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

Live-In Caregivers in Vermillion, SD: the local picture
About 177 Vermillion 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. 42% of homes in Vermillion have three or more bedrooms (49% in Clay County), while 17% have one bedroom or none, where live-in care rarely works; the median home has 4.8 rooms.
Of Vermillion households headed by someone 65 or older, 522 own their home and 189 rent; among householders 85 and older it is 59 owners and 59 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Vermillion compared with Clay County and South Dakota
| Census figure | Vermillion | Clay County | South Dakota |
|---|---|---|---|
| Residents 85 or older | 1.5% | 1.8% | 2.1% |
| Residents 65+ in households who live alone | 31% | 32% | 30% |
| Residents 65+ with a disability | 29% | 32% | 31% |
| Residents 65+ below the poverty line (approx.) | 8.2% | 10% | 10% |
| Residents 65 or older | 9.6% | 12% | 18% |
| Residents 5+ who speak a language other than English at home | 4.6% | 4.2% | 7.1% |
| Median income, households headed by someone 65+ | $68,750 | $68,068 | — |
Older residents in towns around Vermillion
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Elk Point, SD | 14 mi | 450 | 144 |
| Yankton, SD | 25 mi | 3,426 | 336 |
| Hawarden, IA | 27 mi | 452 | 96 |
| North Sioux City, SD | 28 mi | 640 | 0 |
| Dakota Dunes, SD | 30 mi | 756 | 0 |
| Sioux City, IA | 34 mi | 12,804 | 1,235 |
Emergency hospitals near Vermillion
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Sanford Vermillion Medical Center | Vermillion, SD | 0.9 mi | not rated | (605) 624-2611 |
| Avera Sacred Heart Hospital | Yankton, SD | 25 mi | 3 of 5 | (605) 668-8000 |
| Hawarden Regional Healthcare | Hawarden, IA | 28 mi | not rated | (712) 551-3100 |
Straight-line miles from the center of Vermillion. 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 Vermillion
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.15 an hour (the South Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,932 a month (69% of the $5,729 monthly median income of Vermillion households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,213 a month (231% of the $5,729 monthly median income of Vermillion households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. South Dakota's minimum wage is $11.85 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.
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 Vermillion: common questions
Where is the nearest emergency hospital to Vermillion?
Sanford Vermillion Medical Center in Vermillion, about 0.9 mi in a straight line from the center of Vermillion (Medicare hospital file). Its listed phone number is (605) 624-2611. In an emergency, call 911.
How much does live-in care cost in Vermillion?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.15 an hour (the South Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,932 a month (69% of the $5,729 monthly median income of Vermillion households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,213 a month (231% of the $5,729 monthly median income of Vermillion households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Vermillion?
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 Vermillion 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 Vermillion
Live-In Caregivers in nearby cities
- Live-In Caregivers in Elk Point, SD
- Live-In Caregivers in Yankton, SD
- Live-In Caregivers in Hawarden, IA
- Live-In Caregivers in North Sioux City, SD
- Live-In Caregivers in Dakota Dunes, SD
- Live-In Caregivers in Sioux City, IA
- Live-In Caregivers in South Sioux City, NE
- Live-In Caregivers in Dakota City, NE
- Live-In Caregivers in Wayne, NE
- Live-In Caregivers in Le Mars, IA
- Live-In Caregivers in Sergeant Bluff, IA
- Live-In Caregivers in Canton, SD
- Live-In Caregivers in Sioux Center, IA
- Live-In Caregivers in Rock Valley, IA
- Live-In Caregivers in Harrisburg, SD
- Live-In Caregivers in Orange City, IA
Other care in Vermillion
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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