Vandalia, Illinois

Live-In Caregivers in Vandalia, IL

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 Vandalia for free and hire a caregiver directly, with no agency mark-up.

A woman and an older man talking across a wooden table at home
Local figures

Live-In Caregivers in Vandalia, IL: the local picture

184
residents 85 or older (3.2% of all residents)
476
households headed by someone 65+ own their home (69%)
49%
of Vandalia homes have 3 or more bedrooms (67% in Fayette County)
$15.00
Illinois minimum wage per hour

About 184 Vandalia 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. 49% of homes in Vandalia have three or more bedrooms (67% in Fayette County), while 18% have one bedroom or none, where live-in care rarely works; the median home has 5.2 rooms.

Of Vandalia households headed by someone 65 or older, 476 own their home and 215 rent; among householders 85 and older it is 83 owners and 35 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Vandalia compared with Fayette County and Illinois

Census figureVandaliaFayette CountyIllinois
Residents 85 or older3.2%3.1%2.0%
Residents 65+ in households who live alone49%30%30%
Residents 65+ with a disability41%41%32%
Residents 65+ below the poverty line (approx.)26%13%10%
Residents 65 or older18%20%17%
Residents 5+ who speak a language other than English at home3.5%4.5%24%
Median income, households headed by someone 65+$33,024$40,586—

Older residents in towns around Vandalia

TownDistanceResidents 65+Residents 85+
Greenville, IL16 mi1,050246
Hillsboro, IL24 mi862106
Salem, IL25 mi1,498229
Carlyle, IL28 mi61288
Pana, IL29 mi1,192166
Centralia, IL31 mi2,615506

Emergency hospitals near Vandalia

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Fayette County HospitalVandalia, IL2.1 minot rated(618) 283-1231
Hshs Holy Family Hospital IncGreenville, IL17 mi3 of 5(618) 664-1230
Hillsboro Area HospitalHillsboro, IL24 minot rated(217) 532-6111

Straight-line miles from the center of Vandalia. 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 Vandalia

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (144% of the $2,752 monthly median income of Vandalia households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (484% of the $2,752 monthly median income of Vandalia households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Vandalia: common questions

Where is the nearest emergency hospital to Vandalia?

Fayette County Hospital in Vandalia, about 2.1 mi in a straight line from the center of Vandalia (Medicare hospital file). Its listed phone number is (618) 283-1231. In an emergency, call 911.

How much does live-in care cost in Vandalia?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.30 an hour (the Illinois median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,965 a month (144% of the $2,752 monthly median income of Vandalia households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,322 a month (484% of the $2,752 monthly median income of Vandalia households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Illinois'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 Vandalia?

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 Vandalia 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.

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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