Companion Care in Smithfield, NC: Senior Companions at Home

Local figures

Companion Care in Smithfield, NC: the local picture

2,473

residents 65 or older (20% of Smithfield)

39%

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

12%

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

11%

of households have no vehicle (3.7% in Johnston County)

About 846 residents of Smithfield aged 65 or older live alone, 39% of older residents in households (27% in Johnston County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

11% of Smithfield households have no vehicle (3.7% in Johnston County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 2,473 Smithfield residents aged 65 or older, 311 are 85 or older (13%). 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.

1,076 Smithfield households headed by someone 65 or older own their home and 489 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 412 older Smithfield residents (19%) live below the poverty line (9.6% in Johnston 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 12% of Smithfield residents aged 5 and over speak a language other than English at home. The most common are Spanish (1,332), Tagalog (66), other Asian and Pacific Island languages (21). 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.

Smithfield compared with Johnston County and North Carolina

Census figure	Smithfield	Johnston County	North Carolina
Residents 65+ in households who live alone	39%	27%	28%
Residents 65 or older	20%	14%	17%
Residents 5+ who speak a language other than English at home	12%	16%	13%
Households with no vehicle	11%	3.7%	5.3%
Residents 65+ below the poverty line (approx.)	19%	9.6%	11%
Residents 65+ with a disability	45%	34%	33%
Median income, households headed by someone 65+	$40,392	$53,545	—

Older residents in towns around Smithfield

Town	Distance	Residents 65+	Live alone (65+)
Selma, NC	3.6 mi	1,072	21%
Wilson's Mills, NC	4.3 mi	174	28%
Clayton, NC	11 mi	2,993	36%
Archer Lodge, NC	11 mi	907	28%
Benson, NC	14 mi	816	49%
Wendell, NC	19 mi	2,044	29%

Hospitals near Smithfield (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Johnston Health	Smithfield, NC	1.2 mi	4 of 5	(919) 934-8171
Betsy Johnson Regional Hospital	Dunn, NC	21 mi	3 of 5	(910) 892-7161
Wakemed, Raleigh Campus	Raleigh, NC	22 mi	4 of 5	(919) 350-8000

Straight-line miles from the center of Smithfield. 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 Smithfield

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 39% of the $3,366 monthly median income of Smithfield households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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 Smithfield: common questions

How many seniors live alone in Smithfield?

About 846 residents aged 65 or older, 39% of older residents in households (Census ACS 2020–2024) (27% in Johnston County).

How much does companion care cost in Smithfield?

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 39% of the $3,366 monthly median income of Smithfield households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

What does a companion caregiver do in Smithfield?

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 Smithfield

More senior care near Smithfield

Companion Care in nearby cities

Other care in Smithfield

More for Smithfield 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 Smithfield, NC