Companion Care in Shackle Island, TN for Seniors

Local figures

Companion Care in Shackle Island, TN: the local picture

573

residents 65 or older (13% of Shackle Island)

12%

of residents 65+ in households live alone (23% in Sumner County)

4.6%

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

0.0%

of households have no vehicle (3.3% in Sumner County)

About 66 residents of Shackle Island aged 65 or older live alone, 12% of older residents in households (23% in Sumner County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

0.0% of Shackle Island households have no vehicle (3.3% in Sumner County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 573 Shackle Island residents aged 65 or older, 31 are 85 or older (5.4%). 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.

303 Shackle Island households headed by someone 65 or older own their home and 0 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 20 older Shackle Island residents (3.5%) live below the poverty line (8.5% in Sumner 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 4.6% of Shackle Island residents aged 5 and over speak a language other than English at home. The most common are Spanish (150), other Indo-European languages (26), other languages (11). 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.

Shackle Island compared with Sumner County and Tennessee

Census figure	Shackle Island	Sumner County	Tennessee
Residents 65+ in households who live alone	12%	23%	29%
Residents 65 or older	13%	17%	17%
Residents 5+ who speak a language other than English at home	4.6%	7.1%	8.6%
Households with no vehicle	0.0%	3.3%	5.2%
Residents 65+ below the poverty line (approx.)	3.5%	8.5%	11%
Residents 65+ with a disability	31%	32%	36%
Median income, households headed by someone 65+	$75,792	$62,179	—

Older residents in towns around Shackle Island

Town	Distance	Residents 65+	Live alone (65+)
Hendersonville, TN	5.0 mi	10,859	24%
Millersville, TN	5.4 mi	1,089	18%
Goodlettsville, TN	5.8 mi	3,125	34%
White House, TN	6.7 mi	1,876	27%
Gallatin, TN	8.3 mi	8,031	27%
Greenbrier, TN	10 mi	692	45%

Hospitals near Shackle Island (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Tristar Hendersonville Medical Center	Hendersonville, TN	5.0 mi	4 of 5	(615) 338-1000
Highpoint Health-Sumner With Ascension Saint Thoma	Gallatin, TN	9.2 mi	3 of 5	(615) 328-8888
Tristar Summit Medical Center	Hermitage, TN	13 mi	4 of 5	(615) 316-3000

Straight-line miles from the center of Shackle Island. 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 Shackle Island

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 21% of the $6,316 monthly median income of Shackle Island 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 Shackle Island: common questions

How many seniors live alone in Shackle Island?

About 66 residents aged 65 or older, 12% of older residents in households (Census ACS 2020–2024) (23% in Sumner County).

How much does companion care cost in Shackle Island?

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 21% of the $6,316 monthly median income of Shackle Island 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 Shackle Island?

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 Shackle Island

More senior care near Shackle Island

Companion Care in nearby cities

Other care in Shackle Island

More for Shackle Island 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 Shackle Island, TN