Live-In Caregivers in St. Pauls, NC: 24-Hour Home Care

Local figures

Live-In Caregivers in St. Pauls, NC: the local picture

64

residents 85 or older (2.4% of all residents)

213

households headed by someone 65+ own their home (71%)

56%

of St. Pauls homes have 3 or more bedrooms (72% in Robeson County)

$7.25

North Carolina minimum wage per hour

About 64 St. Pauls 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. 56% of homes in St. Pauls have three or more bedrooms (72% in Robeson County), while 14% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of St. Pauls households headed by someone 65 or older, 213 own their home and 88 rent; among householders 85 and older it is 37 owners and 16 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

St. Pauls compared with Robeson County and North Carolina

Census figure	St. Pauls	Robeson County	North Carolina
Residents 85 or older	2.4%	1.1%	1.7%
Residents 65+ in households who live alone	37%	29%	28%
Residents 65+ with a disability	53%	47%	33%
Residents 65+ below the poverty line (approx.)	35%	22%	11%
Residents 65 or older	18%	16%	17%
Residents 5+ who speak a language other than English at home	37%	10%	13%
Median income, households headed by someone 65+	$25,592	$31,470	—

Older residents in towns around St. Pauls

Town	Distance	Residents 65+	Residents 85+
Hope Mills, NC	11 mi	2,279	291
Red Springs, NC	12 mi	534	0
Lumberton, NC	13 mi	3,055	453
Rockfish, NC	14 mi	271	40
Pembroke, NC	15 mi	326	14
Raeford, NC	19 mi	969	156

Emergency hospitals near St. Pauls

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Southeastern Regional Medical Center	Lumberton, NC	14 mi	2 of 5	(910) 671-5000
Cape Fear Valley Medical Center	Fayetteville, NC	16 mi	2 of 5	(910) 609-4000
Cape Fear Valley Hoke Hospital	Raeford, NC	19 mi	4 of 5	(910) 904-8000

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

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.02 an hour (the North Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,254 a month (153% of the $2,133 monthly median income of St. Pauls households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,935 a month (513% of the $2,133 monthly median income of St. Pauls households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Carolina's minimum wage is $7.25 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 St. Pauls: common questions

Where is the nearest emergency hospital to St. Pauls?

Southeastern Regional Medical Center in Lumberton, about 14 mi in a straight line from the center of St. Pauls (Medicare hospital file). Its listed phone number is (910) 671-5000. In an emergency, call 911.

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

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.02 an hour (the North Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,254 a month (153% of the $2,133 monthly median income of St. Pauls households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,935 a month (513% of the $2,133 monthly median income of St. Pauls households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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

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. Pauls 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. Pauls

More senior care near St. Pauls

Live-In Caregivers in nearby cities

Other care in St. Pauls

More for St. Pauls 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. Pauls, NC