24-Hour Home Care in Shackle Island, TN

Local figures

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

6.8%

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

31

residents 85 or older (0.7% of all residents)

31%

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

$75,792

median yearly income of households headed by someone 65+

39 Shackle Island residents 65 or older have difficulty dressing or bathing (6.8%; 6.4% in Sumner County), and 109 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 31 residents are 85 or older (0.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Nhc Healthcare, Hendersonville in Hendersonville (3.9 mi) and Nhc Place Sumner in Gallatin (6.2 mi).

Shackle Island compared with Sumner County and Tennessee

Census figure	Shackle Island	Sumner County	Tennessee
Residents 65+ with difficulty dressing or bathing	6.8%	6.4%	7.4%
Residents 65+ with serious difficulty walking	19%	19%	23%
Residents 65+ with serious difficulty remembering	3.3%	6.5%	8.8%
Residents 85 or older	0.7%	1.6%	1.6%
Residents 65+ in households who live alone	12%	23%	29%
Residents 65+ below the poverty line (approx.)	3.5%	8.5%	11%
Median income, households headed by someone 65+	$75,792	$62,179	—

Older residents in towns around Shackle Island

Town	Distance	Residents 65+	Self-care difficulty (65+)
Hendersonville, TN	5.0 mi	10,859	6.5%
Millersville, TN	5.4 mi	1,089	6.8%
Goodlettsville, TN	5.8 mi	3,125	7.7%
White House, TN	6.7 mi	1,876	12%
Gallatin, TN	8.3 mi	8,031	5.0%
Greenbrier, TN	10 mi	692	18%

Home health agencies serving Shackle Island

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Lebanon, TN	21 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 449-0045
Adoration Home Health, LLC	Madison, TN	9.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 733-3600
Amedisys Home Health	Nashville, TN	15 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 313-7400
Aveanna Home Health	Murfreesboro, TN	39 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

Nursing homes near Shackle Island (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Nhc Healthcare, Hendersonville	Hendersonville, TN	3.9 mi	3 of 5	122	(615) 824-0720
Nhc Place Sumner	Gallatin, TN	6.2 mi	5 of 5	92	(615) 451-0788
Alta Heights Post Acute	Goodlettsville, TN	7.3 mi	4 of 5	90	(615) 859-6600
White House Health Care Inc	White House, TN	8.3 mi	5 of 5	84	(615) 672-3636

Straight-line miles from the center of Shackle Island. 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 Shackle Island

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, 178% of the $6,316 monthly median income of Shackle Island 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 Shackle Island: common questions

How much does 24-hour home care cost in Shackle Island?

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, 178% of the $6,316 monthly median income of Shackle Island 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 Shackle Island

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24-Hour Home Care in nearby cities

Other care in Shackle Island

More for Shackle Island 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.