Companion Care for Seniors in Smithville, TN
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 Smithville for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Smithville, TN: the local picture
About 419 residents of Smithville aged 65 or older live alone, 55% of older residents in households (31% in DeKalb County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
18% of Smithville households have no vehicle (7.0% in DeKalb County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 859 Smithville residents aged 65 or older, 165 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.
365 Smithville households headed by someone 65 or older own their home and 236 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 185 older Smithville residents (24%) live below the poverty line (13% 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 11% of Smithville residents aged 5 and over speak a language other than English at home. The most common are Spanish (463), French, Haitian or Cajun (53), other Asian and Pacific Island 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.
Smithville compared with DeKalb County and Tennessee
| Census figure | Smithville | DeKalb County | Tennessee |
|---|---|---|---|
| Residents 65+ in households who live alone | 55% | 31% | 29% |
| Residents 65 or older | 16% | 19% | 17% |
| Residents 5+ who speak a language other than English at home | 11% | 5.4% | 8.6% |
| Households with no vehicle | 18% | 7.0% | 5.2% |
| Residents 65+ below the poverty line (approx.) | 24% | 13% | 11% |
| Residents 65+ with a disability | 54% | 42% | 36% |
| Median income, households headed by someone 65+ | $21,463 | $37,211 | — |
Older residents in towns around Smithville
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Woodbury, TN | 17 mi | 311 | 53% |
| McMinnville, TN | 19 mi | 2,373 | 49% |
| Sparta, TN | 20 mi | 1,332 | 39% |
| Cookeville, TN | 22 mi | 4,960 | 37% |
| Algood, TN | 27 mi | 784 | 40% |
| Lebanon, TN | 34 mi | 7,242 | 29% |
Hospitals near Smithville (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Dekalb Community Hospital | Smithville, TN | 2.2 mi | not rated | (615) 215-5000 |
| Stones River Hospital | Woodbury, TN | 16 mi | not rated | (615) 563-4001 |
| Saint Thomas River Park Hospital | Mcminnville, TN | 19 mi | 3 of 5 | (931) 815-4101 |
Straight-line miles from the center of Smithville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What companion care costs in Smithville
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 75% of the $1,789 monthly median income of Smithville 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.
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.
Companion Care in Smithville: common questions
How many seniors live alone in Smithville?
About 419 residents aged 65 or older, 55% of older residents in households (Census ACS 2020–2024) (31% in DeKalb County).
How much does companion care cost in Smithville?
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 75% of the $1,789 monthly median income of Smithville 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 Smithville?
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 senior care near Smithville
Companion Care in nearby cities
- Companion Care in Woodbury, TN
- Companion Care in McMinnville, TN
- Companion Care in Sparta, TN
- Companion Care in Cookeville, TN
- Companion Care in Algood, TN
- Companion Care in Lebanon, TN
- Companion Care in Monterey, TN
- Companion Care in Murfreesboro, TN
- Companion Care in Hartsville, TN
- Companion Care in Manchester, TN
- Companion Care in Christiana, TN
- Companion Care in Smyrna, TN
- Companion Care in Livingston, TN
- Companion Care in Lafayette, TN
- Companion Care in La Vergne, TN
- Companion Care in Mount Juliet, TN
Other care in Smithville
- Dementia Care in Smithville
- Respite Care in Smithville
- Live-In Caregivers in Smithville
- Post-Surgery Care in Smithville
- Senior Transportation in Smithville
- Home Health Aides in Smithville
- Nursing Assistants in Smithville
- Personal Care in Smithville
- Overnight Caregivers in Smithville
- 24-Hour Home Care in Smithville
- Mobility Assistance in Smithville
- Parkinson’s Care in Smithville
- Stroke Recovery Support in Smithville
- Disability Care for Adults in Smithville
- Hospice Support in Smithville
- Senior Meal Preparation in Smithville
- Senior Housekeeping in Smithville
- Medication Reminders in Smithville
- Veterans’ Home Care in Smithville
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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