Live-In Caregivers in Topsfield, MA: 24-Hour Home Care

Local figures

Live-In Caregivers in Topsfield, MA: the local picture

94

residents 85 or older (3.6% of all residents)

207

households headed by someone 65+ own their home (70%)

72%

of Topsfield homes have 3 or more bedrooms (57% in Essex County)

$15.00

Massachusetts minimum wage per hour

About 94 Topsfield 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. 72% of homes in Topsfield have three or more bedrooms (57% in Essex County), while 18% have one bedroom or none, where live-in care rarely works; the median home has 7.4 rooms.

Of Topsfield households headed by someone 65 or older, 207 own their home and 90 rent; among householders 85 and older it is 28 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Topsfield compared with Essex County and Massachusetts

Census figure	Topsfield	Essex County	Massachusetts
Residents 85 or older	3.6%	2.2%	2.2%
Residents 65+ in households who live alone	31%	29%	29%
Residents 65+ with a disability	32%	30%	30%
Residents 65+ below the poverty line (approx.)	6.4%	11%	11%
Residents 65 or older	21%	18%	18%
Residents 5+ who speak a language other than English at home	3.8%	29%	25%

Older residents in towns around Topsfield

Town	Distance	Residents 65+	Residents 85+
Danvers, MA	4.5 mi	6,337	828
Ipswich, MA	7.2 mi	640	71
Peabody, MA	7.3 mi	13,277	3,016
Beverly, MA	8.0 mi	8,270	1,276
Lynnfield, MA	8.4 mi	2,338	298
Andover, MA	9.6 mi	1,732	190

Emergency hospitals near Topsfield

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Northeast Hospital Corporation	Beverly, MA	6.8 mi	3 of 5	(978) 922-3000
North Shore Medical Center -	Salem, MA	9.0 mi	5 of 5	(978) 741-1215
Merrimack Health Lawrence Hospital	Lawrence, MA	12 mi	2 of 5	(978) 683-4000

Straight-line miles from the center of Topsfield. 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 Topsfield

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.67 an hour (the Massachusetts median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,262 a month. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $14,320 a month. Private rates are agreed with the caregiver, and overtime rules can add to both. Massachusetts'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 Topsfield: common questions

Where is the nearest emergency hospital to Topsfield?

Northeast Hospital Corporation in Beverly, about 6.8 mi in a straight line from the center of Topsfield (Medicare hospital file). Its listed phone number is (978) 922-3000. In an emergency, call 911.

How much does live-in care cost in Topsfield?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $19.67 an hour (the Massachusetts median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,262 a month. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $14,320 a month. Private rates are agreed with the caregiver, and overtime rules can add to both. Massachusetts'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 Topsfield?

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. Choose shifts if help is needed several times a night.

More near Topsfield

More senior care near Topsfield

Live-In Caregivers in nearby cities

Other care in Topsfield

More for Topsfield 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 Topsfield, MA