Live-In Caregivers in Trussville, AL: 24-Hour Home Care

Local figures

Live-In Caregivers in Trussville, AL: the local picture

280

residents 85 or older (1.0% of all residents)

2,484

households headed by someone 65+ own their home (96%)

93%

of Trussville homes have 3 or more bedrooms (66% in Jefferson County)

$7.25

Alabama minimum wage per hour

About 280 Trussville 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. 93% of homes in Trussville have three or more bedrooms (66% in Jefferson County); the median home has 7.3 rooms.

Of Trussville households headed by someone 65 or older, 2,484 own their home and 107 rent; among householders 85 and older it is 168 owners and 42 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Trussville compared with Jefferson County and Alabama

Census figure	Trussville	Jefferson County	Alabama
Residents 85 or older	1.0%	1.9%	1.7%
Residents 65+ in households who live alone	23%	31%	29%
Residents 65+ with a disability	30%	38%	38%
Residents 65+ below the poverty line (approx.)	3.3%	13%	12%
Residents 65 or older	17%	17%	18%
Residents 5+ who speak a language other than English at home	4.2%	7.6%	6.0%
Median income, households headed by someone 65+	$79,713	$51,066	—

Older residents in towns around Trussville

Town	Distance	Residents 65+	Residents 85+
Clay, AL	3.9 mi	1,944	490
Argo, AL	4.1 mi	370	14
Grayson Valley, AL	4.6 mi	694	59
Moody, AL	5.4 mi	2,746	156
Margaret, AL	5.8 mi	501	0
Pinson, AL	6.9 mi	1,207	88

Emergency hospitals near Trussville

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
St. Vincent's East	Birmingham, AL	5.2 mi	3 of 5	(205) 838-3122
St Vincent's St Clair	Pell City, AL	13 mi	3 of 5	(205) 338-3301
University Of Alabama Hospital	Birmingham, AL	17 mi	2 of 5	(205) 934-4011

Straight-line miles from the center of Trussville. 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 Trussville

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 (44% of the $6,643 monthly median income of Trussville 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 (147% of the $6,643 monthly median income of Trussville 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.

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 Trussville: common questions

Where is the nearest emergency hospital to Trussville?

St. Vincent's East in Birmingham, about 5.2 mi in a straight line from the center of Trussville (Medicare hospital file). Its listed phone number is (205) 838-3122. In an emergency, call 911.

How much does live-in care cost in Trussville?

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 (44% of the $6,643 monthly median income of Trussville 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 (147% of the $6,643 monthly median income of Trussville 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 Trussville?

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 Trussville 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 Trussville

More senior care near Trussville

Live-In Caregivers in nearby cities

Other care in Trussville

More for Trussville 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 Trussville, AL