24-Hour Home Care in Knoxville, TN: Round-the-Clock Care

Local figures

24-Hour Home Care in Knoxville, TN: the local picture

8.5%

of residents 65+ have difficulty dressing or bathing (6.6% in Knox County)

3,348

residents 85 or older (1.7% of all residents)

36%

of residents 65+ report a disability (32% in Knox County)

$40,720

median yearly income of households headed by someone 65+

2,294 Knoxville residents 65 or older have difficulty dressing or bathing (8.5%; 6.6% in Knox County), and 6,442 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 3,348 residents are 85 or older (1.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Nhc Healthcare, Ft Sanders in Knoxville (1.0 mi) and Fort Sanders Tcu in Knoxville (1.2 mi).

Knoxville compared with Knox County and Tennessee

Census figure	Knoxville	Knox County	Tennessee
Residents 65+ with difficulty dressing or bathing	8.5%	6.6%	7.4%
Residents 65+ with serious difficulty walking	24%	20%	23%
Residents 65+ with serious difficulty remembering	8.3%	7.2%	8.8%
Residents 85 or older	1.7%	1.7%	1.6%
Residents 65+ in households who live alone	42%	30%	29%
Residents 65+ below the poverty line (approx.)	14%	9.5%	11%
Median income, households headed by someone 65+	$40,720	$56,033	—

Older residents in towns around Knoxville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Powell, TN	6.4 mi	2,329	2.8%
Halls, TN	7.7 mi	2,785	4.0%
Karns, TN	9.0 mi	798	13%
Alcoa, TN	11 mi	2,276	5.1%
Louisville, TN	12 mi	1,059	0.5%
Seymour, TN	12 mi	2,935	14%

Home health agencies serving Knoxville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Knoxville, TN	5.7 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(865) 450-1160
Centerwell Home Health	Knoxville, TN	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(865) 584-3133
Nhc Homecare Knoxville	Knoxville, TN	7.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work	(865) 539-0242
Covenant Homecare	Knoxville, TN	4.5 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(865) 374-0600
Amedisys Home Health Care	Knoxville, TN	4.5 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(865) 584-2510

Nursing homes near Knoxville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Nhc Healthcare, Ft Sanders	Knoxville, TN	1.0 mi	3 of 5	160	(865) 525-4131
Fort Sanders Tcu	Knoxville, TN	1.2 mi	4 of 5	24	(865) 541-1111
Nhc Healthcare, Knoxville	Knoxville, TN	1.8 mi	3 of 5	127	(865) 524-7366
Creekview Health And Rehabilitation	Knoxville, TN	2.5 mi	2 of 5	91	(865) 686-7300

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

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Knoxville

24-hour care is 168 paid hours a week. At $15.45 an hour (the Tennessee median aide wage) that is about $11,248 a month in wages before any overtime, 331% of the $3,393 monthly median income of Knoxville households headed by someone 65+. Rates are agreed with each caregiver. Tennessee has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 TennCare CHOICES: how to get paid to care for a family member in Tennessee.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

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

Questions

24-Hour Home Care in Knoxville: common questions

How much does 24-hour home care cost in Knoxville?

24-hour care is 168 paid hours a week. At $15.45 an hour (the Tennessee median aide wage) that is about $11,248 a month in wages before any overtime, 331% of the $3,393 monthly median income of Knoxville households headed by someone 65+. Rates are agreed with each caregiver. Tennessee has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Knoxville

More senior care near Knoxville

24-Hour Home Care in nearby cities

Other care in Knoxville

More for Knoxville 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.

24-Hour Home Care in Knoxville, TN