Overnight Caregivers in Pierre, SD
A caregiver in the home through the night, for someone who wakes, wanders or needs help to the bathroom, so the family can sleep. Post what you need in Pierre for free and hire a caregiver directly, with no agency mark-up.

Overnight Caregivers in Pierre, SD: the local picture
About 52 Pierre residents 65 or older have serious difficulty remembering, concentrating or making decisions (2.2%; 2.3% in Hughes County). Confusion at night is a common reason families arrange overnight care.
873 older residents live alone (37% of those in households). For them an overnight caregiver means someone in the house after dark.
The nearest emergency hospital is Avera St Mary's Hospital in Pierre, about 0.4 mi away in a straight line; keep its number and the person’s medication list by the bed.
Pierre compared with Hughes County and South Dakota
| Census figure | Pierre | Hughes County | South Dakota |
|---|---|---|---|
| Residents 65+ with serious difficulty remembering | 2.2% | 2.3% | 5.9% |
| Residents 65+ in households who live alone | 37% | 35% | 30% |
| Residents 85 or older | 2.3% | 2.2% | 2.1% |
| Residents 65+ with difficulty dressing or bathing | 1.8% | 2.3% | 5.4% |
| Residents 65+ with a disability | 22% | 23% | 31% |
| Residents 65+ below the poverty line (approx.) | 8.7% | 10.0% | 10% |
| Median income, households headed by someone 65+ | $48,900 | $50,137 | — |
Emergency hospitals near Pierre
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Avera St Mary's Hospital | Pierre, SD | 0.4 mi | 2 of 5 | (605) 224-3100 |
Straight-line miles from the center of Pierre. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What overnight care costs in Pierre
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 (135% of the $4,075 monthly median income of Pierre 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.
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.
Overnight Caregivers in Pierre: common questions
How much does overnight care cost in Pierre?
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 (135% of the $4,075 monthly median income of Pierre 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 senior care near Pierre
Overnight Caregivers in nearby cities
Other care in Pierre
- Companion Care in Pierre
- Dementia Care in Pierre
- Respite Care in Pierre
- Live-In Caregivers in Pierre
- Post-Surgery Care in Pierre
- Senior Transportation in Pierre
- Home Health Aides in Pierre
- Nursing Assistants in Pierre
- Personal Care in Pierre
- 24-Hour Home Care in Pierre
- Mobility Assistance in Pierre
- Parkinson’s Care in Pierre
- Stroke Recovery Support in Pierre
- Disability Care for Adults in Pierre
- Hospice Support in Pierre
- Senior Meal Preparation in Pierre
- Senior Housekeeping in Pierre
- Medication Reminders in Pierre
- Veterans’ Home Care in Pierre
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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