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

Companion Care in Smyrna, TN: the local picture
About 1,661 residents of Smyrna aged 65 or older live alone, 28% of older residents in households (24% in Rutherford County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
3.7% of Smyrna households have no vehicle (2.7% in Rutherford County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 6,202 Smyrna residents aged 65 or older, 498 are 85 or older (8.0%). 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.
2,607 Smyrna households headed by someone 65 or older own their home and 1,206 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 581 older Smyrna residents (9.6%) live below the poverty line (7.9% in Rutherford 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 24% of Smyrna residents aged 5 and over speak a language other than English at home. The most common are Spanish (7,383), Arabic (1,862), other Asian and Pacific Island languages (1,603). 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.
Smyrna compared with Rutherford County and Tennessee
| Census figure | Smyrna | Rutherford County | Tennessee |
|---|---|---|---|
| Residents 65+ in households who live alone | 28% | 24% | 29% |
| Residents 65 or older | 11% | 11% | 17% |
| Residents 5+ who speak a language other than English at home | 24% | 16% | 8.6% |
| Households with no vehicle | 3.7% | 2.7% | 5.2% |
| Residents 65+ below the poverty line (approx.) | 9.6% | 7.9% | 11% |
| Residents 65+ with a disability | 37% | 36% | 36% |
| Median income, households headed by someone 65+ | $67,805 | $65,554 | — |
Older residents in towns around Smyrna
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| La Vergne, TN | 4.1 mi | 3,163 | 22% |
| Nolensville, TN | 8.1 mi | 1,192 | 11% |
| Murfreesboro, TN | 10.0 mi | 17,180 | 29% |
| Brentwood, TN | 14 mi | 7,425 | 17% |
| Mount Juliet, TN | 16 mi | 5,547 | 24% |
| Oak Hill, TN | 16 mi | 1,140 | 7.0% |
Hospitals near Smyrna (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Tristar Stonecrest Medical Center | Smyrna, TN | 1.4 mi | 4 of 5 | (615) 768-2000 |
| Saint Thomas Rutherford Hospital | Murfreesboro, TN | 9.2 mi | 3 of 5 | (615) 396-4100 |
| Tristar Southern Hills Medical Center | Nashville, TN | 13 mi | 4 of 5 | (615) 781-4000 |
Straight-line miles from the center of Smyrna. 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 Smyrna
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 24% of the $5,650 monthly median income of Smyrna 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 Smyrna: common questions
How many seniors live alone in Smyrna?
About 1,661 residents aged 65 or older, 28% of older residents in households (Census ACS 2020–2024) (24% in Rutherford County).
How much does companion care cost in Smyrna?
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 24% of the $5,650 monthly median income of Smyrna 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 Smyrna?
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 Smyrna
Companion Care in nearby cities
- Companion Care in La Vergne, TN
- Companion Care in Nolensville, TN
- Companion Care in Murfreesboro, TN
- Companion Care in Brentwood, TN
- Companion Care in Mount Juliet, TN
- Companion Care in Oak Hill, TN
- Companion Care in Green Hill, TN
- Companion Care in Christiana, TN
- Companion Care in Franklin, TN
- Companion Care in Forest Hills, TN
- Companion Care in Lebanon, TN
- Companion Care in Nashville, TN
- Companion Care in Belle Meade, TN
- Companion Care in Hendersonville, TN
- Companion Care in Thompson's Station, TN
- Companion Care in Spring Hill, TN
Other care in Smyrna
- Dementia Care in Smyrna
- Respite Care in Smyrna
- Live-In Caregivers in Smyrna
- Post-Surgery Care in Smyrna
- Senior Transportation in Smyrna
- Home Health Aides in Smyrna
- Nursing Assistants in Smyrna
- Personal Care in Smyrna
- Overnight Caregivers in Smyrna
- 24-Hour Home Care in Smyrna
- Mobility Assistance in Smyrna
- Parkinson’s Care in Smyrna
- Stroke Recovery Support in Smyrna
- Disability Care for Adults in Smyrna
- Hospice Support in Smyrna
- Senior Meal Preparation in Smyrna
- Senior Housekeeping in Smyrna
- Medication Reminders in Smyrna
- Veterans’ Home Care in Smyrna
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.
Find companion care in Smyrna
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