a disability	34%	37%	39%
Residents 65+ below the poverty line (approx.)	12%	11%	12%
Residents 65 or older	25%	22%	21%
Residents 5+ who speak a language other than English at home	0.5%	2.3%	2.5%
Median income, households headed by someone 65+	$49,052	$51,172	—

Older residents in towns around St. Albans

Town	Distance	Residents 65+	Residents 85+
Nitro, WV	2.4 mi	1,330	84
Dunbar, WV	4.5 mi	1,618	383
Cross Lanes, WV	4.8 mi	2,226	88
South Charleston, WV	6.4 mi	2,876	366
Teays Valley, WV	7.5 mi	2,900	293
Charleston, WV	10 mi	10,007	1,207

Emergency hospitals near St. Albans

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Thomas Memorial Hospital	South Charleston, WV	6.5 mi	1 of 5	(304) 766-3600
Charleston Area Medical Center	Charleston, WV	10 mi	2 of 5	(304) 388-5432
Boone Memorial Hospital	Madison, WV	23 mi	4 of 5	(304) 369-1230

Straight-line miles from the center of St. Albans. 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 St. Albans

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.47 an hour (the West Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,919 a month (71% of the $4,088 monthly median income of St. Albans households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,806 a month (240% of the $4,088 monthly median income of St. Albans households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

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 St. Albans: common questions

Where is the nearest emergency hospital to St. Albans?

Thomas Memorial Hospital in South Charleston, about 6.5 mi in a straight line from the center of St. Albans (Medicare hospital file). Its listed phone number is (304) 766-3600. In an emergency, call 911.

How much does live-in care cost in St. Albans?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.47 an hour (the West Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,919 a month (71% of the $4,088 monthly median income of St. Albans households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,806 a month (240% of the $4,088 monthly median income of St. Albans households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. West Virginia's minimum wage is $8.75 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in St. Albans?

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 St. Albans 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 St. Albans

More senior care near St. Albans

Live-In Caregivers in nearby cities

Other care in St. Albans

More for St. Albans 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 St. Albans, WV