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

Live-In Caregivers in Troy, AL: the local picture
About 310 Troy 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. 65% of homes in Troy have three or more bedrooms (69% in Pike County), while 8.2% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Troy households headed by someone 65 or older, 1,091 own their home and 130 rent; among householders 85 and older it is 181 owners and 38 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Troy compared with Pike County and Alabama
| Census figure | Troy | Pike County | Alabama |
|---|---|---|---|
| Residents 85 or older | 1.7% | 1.6% | 1.7% |
| Residents 65+ in households who live alone | 32% | 28% | 29% |
| Residents 65+ with a disability | 39% | 44% | 38% |
| Residents 65+ below the poverty line (approx.) | 15% | 12% | 12% |
| Residents 65 or older | 11% | 16% | 18% |
| Residents 5+ who speak a language other than English at home | 6.0% | 4.8% | 6.0% |
| Median income, households headed by someone 65+ | $68,686 | $52,255 | — |
Older residents in towns around Troy
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Luverne, AL | 19 mi | 588 | 135 |
| Elba, AL | 27 mi | 975 | 34 |
| Union Springs, AL | 28 mi | 556 | 101 |
| Ozark, AL | 31 mi | 3,213 | 343 |
| Enterprise, AL | 34 mi | 4,414 | 323 |
| Pike Road, AL | 34 mi | 1,338 | 134 |
Emergency hospitals near Troy
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Troy Regional Medical Center | Troy, AL | 0.5 mi | 4 of 5 | (334) 670-5000 |
| Crenshaw Community Hospital | Luverne, AL | 18 mi | not rated | (334) 335-3374 |
| Bullock County Hospital | Union Springs, AL | 28 mi | not rated | (334) 738-2140 |
Straight-line miles from the center of Troy. 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 Troy
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (51% of the $5,724 monthly median income of Troy households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (170% of the $5,724 monthly median income of Troy households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Troy: common questions
Where is the nearest emergency hospital to Troy?
Troy Regional Medical Center in Troy, about 0.5 mi in a straight line from the center of Troy (Medicare hospital file). Its listed phone number is (334) 670-5000. In an emergency, call 911.
How much does live-in care cost in Troy?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.39 an hour (the Alabama median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,901 a month (51% of the $5,724 monthly median income of Troy households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,748 a month (170% of the $5,724 monthly median income of Troy households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
Live-in or 24-hour care in Troy?
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 Troy 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 Troy
Live-In Caregivers in nearby cities
- Live-In Caregivers in Luverne, AL
- Live-In Caregivers in Elba, AL
- Live-In Caregivers in Union Springs, AL
- Live-In Caregivers in Ozark, AL
- Live-In Caregivers in Enterprise, AL
- Live-In Caregivers in Pike Road, AL
- Live-In Caregivers in Fort Rucker, AL
- Live-In Caregivers in Daleville, AL
- Live-In Caregivers in Greenville, AL
- Live-In Caregivers in Opp, AL
- Live-In Caregivers in Montgomery, AL
- Live-In Caregivers in Abbeville, AL
- Live-In Caregivers in Emerald Mountain, AL
- Live-In Caregivers in Andalusia, AL
- Live-In Caregivers in Tuskegee, AL
- Live-In Caregivers in Headland, AL
Other care in Troy
- Companion Care in Troy
- Dementia Care in Troy
- Respite Care in Troy
- Post-Surgery Care in Troy
- Senior Transportation in Troy
- Home Health Aides in Troy
- Nursing Assistants in Troy
- Personal Care in Troy
- Overnight Caregivers in Troy
- 24-Hour Home Care in Troy
- Mobility Assistance in Troy
- Parkinson’s Care in Troy
- Stroke Recovery Support in Troy
- Disability Care for Adults in Troy
- Hospice Support in Troy
- Senior Meal Preparation in Troy
- Senior Housekeeping in Troy
- Medication Reminders in Troy
- Veterans’ Home Care in Troy
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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