New York City home care
Live-in home care in New York City
A live-in aide stays in your parent's apartment so someone is there all day and evening, with rules in New York about sleep and breaks.
You don't pay. There's no fee.
How live-in shifts work in New York
New York agencies usually pay a live-in aide for 13 hours of a 24-hour shift, as long as the aide gets at least 8 hours of sleep, 5 of them in a row, and 3 hours for meals. If your parent keeps the aide up at night, the agency has to pay the full 24 hours or switch to two 12-hour shifts.
That is why agencies ask detailed questions about nights before they quote. Be honest about how often your parent wakes up. It decides whether live-in care is the right fit.
Apartment life
- The aide needs a private place to sleep. In a one-bedroom, families sometimes set up a separate area, so ask the agency what it accepts.
- Building rules matter: doorman lists, service elevators and guest policies for staff.
- Aides often shop on foot and ride with your parent to appointments, so say which hospitals and doctors are on the calendar.
Where we help
Manhattan, Brooklyn, Queens and the Bronx, plus Long Island and Westchester. Families with a parent across the river can cover New Jersey in the same call, see live-in care in New Jersey.
What to budget for
The CareScout 2025 Cost of Care Survey puts New York's median for a non-medical in-home caregiver at $35 an hour statewide. New York City rates often run higher than the state median. Live-in care is quoted as a daily rate.
We do not publish any agency's prices. Each agency quotes its own rate and minimum in writing, and we ask you to get that before care starts.
Paying for it
Medicare does not pay for live-in care. Private pay and long term care insurance are the usual sources. If your parent is on Medicaid, we give you the NY Connects number (1-800-342-9871) on the first call.
How we help
We sit with you first, then introduce licensed private-pay agencies that staff live-in care in your parent's borough. You choose. You don't pay. There's no fee. Call (201) 686-8232 if the need is this week.
Tell us about the live-in need
Related pages
Frequently asked questions
- Why is a 24-hour live-in shift paid as 13 hours?
- In New York the aide's sleep and meal time can be left unpaid only if the aide actually gets it: 8 hours of sleep, 5 in a row, and 3 hours of meals. If not, all 24 hours are paid.
- Do you cover Staten Island?
- Yes, we help Staten Island families find agencies. Staffing for live-in care can take longer there, so start early.
- Do families pay you?
- You don't pay. There's no fee. A licensed agency may pay us a referral fee after a successful private-pay start of care. We do not take a fee on Medicaid funded care.
Ways to start
Sit with us first. Then pick the home.
- Call (201) 686-8232. Best for an immediate need such as a discharge this week.
- Take the two minute care quiz
- See how we help families
- Print the tour question checklist
- Communities and agencies: partner with us
Informational and referral only. Not medical, legal, or insurance advice. We do not operate communities or employ aides, and we do not publish community prices, waitlists, or bed counts. Verify licensing and current rates with each community or agency.
This site is not medical or financial advice. Confirm coverage with the plan or the state Medicaid office. Facility fees are set by the community.