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How much does a live-in caregiver cost, and what’s included in the daily rate?

My father needs someone in the apartment around the clock but mostly sleeps through the night. How is a live-in caregiver priced, and what do families usually pay for meals, sleep time and days off?

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Anna Klyauzova, RN, MSN, MPAProLife team

A live-in caregiver in New York is usually priced as a flat daily rate, and that rate assumes the aide is paid for 13 hours a day while getting 8 hours for sleep (5 of them uninterrupted) and 3 hours for meals, plus her own private sleeping space.

What the daily rate generally covers: personal care, meals, light housekeeping, medication reminders, companionship and supervision during the day, with the aide nearby at night.

What families usually provide: a private room or space for the aide to sleep, and food or a way for her to prepare meals. Ask each agency how days off are covered, since a live-in aide needs scheduled breaks and a relief aide usually steps in.

The key question is nights. Live-in fits when your father truly sleeps through the night. If he needs help several times a night, New York rules generally mean the aide is not getting her required sleep, and 24-hour care with two aides on 12-hour shifts is the safer and more appropriate option, though it costs more.

Keep a simple log for a week of how often he wakes and why; it helps any agency recommend the right setup.

Prices vary by agency, so ask for a written quote. Our coordinators can review his nights with you and give a quote at (718) 232-2777.

Anna Klyauzova, RN, MSN, MPA · Director of Patient Services, ProLife Home Care

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