24-Hour Home Care in Nashville, IL: Round-the-Clock Care

Local figures

24-Hour Home Care in Nashville, IL: the local picture

2.3%

of residents 65+ have difficulty dressing or bathing (3.6% in Washington County)

111

residents 85 or older (3.8% of all residents)

27%

of residents 65+ report a disability (29% in Washington County)

$46,496

median yearly income of households headed by someone 65+

13 Nashville residents 65 or older have difficulty dressing or bathing (2.3%; 3.6% in Washington County), and 140 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 111 residents are 85 or older (3.8% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Axiom Gardens Of Nashville in Nashville (1.3 mi) and Coulterville Rehab & Hcc in Coulterville (18 mi).

Nashville compared with Washington County and Illinois

Census figure	Nashville	Washington County	Illinois
Residents 65+ with difficulty dressing or bathing	2.3%	3.6%	6.9%
Residents 65+ with serious difficulty walking	24%	20%	20%
Residents 65+ with serious difficulty remembering	2.6%	4.4%	7.0%
Residents 85 or older	3.8%	2.2%	2.0%
Residents 65+ in households who live alone	38%	30%	30%
Residents 65+ below the poverty line (approx.)	2.6%	7.9%	10%
Median income, households headed by someone 65+	$46,496	$59,848	—

Older residents in towns around Nashville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Centralia, IL	18 mi	2,615	4.6%
Carlyle, IL	19 mi	612	9.7%
Pinckneyville, IL	19 mi	807	18%
Breese, IL	20 mi	869	2.8%
New Baden, IL	22 mi	376	8.6%
Sparta, IL	24 mi	1,035	11%

Home health agencies serving Nashville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adoration Home Health	O Fallon, IL	32 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(618) 622-8854
Residential Home Health Of Southern Illinois	Glen Carbon, IL	43 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 642-6099
At Home Health Care	Sparta, IL	23 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(618) 443-2177
Apollo Medical	Saint Louis, MO	62 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 692-0611
Mederi Caretenders Of Fairview Heights	Fairview Heights, IL	38 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy	(618) 277-8899

Nursing homes near Nashville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Axiom Gardens Of Nashville	Nashville, IL	1.3 mi	1 of 5	120	(618) 327-3041
Coulterville Rehab & Hcc	Coulterville, IL	18 mi	1 of 5	75	(618) 758-2256
Centralia Manor	Centralia, IL	18 mi	1 of 5	120	(618) 533-1200
Fireside House Of Centralia	Centralia, IL	18 mi	3 of 5	98	(618) 532-1833

Straight-line miles from the center of Nashville. 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 Nashville

24-hour care is 168 paid hours a week. At $18.30 an hour (the Illinois median aide wage) that is about $13,322 a month in wages before any overtime, 344% of the $3,875 monthly median income of Nashville households headed by someone 65+. Rates are agreed with each caregiver. Illinois's minimum wage is $15.00 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Nashville: common questions

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

24-hour care is 168 paid hours a week. At $18.30 an hour (the Illinois median aide wage) that is about $13,322 a month in wages before any overtime, 344% of the $3,875 monthly median income of Nashville households headed by someone 65+. Rates are agreed with each caregiver. Illinois's minimum wage is $15.00 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 Nashville

More senior care near Nashville

24-Hour Home Care in nearby cities

Other care in Nashville

More for Nashville 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 Nashville, IL