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

Local figures

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

7.5%

of residents 65+ have difficulty dressing or bathing (7.7% in Rutherford County)

498

residents 85 or older (0.9% of all residents)

37%

of residents 65+ report a disability (36% in Rutherford County)

$67,805

median yearly income of households headed by someone 65+

452 Smyrna residents 65 or older have difficulty dressing or bathing (7.5%; 7.7% in Rutherford County), and 1,315 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 498 residents are 85 or older (0.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Smyrna Care Center in Smyrna (1.3 mi) and The Waters Of Smyrna, LLC in Smyrna (1.3 mi).

Smyrna compared with Rutherford County and Tennessee

Census figure	Smyrna	Rutherford County	Tennessee
Residents 65+ with difficulty dressing or bathing	7.5%	7.7%	7.4%
Residents 65+ with serious difficulty walking	22%	22%	23%
Residents 65+ with serious difficulty remembering	7.2%	7.6%	8.8%
Residents 85 or older	0.9%	1.0%	1.6%
Residents 65+ in households who live alone	28%	24%	29%
Residents 65+ below the poverty line (approx.)	9.6%	7.9%	11%
Median income, households headed by someone 65+	$67,805	$65,554	—

Older residents in towns around Smyrna

Town	Distance	Residents 65+	Self-care difficulty (65+)
La Vergne, TN	4.1 mi	3,163	14%
Nolensville, TN	8.1 mi	1,192	11%
Murfreesboro, TN	10.0 mi	17,180	7.9%
Brentwood, TN	14 mi	7,425	4.0%
Mount Juliet, TN	16 mi	5,547	5.2%
Oak Hill, TN	16 mi	1,140	0.3%

Home health agencies serving Smyrna

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
Beacon Home Health	Smyrna, TN	1.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(615) 890-6455
Nhc Homecare Murfreesboro	Murfreesboro, TN	9.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 896-2300
Amedisys Home Health	Murfreesboro, TN	9.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 893-0214
Aveanna Home Health	Murfreesboro, TN	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 366-6060

Nursing homes near Smyrna (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Smyrna Care Center	Smyrna, TN	1.3 mi	1 of 5	125	(615) 355-0350
The Waters Of Smyrna, LLC	Smyrna, TN	1.3 mi	1 of 5	91	(615) 459-5600
Life Care Center Of Hickory Woods	Antioch, TN	5.3 mi	5 of 5	124	(615) 501-3500
Antioch TN Opco, LLC	Antioch, TN	8.7 mi	2 of 5	110	(615) 731-7130

Straight-line miles from the center of Smyrna. 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 Smyrna

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, 199% of the $5,650 monthly median income of Smyrna 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 Smyrna: common questions

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

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, 199% of the $5,650 monthly median income of Smyrna 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 Smyrna

More senior care near Smyrna

24-Hour Home Care in nearby cities

Other care in Smyrna

More for Smyrna 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 Smyrna, TN