Louisville, Mississippi

Companion Care for Seniors in Louisville, MS

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 Louisville for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Companion Care in Louisville, MS: the local picture

1,340
residents 65 or older (22% of Louisville)
34%
of residents 65+ in households live alone (34% in Winston County)
0.8%
of residents 5+ speak a language other than English at home
14%
of households have no vehicle (7.9% in Winston County)

About 422 residents of Louisville aged 65 or older live alone, 34% of older residents in households (34% in Winston County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

14% of Louisville households have no vehicle (7.9% in Winston County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 1,340 Louisville residents aged 65 or older, 181 are 85 or older (14%). 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.

813 Louisville households headed by someone 65 or older own their home and 74 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 206 older Louisville residents (16%) live below the poverty line (16% in Winston 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.

Louisville compared with Winston County and Mississippi

Census figureLouisvilleWinston CountyMississippi
Residents 65+ in households who live alone34%34%30%
Residents 65 or older22%22%17%
Residents 5+ who speak a language other than English at home0.8%1.6%4.3%
Households with no vehicle14%7.9%6.3%
Residents 65+ below the poverty line (approx.)16%16%15%
Residents 65+ with a disability43%47%41%
Median income, households headed by someone 65+$33,699$38,512—

Older residents in towns around Louisville

TownDistanceResidents 65+Live alone (65+)
Philadelphia, MS24 mi1,13540%
Pearl River, MS25 mi59837%
Starkville, MS27 mi2,91733%
Mississippi State, MS27 mi0—
Macon, MS29 mi41253%
Kosciusko, MS31 mi1,22037%

Hospitals near Louisville (for rides to appointments)

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Winston Medical CenterLouisville, MS1.9 minot rated(662) 779-5124
Choctaw Regional Medical CenterAckerman, MS18 minot rated(662) 285-6235
Neshoba County General HospitalPhiladelphia, MS26 mi3 of 5(601) 663-1200

Straight-line miles from the center of Louisville. 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 Louisville

At the Mississippi median aide wage of $11.47 an hour, 20 hours of help a week comes to about $994 a month in wages, which is 35% of the $2,808 monthly median income of Louisville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Mississippi 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 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 Louisville: common questions

How many seniors live alone in Louisville?

About 422 residents aged 65 or older, 34% of older residents in households (Census ACS 2020–2024) (34% in Winston County).

How much does companion care cost in Louisville?

At the Mississippi median aide wage of $11.47 an hour, 20 hours of help a week comes to about $994 a month in wages, which is 35% of the $2,808 monthly median income of Louisville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Mississippi 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 Louisville?

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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