Live-In Caregivers in Welch, WV: 24-Hour Home Care

Local figures

Live-In Caregivers in Welch, WV: the local picture

31

residents 85 or older (0.9% of all residents)

213

households headed by someone 65+ own their home (76%)

54%

of Welch homes have 3 or more bedrooms (61% in McDowell County)

$8.75

West Virginia minimum wage per hour

About 31 Welch 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. 54% of homes in Welch have three or more bedrooms (61% in McDowell County), while 16% have one bedroom or none, where live-in care rarely works; the median home has 5.8 rooms.

Of Welch households headed by someone 65 or older, 213 own their home and 66 rent; among householders 85 and older it is 29 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Welch compared with McDowell County and West Virginia

Census figure	Welch	McDowell County	West Virginia
Residents 85 or older	0.9%	2.3%	2.1%
Residents 65+ in households who live alone	59%	29%	30%
Residents 65+ with a disability	62%	55%	39%
Residents 65+ below the poverty line (approx.)	46%	28%	12%
Residents 65 or older	11%	22%	21%
Residents 5+ who speak a language other than English at home	9.8%	2.4%	2.5%

Older residents in towns around Welch

Town	Distance	Residents 65+	Residents 85+
Tazewell, VA	21 mi	1,062	71
Bluefield, VA	22 mi	1,257	201
Bluefield, WV	24 mi	2,061	241
Richlands, VA	26 mi	1,295	138
Princeton, WV	27 mi	1,364	228
Shady Spring, WV	33 mi	688	19

Emergency hospitals near Welch

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Welch Community Hospital	Welch, WV	0.5 mi	not rated	(304) 436-8461
Carilion Tazewell Community Hospital	Tazewell, VA	23 mi	not rated	(276) 988-8700
Clinch Valley Medical Center	Richlands, VA	26 mi	3 of 5	(276) 596-6000

Straight-line miles from the center of Welch. 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 Welch

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.47 an hour (the West Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,919 a month. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,806 a month. Private rates are agreed with the caregiver, and overtime rules can add to both. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

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 Welch: common questions

Where is the nearest emergency hospital to Welch?

Welch Community Hospital in Welch, about 0.5 mi in a straight line from the center of Welch (Medicare hospital file). Its listed phone number is (304) 436-8461. In an emergency, call 911.

How much does live-in care cost in Welch?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $13.47 an hour (the West Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $2,919 a month. Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $9,806 a month. Private rates are agreed with the caregiver, and overtime rules can add to both. West Virginia's minimum wage is $8.75 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Welch?

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 Welch

More senior care near Welch

Live-In Caregivers in nearby cities

Other care in Welch

More for Welch 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 Welch, WV