Companion Care in Lithonia, GA: Senior Companions at Home

Local figures

Companion Care in Lithonia, GA: the local picture

171

residents 65 or older (6.5% of Lithonia)

43%

of residents 65+ in households live alone (29% in DeKalb County)

10%

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

27%

of households have no vehicle (7.3% in DeKalb County)

About 69 residents of Lithonia aged 65 or older live alone, 43% of older residents in households (29% in DeKalb County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

27% of Lithonia households have no vehicle (7.3% in DeKalb County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 171 Lithonia residents aged 65 or older, 32 are 85 or older (19%). 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.

53 Lithonia households headed by someone 65 or older own their home and 53 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 0 older Lithonia residents (0.0%) live below the poverty line (11% in DeKalb 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 10% of Lithonia residents aged 5 and over speak a language other than English at home. The most common are Spanish (191), other languages (47), German or West Germanic languages (10). 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.

Lithonia compared with DeKalb County and Georgia

Census figure	Lithonia	DeKalb County	Georgia
Residents 65+ in households who live alone	43%	29%	26%
Residents 65 or older	6.5%	14%	15%
Residents 5+ who speak a language other than English at home	10%	21%	15%
Households with no vehicle	27%	7.3%	5.9%
Residents 65+ below the poverty line (approx.)	0.0%	11%	11%
Residents 65+ with a disability	90%	32%	34%

Older residents in towns around Lithonia

Town	Distance	Residents 65+	Live alone (65+)
Stonecrest, GA	3.2 mi	7,134	23%
Redan, GA	3.9 mi	5,051	30%
Lakeview Estates, GA	4.0 mi	60	0.0%
Stone Mountain, GA	7.3 mi	902	34%
Conyers, GA	8.0 mi	2,933	41%
Belvedere Park, GA	9.2 mi	1,802	31%

Hospitals near Lithonia (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Emory Hillandale Hospital	Lithonia, GA	1.6 mi	1 of 5	(404) 501-8040
Piedmont Eastside Medical Center	Snellville, GA	12 mi	2 of 5	(770) 979-0200
Decatur (Atlanta) Va Medical Center	Decatur, GA	12 mi	3 of 5	(404) 321-6111

Straight-line miles from the center of Lithonia. 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 Lithonia

At the Georgia median aide wage of $14.07 an hour, 20 hours of help a week comes to about $1,219 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Georgia's state rate is lower than the federal one, so employers covered by the Fair Labor Standards Act pay at least the federal $7.25 an hour (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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Lithonia: common questions

How many seniors live alone in Lithonia?

About 69 residents aged 65 or older, 43% of older residents in households (Census ACS 2020–2024) (29% in DeKalb County).

How much does companion care cost in Lithonia?

At the Georgia median aide wage of $14.07 an hour, 20 hours of help a week comes to about $1,219 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Georgia's state rate is lower than the federal one, so employers covered by the Fair Labor Standards Act pay at least the federal $7.25 an hour (U.S. Department of Labor).

What does a companion caregiver do in Lithonia?

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 Lithonia

More senior care near Lithonia

Companion Care in nearby cities

Other care in Lithonia

More for Lithonia families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Lithonia, GA