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

Local figures

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

6.8%

of residents 65+ have difficulty dressing or bathing (6.4% in Sumner County)

149

residents 85 or older (1.1% of all residents)

37%

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

$41,705

median yearly income of households headed by someone 65+

110 Portland residents 65 or older have difficulty dressing or bathing (6.8%; 6.4% in Sumner County), and 412 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 149 residents are 85 or older (1.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Signature Health Of Portland Rehab & Wellness Cent in Portland (5.6 mi) and Franklin-Simpson Nursing And Rehabilitation Center in Franklin (9.0 mi).

Portland compared with Sumner County and Tennessee

Census figure	Portland	Sumner County	Tennessee
Residents 65+ with difficulty dressing or bathing	6.8%	6.4%	7.4%
Residents 65+ with serious difficulty walking	26%	19%	23%
Residents 65+ with serious difficulty remembering	5.3%	6.5%	8.8%
Residents 85 or older	1.1%	1.6%	1.6%
Residents 65+ in households who live alone	35%	23%	29%
Residents 65+ below the poverty line (approx.)	7.5%	8.5%	11%
Median income, households headed by someone 65+	$41,705	$62,179	—

Older residents in towns around Portland

Town	Distance	Residents 65+	Self-care difficulty (65+)
Franklin, KY	8.5 mi	1,687	9.5%
White House, TN	12 mi	1,876	12%
Gallatin, TN	15 mi	8,031	5.0%
Westmoreland, TN	16 mi	463	11%
Shackle Island, TN	16 mi	573	6.8%
Millersville, TN	17 mi	1,089	6.8%

Home health agencies serving Portland

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Lebanon, TN	30 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 449-0045
Adoration Home Health, LLC	Madison, TN	25 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 733-3600
Aveanna Home Health	Murfreesboro, TN	53 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 366-6060
Adoration Home Health Nashville South	Cookeville, TN	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 835-4445
Nhc Homecare Springfield	Springfield, TN	21 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 384-0687

Nursing homes near Portland (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Signature Health Of Portland Rehab & Wellness Cent	Portland, TN	5.6 mi	1 of 5	112	(615) 325-9263
Franklin-Simpson Nursing And Rehabilitation Center	Franklin, KY	9.0 mi	3 of 5	98	(270) 586-7141
White House Health Care Inc	White House, TN	12 mi	5 of 5	84	(615) 672-3636
Gallatin Center For Rehabilitation And Healing	Gallatin, TN	15 mi	4 of 5	207	(615) 452-2322

Straight-line miles from the center of Portland. 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 Portland

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, 324% of the $3,475 monthly median income of Portland 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 Portland: common questions

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

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, 324% of the $3,475 monthly median income of Portland 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 Portland

More senior care near Portland

24-Hour Home Care in nearby cities

Other care in Portland

More for Portland 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 Portland, TN