24-Hour Home Care in Middlesborough, KY

Local figures

24-Hour Home Care in Middlesborough, KY: the local picture

10%

of residents 65+ have difficulty dressing or bathing (9.4% in Bell County)

335

residents 85 or older (3.7% of all residents)

63%

of residents 65+ report a disability (55% in Bell County)

$29,163

median yearly income of households headed by someone 65+

194 Middlesborough residents 65 or older have difficulty dressing or bathing (10%; 9.4% in Bell County), and 778 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 335 residents are 85 or older (3.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Middlesboro Nursing And Rehabilitation Facility in Middlesboro (1.8 mi) and Tri State Health And Rehabilitation Center in Harrogate (5.1 mi).

Middlesborough compared with Bell County and Kentucky

Census figure	Middlesborough	Bell County	Kentucky
Residents 65+ with difficulty dressing or bathing	10%	9.4%	8.0%
Residents 65+ with serious difficulty walking	42%	34%	25%
Residents 65+ with serious difficulty remembering	12%	14%	9.4%
Residents 85 or older	3.7%	2.1%	1.7%
Residents 65+ in households who live alone	39%	33%	30%
Residents 65+ below the poverty line (approx.)	20%	19%	13%
Median income, households headed by someone 65+	$29,163	$28,744	—

Older residents in towns around Middlesborough

Town	Distance	Residents 65+	Self-care difficulty (65+)
Harrogate, TN	5.0 mi	837	4.3%
Tazewell, TN	14 mi	496	18%
New Tazewell, TN	14 mi	438	11%
Barbourville, KY	20 mi	688	21%
Maynardville, TN	26 mi	287	12%
Williamsburg, KY	26 mi	705	4.6%

Home health agencies serving Middlesborough

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Care	Middlesboro, KY	0.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(606) 248-1062
Middlesboro Arh Home Health Agency	Middlesboro, KY	0.3 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(606) 242-1404

Nursing homes near Middlesborough (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Middlesboro Nursing And Rehabilitation Facility	Middlesboro, KY	1.8 mi	5 of 5	95	(606) 298-0091
Tri State Health And Rehabilitation Center	Harrogate, TN	5.1 mi	1 of 5	116	(423) 869-5376
Mountain View Rehabilitation And Healthcare Center	Pineville, KY	9.6 mi	4 of 5	115	(606) 337-7071
Buchanan Place	New Tazewell, TN	14 mi	2 of 5	134	(423) 626-8215

Straight-line miles from the center of Middlesborough. 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 Middlesborough

24-hour care is 168 paid hours a week. At $17.52 an hour (the Kentucky median aide wage) that is about $12,755 a month in wages before any overtime, 525% of the $2,430 monthly median income of Middlesborough households headed by someone 65+. Rates are agreed with each caregiver. Kentucky's minimum wage is $7.25 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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Middlesborough: common questions

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

24-hour care is 168 paid hours a week. At $17.52 an hour (the Kentucky median aide wage) that is about $12,755 a month in wages before any overtime, 525% of the $2,430 monthly median income of Middlesborough households headed by someone 65+. Rates are agreed with each caregiver. Kentucky's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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 Middlesborough

More senior care near Middlesborough

24-Hour Home Care in nearby cities

Other care in Middlesborough

More for Middlesborough 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.