24-Hour Home Care in Tompkinsville, KY: Round-the-Clock Care

Local figures

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

8.3%

of residents 65+ have difficulty dressing or bathing (13% in Monroe County)

52

residents 85 or older (2.0% of all residents)

67%

of residents 65+ report a disability (50% in Monroe County)

$40,446

median yearly income of households headed by someone 65+

32 Tompkinsville residents 65 or older have difficulty dressing or bathing (8.3%; 13% in Monroe County), and 193 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 52 residents are 85 or older (2.0% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Signature Healthcare Of Monroe County Rehab And We in Tompkinsville (0.4 mi) and Red Boiling Springs TN Opco LLC in Red Boiling Springs (14 mi).

Tompkinsville compared with Monroe County and Kentucky

Census figure	Tompkinsville	Monroe County	Kentucky
Residents 65+ with difficulty dressing or bathing	8.3%	13%	8.0%
Residents 65+ with serious difficulty walking	50%	37%	25%
Residents 65+ with serious difficulty remembering	20%	14%	9.4%
Residents 85 or older	2.0%	1.5%	1.7%
Residents 65+ in households who live alone	50%	31%	30%
Residents 65+ below the poverty line (approx.)	11%	14%	13%
Median income, households headed by someone 65+	$40,446	$38,005	—

Older residents in towns around Tompkinsville

Town	Distance	Residents 65+	Self-care difficulty (65+)
Lafayette, TN	22 mi	704	16%
Glasgow, KY	25 mi	3,096	11%
Scottsville, KY	29 mi	930	2.5%
Livingston, TN	30 mi	670	4.5%
Westmoreland, TN	32 mi	463	11%
Hartsville, TN	33 mi	1,475	7.7%

Home health agencies serving Tompkinsville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Family Home Health Care, LLC Dba Adoration Home Health	Columbia, KY	37 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 384-6411
Centerwell Home Health	Somerset, KY	72 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(606) 679-7439
Lifeline Home Health	Tompkinsville, KY	1.6 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(270) 487-5905

Nursing homes near Tompkinsville (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Signature Healthcare Of Monroe County Rehab And We	Tompkinsville, KY	0.4 mi	5 of 5	104	(270) 487-6135
Red Boiling Springs TN Opco LLC	Red Boiling Springs, TN	14 mi	3 of 5	119	(615) 699-2238
Celina Health And Rehabilitation Center	Celina, TN	15 mi	4 of 5	78	(931) 243-3139
Cumberland Valley Nursing & Rehabilitation Center	Burkesville, KY	19 mi	1 of 5	84	(270) 864-4315

Straight-line miles from the center of Tompkinsville. 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 Tompkinsville

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, 378% of the $3,371 monthly median income of Tompkinsville 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 Tompkinsville: common questions

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

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, 378% of the $3,371 monthly median income of Tompkinsville 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 Tompkinsville

More senior care near Tompkinsville

24-Hour Home Care in nearby cities

Other care in Tompkinsville

More for Tompkinsville 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 Tompkinsville, KY