Overnight Caregivers in Madison, SD: Night Care at Home

Local figures

Overnight Caregivers in Madison, SD: the local picture

7.2%

of residents 65+ have serious difficulty remembering, concentrating or deciding (5.3% in Lake County)

22%

of residents 65+ in households live alone (21% in Lake County)

308

residents 85 or older (5.1% of all residents)

0.3 mi

to the nearest hospital with an emergency department (Madison)

About 90 Madison residents 65 or older have serious difficulty remembering, concentrating or making decisions (7.2%; 5.3% in Lake County). Confusion at night is a common reason families arrange overnight care.

270 older residents live alone (22% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Madison Regional Health System in Madison, about 0.3 mi away in a straight line; keep its number and the person’s medication list by the bed.

Madison compared with Lake County and South Dakota

Census figure	Madison	Lake County	South Dakota
Residents 65+ with serious difficulty remembering	7.2%	5.3%	5.9%
Residents 65+ in households who live alone	22%	21%	30%
Residents 85 or older	5.1%	3.4%	2.1%
Residents 65+ with difficulty dressing or bathing	2.6%	3.0%	5.4%
Residents 65+ with a disability	48%	39%	31%
Residents 65+ below the poverty line (approx.)	5.4%	5.0%	10%
Median income, households headed by someone 65+	$50,938	$61,289	—

Older residents in towns around Madison

Town	Distance	Residents 65+	Memory difficulty (65+)
Dell Rapids, SD	23 mi	703	5.6%
Brookings, SD	26 mi	2,888	2.9%
Hartford, SD	28 mi	614	3.3%
Sioux Falls, SD	37 mi	28,329	6.6%
Brandon, SD	39 mi	1,627	8.4%
Pipestone, MN	40 mi	812	10%

Emergency hospitals near Madison

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Madison Regional Health System	Madison, SD	0.3 mi	not rated	(605) 256-6551
Avera Dells Area Hospital - Cah	Dell Rapids, SD	23 mi	not rated	(605) 428-5431
Avera Flandreau Hospital - Cah	Flandreau, SD	25 mi	not rated	(605) 997-2433

Straight-line miles from the center of Madison. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a overnight caregiver can help with

Help to the bathroom at night and back to bed
Turning and settling someone who cannot move easily
Watching for wandering or confusion
Medication reminders at bedtime and in the morning

Cost

What overnight care costs in Madison

At $18.15 an hour (the South Dakota median aide wage), a 10-hour overnight shift three nights a week comes to about $2,360 a month, and every night about $5,506 (130% of the $4,245 monthly median income of Madison households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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.

Before you hire

What to know before hiring a overnight caregiver

Overnight help is usually arranged when the person gets up in the night or the family caregiver is no longer getting enough sleep. Decide first whether you need an awake caregiver, who stays up through the shift, or one who may sleep in the home and is woken when needed; the two are paid differently.

Questions worth asking: Do you stay awake through the shift, or sleep and wake when called? Have you cared for someone with dementia at night? What would you do if my parent fell during the night? More in our overnight caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Overnight Caregivers in Madison: common questions

How much does overnight care cost in Madison?

At $18.15 an hour (the South Dakota median aide wage), a 10-hour overnight shift three nights a week comes to about $2,360 a month, and every night about $5,506 (130% of the $4,245 monthly median income of Madison households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. South Dakota's minimum wage is $11.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Overnight, live-in or 24-hour care: what is the difference?

Overnight care is a single night shift. A live-in caregiver lives 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.

More near Madison

More senior care near Madison

Overnight Caregivers in nearby cities

Other care in Madison

More for Madison 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.

Overnight Caregivers in Madison, SD