Companion Care in Mountain City, TN for Seniors

Local figures

Companion Care in Mountain City, TN: the local picture

704

residents 65 or older (28% of Mountain City)

46%

of residents 65+ in households live alone (27% in Johnson County)

11%

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

12%

of households have no vehicle (4.3% in Johnson County)

About 287 residents of Mountain City aged 65 or older live alone, 46% of older residents in households (27% in Johnson County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

12% of Mountain City households have no vehicle (4.3% in Johnson County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 704 Mountain City residents aged 65 or older, 49 are 85 or older (7.0%). 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.

348 Mountain City households headed by someone 65 or older own their home and 108 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 50 older Mountain City residents (8.0%) live below the poverty line (12% in Johnson 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 11% of Mountain City residents aged 5 and over speak a language other than English at home. The most common are Spanish (239), German or West Germanic languages (14), Russian, Polish or other Slavic languages (4). 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.

Mountain City compared with Johnson County and Tennessee

Census figure	Mountain City	Johnson County	Tennessee
Residents 65+ in households who live alone	46%	27%	29%
Residents 65 or older	28%	23%	17%
Residents 5+ who speak a language other than English at home	11%	4.9%	8.6%
Households with no vehicle	12%	4.3%	5.2%
Residents 65+ below the poverty line (approx.)	8.0%	12%	11%
Residents 65+ with a disability	42%	39%	36%
Median income, households headed by someone 65+	$36,000	$41,707	—

Older residents in towns around Mountain City

Town	Distance	Residents 65+	Live alone (65+)
Abingdon, VA	19 mi	2,046	35%
Boone, NC	19 mi	1,405	25%
Bristol, VA	22 mi	3,986	35%
Bristol, TN	24 mi	5,391	30%
Elizabethton, TN	26 mi	2,950	37%
Blountville, TN	29 mi	702	8.8%

Hospitals near Mountain City (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Johnson County Community Hospital	Mountain City, TN	0.6 mi	not rated	(423) 727-1110
Johnston Memorial Hospital	Abingdon, VA	16 mi	3 of 5	(276) 258-1000
Watauga Medical Center	Boone, NC	19 mi	3 of 5	(828) 262-4100

Straight-line miles from the center of Mountain City. 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 Mountain City

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 45% of the $3,000 monthly median income of Mountain City 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 Mountain City: common questions

How many seniors live alone in Mountain City?

About 287 residents aged 65 or older, 46% of older residents in households (Census ACS 2020–2024) (27% in Johnson County).

How much does companion care cost in Mountain City?

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 45% of the $3,000 monthly median income of Mountain City 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 Mountain City?

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 Mountain City

More senior care near Mountain City

Companion Care in nearby cities

Other care in Mountain City

More for Mountain City 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 Mountain City, TN