Live-In Caregivers in West Fargo, ND: 24-Hour Home Care

Local figures

Live-In Caregivers in West Fargo, ND: the local picture

637

residents 85 or older (1.6% of all residents)

2,316

households headed by someone 65+ own their home (70%)

70%

of West Fargo homes have 3 or more bedrooms (53% in Cass County)

$7.25

North Dakota minimum wage per hour

About 637 West Fargo 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. 70% of homes in West Fargo have three or more bedrooms (53% in Cass County), while 10% have one bedroom or none, where live-in care rarely works; the median home has 6.1 rooms.

Of West Fargo households headed by someone 65 or older, 2,316 own their home and 982 rent; among householders 85 and older it is 243 owners and 163 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

West Fargo compared with Cass County and North Dakota

Census figure	West Fargo	Cass County	North Dakota
Residents 85 or older	1.6%	1.5%	2.2%
Residents 65+ in households who live alone	29%	33%	33%
Residents 65+ with a disability	34%	30%	31%
Residents 65+ below the poverty line (approx.)	7.0%	7.6%	9.9%
Residents 65 or older	12%	13%	17%
Residents 5+ who speak a language other than English at home	5.9%	8.9%	6.7%
Median income, households headed by someone 65+	$66,681	$62,681	—

Older residents in towns around West Fargo

Town	Distance	Residents 65+	Residents 85+
Fargo, ND	3.6 mi	17,510	2,108
Horace, ND	6.9 mi	294	0
Moorhead, MN	7.6 mi	5,703	928
Dilworth, MN	10.0 mi	571	115
Casselton, ND	15 mi	293	30
Barnesville, MN	27 mi	359	57

Emergency hospitals near West Fargo

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Essentia Health	Fargo, ND	5.3 mi	3 of 5	(701) 364-8000
Sanford Medical Center Fargo	Fargo, ND	5.6 mi	4 of 5	(701) 234-2000
Fargo Va Medical Center	Fargo, ND	5.6 mi	5 of 5	(701) 232-3241

Straight-line miles from the center of West Fargo. 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 West Fargo

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.96 an hour (the North Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,108 a month (74% of the $5,557 monthly median income of West Fargo households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,803 a month (248% of the $5,557 monthly median income of West Fargo households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Dakota's minimum wage is $7.25 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 West Fargo: common questions

Where is the nearest emergency hospital to West Fargo?

Essentia Health in Fargo, about 5.3 mi in a straight line from the center of West Fargo (Medicare hospital file). Its listed phone number is (701) 364-8000. In an emergency, call 911.

How much does live-in care cost in West Fargo?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.96 an hour (the North Dakota median aide wage), a live-in caregiver paid for 50 hours a week costs about $4,108 a month (74% of the $5,557 monthly median income of West Fargo households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,803 a month (248% of the $5,557 monthly median income of West Fargo households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. North Dakota's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in West Fargo?

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 West Fargo 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 West Fargo

More senior care near West Fargo

Live-In Caregivers in nearby cities

Other care in West Fargo

More for West Fargo 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 West Fargo, ND