Adult Disability Care in Smithville, TN: In-Home Support

Local figures

Disability Care for Adults in Smithville, TN: the local picture

33%

of residents aged 18 to 64 have a disability (18% in DeKalb County)

130

residents aged 18 to 64 have difficulty doing errands alone

18%

of households have no vehicle (7.0% in DeKalb County)

12

Medicare-certified home health agencies list Smithville ZIP codes in their service area

About 998 Smithville residents aged 18 to 64 report a disability (33%; 18% in DeKalb County).

130 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

18% of Smithville households have no vehicle (7.0% in DeKalb County); say in your posting if you need a caregiver who drives.

Smithville compared with DeKalb County and Tennessee

Census figure	Smithville	DeKalb County	Tennessee
Residents 18 to 64 with a disability	33%	18%	13%
Residents 18 to 64 with difficulty doing errands alone	4.3%	5.1%	4.5%
Households with no vehicle	18%	7.0%	5.2%
Residents 5+ who speak a language other than English at home	11%	5.4%	8.6%
Residents 65+ with a disability	54%	42%	36%
Residents 65+ below the poverty line (approx.)	24%	13%	11%
Median income, households headed by someone 65+	$21,463	$37,211	—

Older residents in towns around Smithville

Town	Distance	Residents 65+	Disability (18 to 64)
Woodbury, TN	17 mi	311	23%
McMinnville, TN	19 mi	2,373	20%
Sparta, TN	20 mi	1,332	15%
Cookeville, TN	22 mi	4,960	12%
Algood, TN	27 mi	784	8.3%
Lebanon, TN	34 mi	7,242	8.6%

Home health agencies serving Smithville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Lebanon, TN	32 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 449-0045
Adoration Home Health Nashville South	Cookeville, TN	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 835-4445
Nhc Homecare Murfreesboro	Murfreesboro, TN	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 896-2300
Amedisys Home Health	Nashville, TN	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 313-7400
Adoration Home Health, LLC	Madison, TN	54 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 733-3600

Straight-line miles from the center of Smithville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Smithville

At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 75% of the $1,789 monthly median income of Smithville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Smithville: common questions

How much does disability care for adults cost in Smithville?

At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 75% of the $1,789 monthly median income of Smithville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide TennCare CHOICES: how to get paid to care for a family member in Tennessee covers Tennessee.

More near Smithville

More senior care near Smithville

Disability Care for Adults in nearby cities

Other care in Smithville

More for Smithville 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.

In-Home Support for Adults With Disabilities in Smithville, TN