Bristol, Tennessee

Companion Care for Seniors in Bristol, TN

Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Bristol for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Companion Care in Bristol, TN: the local picture

5,391
residents 65 or older (20% of Bristol)
30%
of residents 65+ in households live alone (31% in Sullivan County)
2.4%
of residents 5+ speak a language other than English at home
5.2%
of households have no vehicle (4.8% in Sullivan County)

About 1,568 residents of Bristol aged 65 or older live alone, 30% of older residents in households (31% in Sullivan County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

5.2% of Bristol households have no vehicle (4.8% in Sullivan County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 5,391 Bristol residents aged 65 or older, 594 are 85 or older (11%). 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.

2,852 Bristol households headed by someone 65 or older own their home and 684 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 597 older Bristol residents (11%) live below the poverty line (10% in Sullivan 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.

Bristol compared with Sullivan County and Tennessee

Census figureBristolSullivan CountyTennessee
Residents 65+ in households who live alone30%31%29%
Residents 65 or older20%22%17%
Residents 5+ who speak a language other than English at home2.4%2.6%8.6%
Households with no vehicle5.2%4.8%5.2%
Residents 65+ below the poverty line (approx.)11%10%11%
Residents 65+ with a disability34%37%36%
Median income, households headed by someone 65+$44,354$45,032—

Older residents in towns around Bristol

TownDistanceResidents 65+Live alone (65+)
Bristol, VA5.2 mi3,98635%
Blountville, TN6.5 mi7028.8%
Elizabethton, TN15 mi2,95037%
Oak Grove, TN15 mi1,10017%
Spurgeon, TN16 mi75531%
Colonial Heights, TN16 mi70347%

Hospitals near Bristol (for rides to appointments)

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Wellmont Bristol Regional Medical CenterBristol, TN2.1 mi2 of 5(423) 844-1121
Sycamore Shoals HospitalElizabethton, TN15 mi2 of 5(423) 542-1300
Johnston Memorial HospitalAbingdon, VA16 mi3 of 5(276) 258-1000

Straight-line miles from the center of Bristol. 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 Bristol

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 36% of the $3,696 monthly median income of Bristol 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 Bristol: common questions

How many seniors live alone in Bristol?

About 1,568 residents aged 65 or older, 30% of older residents in households (Census ACS 2020–2024) (31% in Sullivan County).

How much does companion care cost in Bristol?

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 36% of the $3,696 monthly median income of Bristol 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 Bristol?

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.

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.

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