Companion Care in Belle Meade, TN: Senior Companions at Home

Local figures

Companion Care in Belle Meade, TN: the local picture

540

residents 65 or older (20% of Belle Meade)

18%

of residents 65+ in households live alone (36% in Davidson County)

3.4%

of residents 5+ speak a language other than English at home

0.6%

of households have no vehicle (6.5% in Davidson County)

About 95 residents of Belle Meade aged 65 or older live alone, 18% of older residents in households (36% in Davidson County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

0.6% of Belle Meade households have no vehicle (6.5% in Davidson County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 540 Belle Meade residents aged 65 or older, 108 are 85 or older (20%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.

319 Belle Meade households headed by someone 65 or older own their home and 10 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.

About 19 older Belle Meade residents (3.5%) live below the poverty line (11% in Davidson County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.

About 3.4% of Belle Meade residents aged 5 and over speak a language other than English at home. The most common are French, Haitian or Cajun (51), Spanish (23), German or West Germanic languages (7). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.

Belle Meade compared with Davidson County and Tennessee

Census figure	Belle Meade	Davidson County	Tennessee
Residents 65+ in households who live alone	18%	36%	29%
Residents 65 or older	20%	13%	17%
Residents 5+ who speak a language other than English at home	3.4%	19%	8.6%
Households with no vehicle	0.6%	6.5%	5.2%
Residents 65+ below the poverty line (approx.)	3.5%	11%	11%
Residents 65+ with a disability	23%	33%	36%
Median income, households headed by someone 65+	$210,313	$60,299	—

Older residents in towns around Belle Meade

Town	Distance	Residents 65+	Live alone (65+)
Forest Hills, TN	2.3 mi	1,226	8.5%
Oak Hill, TN	4.1 mi	1,140	7.0%
Nashville, TN	6.4 mi	87,835	37%
Brentwood, TN	8.7 mi	7,425	17%
Franklin, TN	13 mi	12,769	26%
Kingston Springs, TN	14 mi	616	22%

Hospitals near Belle Meade (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Ascension Saint Thomas Hospital	Nashville, TN	1.1 mi	3 of 5	(615) 222-2111
Va Middle Tennessee Healthcare System	Nashville, TN	3.9 mi	4 of 5	(615) 327-5332
Tristar Centennial Medical Center	Nashville, TN	5.0 mi	4 of 5	(615) 342-1000

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

What it covers

What a companion caregiver can help with

Conversation, cards, puzzles and shared hobbies
Walks and outings to the park, library or senior center
Company at meals, and help preparing them
Rides or escort to appointments, church and visits

Cost

What companion care costs in Belle Meade

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 8% of the $17,526 monthly median income of Belle Meade 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 companion caregiver

Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).

Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.

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

Questions

Companion Care in Belle Meade: common questions

How many seniors live alone in Belle Meade?

About 95 residents aged 65 or older, 18% of older residents in households (Census ACS 2020–2024) (36% in Davidson County).

How much does companion care cost in Belle Meade?

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 8% of the $17,526 monthly median income of Belle Meade 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).

What does a companion caregiver do in Belle Meade?

A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.

More near Belle Meade

More senior care near Belle Meade

Companion Care in nearby cities

Other care in Belle Meade

More for Belle Meade 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.

Companion Care for Seniors in Belle Meade, TN