One caregiver stays in the home, with a private place to sleep and defined off-hours.
Who it is for: Someone who needs presence and help throughout the day but sleeps through most nights.
What to know before you call anyone
There are legal conditions, and they are not optional
A live-in arrangement requires a private sleeping space, a genuine uninterrupted sleep period, and defined break time. If the person you are caring for is up three times a night, the sleep period is not real, and what you actually need is 24-hour awake care. Agencies that let families run a live-in schedule on a person who needs overnight care are setting up a burnout failure that will land back on you in a month.
Coverage is not continuous, and the gap is yours
Live-in caregivers get days off. Ask specifically who covers them and whether that person is someone the client has met. “We will send someone” on a Saturday is how a good arrangement unravels.
Household expectations should be written down
Meals, groceries, use of the car, guests, laundry, whether the caregiver eats with the family. These are trivial until they are not. Every long-running live-in arrangement we have seen work had these settled in writing in week one.
What it costs
There is no separate price list for live-in caregivers — it is priced off the same hourly structure as any other in-home care, with differentials. The Nevada statewide median for a non-medical caregiver is $37 an hour.
See what care costs per month at every hours-per-week level.
Full cost breakdown, including shift minimums and differentials.
Find in-home care that fits — in about 60 seconds
Six quick questions. No cost, no obligation, and we tell you straight if what you need is not what we do.
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Licensed agencies in Las Vegas and Clark County
We track 405 agencies licensed by Nevada HCQC to provide personal care services in the home across Las Vegas and Clark County, pulled from the state's public license registry in November 2026. Nearly all of them provide live-in caregivers in some form; what varies is depth of experience and whether they can actually staff your specific schedule. Browse the full list, or answer the questions above and we will narrow it for you.
See what a licensed caregiver is allowed to do.
See the tasks state regulation forbids a caregiver to do.
Related
Hourly in-home care
The most common way care starts: a caregiver for a set block of hours on set days.
24-hour home care
Awake caregivers in rotating shifts, around the clock.
Overnight caregivers
Coverage from evening to morning, awake or asleep depending on need.
Respite care at home
Short-term coverage so the family caregiver can rest, travel, recover, or simply stop.
Personal care and bathing help
Hands-on help with bathing, dressing, grooming, the bathroom, and getting around.
Companion care
Company, conversation, activity and light supervision — without hands-on personal care.
Common questions
Is live-in caregivers covered by Medicare?
No. Medicare covers skilled, doctor-ordered home health for homebound patients. Personal care at home — help with bathing, dressing, meals, mobility and company — is not a Medicare benefit, whichever form it takes.
How much does live-in caregivers cost in Las Vegas?
It is priced off the standard hourly structure. The Nevada statewide median for a non-medical caregiver is $37 an hour per the CareScout Cost of Care Survey 2025, with differentials for overnights, weekends and higher acuity.
Do I need a licensed agency for this in Nevada?
To buy it as a service, yes — Nevada requires an agency providing personal care services in the home to hold a license under NRS Chapter 449B. You can also hire a caregiver privately, which is legal and shifts the employer obligations, background checks, insurance and backup coverage onto you.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
- Home health services — Medicare.gov, Centers for Medicare & Medicaid Services, 2026.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 2025.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
