Companion Care in Tomah, WI: Senior Companions at Home

Local figures

Companion Care in Tomah, WI: the local picture

1,987

residents 65 or older (21% of Tomah)

52%

of residents 65+ in households live alone (32% in Monroe County)

3.3%

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

12%

of households have no vehicle (8.3% in Monroe County)

About 917 residents of Tomah aged 65 or older live alone, 52% of older residents in households (32% in Monroe County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

12% of Tomah households have no vehicle (8.3% in Monroe County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 1,987 Tomah residents aged 65 or older, 461 are 85 or older (23%). 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.

898 Tomah households headed by someone 65 or older own their home and 496 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 229 older Tomah residents (12%) live below the poverty line (11% in Monroe 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 3.3% of Tomah residents aged 5 and over speak a language other than English at home. The most common are other Indo-European languages (80), other languages (69), Spanish (60). 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.

Tomah compared with Monroe County and Wisconsin

Census figure	Tomah	Monroe County	Wisconsin
Residents 65+ in households who live alone	52%	32%	30%
Residents 65 or older	21%	18%	19%
Residents 5+ who speak a language other than English at home	3.3%	9.0%	9.0%
Households with no vehicle	12%	8.3%	6.4%
Residents 65+ below the poverty line (approx.)	12%	11%	9.1%
Residents 65+ with a disability	47%	32%	28%
Median income, households headed by someone 65+	$42,931	$49,811	—

Older residents in towns around Tomah

Town	Distance	Residents 65+	Live alone (65+)
Sparta, WI	16 mi	1,636	39%
New Lisbon, WI	19 mi	331	47%
Mauston, WI	25 mi	880	40%
Black River Falls, WI	27 mi	917	46%
West Salem, WI	30 mi	975	36%
Viroqua, WI	35 mi	1,191	36%

Hospitals near Tomah (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Tomah Memorial Hospital	Tomah, WI	1.4 mi	5 of 5	(608) 372-2181
Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta	Sparta, WI	16 mi	not rated	(608) 269-2132
Mile Bluff Medical Center	Mauston, WI	26 mi	4 of 5	(608) 847-6161

Straight-line miles from the center of Tomah. 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 Tomah

At the Wisconsin median aide wage of $17.47 an hour, 20 hours of help a week comes to about $1,514 a month in wages, which is 42% of the $3,578 monthly median income of Tomah households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Wisconsin'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 IRIS in Wisconsin: how a family member gets paid as a caregiver.

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 Tomah: common questions

How many seniors live alone in Tomah?

About 917 residents aged 65 or older, 52% of older residents in households (Census ACS 2020–2024) (32% in Monroe County).

How much does companion care cost in Tomah?

At the Wisconsin median aide wage of $17.47 an hour, 20 hours of help a week comes to about $1,514 a month in wages, which is 42% of the $3,578 monthly median income of Tomah households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Wisconsin'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 Tomah?

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 Tomah

More senior care near Tomah

Companion Care in nearby cities

Other care in Tomah

More for Tomah 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 Tomah, WI