Adult Disability Care in Tompkinsville, KY: In-Home Support

Local figures

Disability Care for Adults in Tompkinsville, KY: the local picture

26%

of residents aged 18 to 64 have a disability (21% in Monroe County)

93

residents aged 18 to 64 have difficulty doing errands alone

13%

of households have no vehicle (5.0% in Monroe County)

3

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

About 362 Tompkinsville residents aged 18 to 64 report a disability (26%; 21% in Monroe County).

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

13% of Tompkinsville households have no vehicle (5.0% in Monroe County); say in your posting if you need a caregiver who drives.

Tompkinsville compared with Monroe County and Kentucky

Census figure	Tompkinsville	Monroe County	Kentucky
Residents 18 to 64 with a disability	26%	21%	16%
Residents 18 to 64 with difficulty doing errands alone	6.7%	5.9%	5.9%
Households with no vehicle	13%	5.0%	6.8%
Residents 5+ who speak a language other than English at home	8.8%	3.1%	6.8%
Residents 65+ with a disability	67%	50%	39%
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+	Disability (18 to 64)
Lafayette, TN	22 mi	704	17%
Glasgow, KY	25 mi	3,096	25%
Scottsville, KY	29 mi	930	16%
Livingston, TN	30 mi	670	24%
Westmoreland, TN	32 mi	463	15%
Hartsville, TN	33 mi	1,475	8.3%

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

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 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 Tompkinsville

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 45% of the $3,371 monthly median income of Tompkinsville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 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 Tompkinsville: common questions

How much does disability care for adults cost in Tompkinsville?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 45% of the $3,371 monthly median income of Tompkinsville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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 How to get paid to care for a family member in Kentucky: Participant Directed Services covers Kentucky.

More near Tompkinsville

More senior care near Tompkinsville

Disability Care for Adults 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.

In-Home Support for Adults With Disabilities in Tompkinsville, KY