Companion Care in Tompkinsville, KY for Seniors

Local figures

Companion Care in Tompkinsville, KY: the local picture

455

residents 65 or older (17% of Tompkinsville)

50%

of residents 65+ in households live alone (31% in Monroe County)

8.8%

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

13%

of households have no vehicle (5.0% in Monroe County)

About 190 residents of Tompkinsville aged 65 or older live alone, 50% of older residents in households (31% in Monroe County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

13% of Tompkinsville households have no vehicle (5.0% in Monroe County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 455 Tompkinsville residents aged 65 or older, 52 are 85 or older (11%). 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.

225 Tompkinsville households headed by someone 65 or older own their home and 76 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 41 older Tompkinsville residents (11%) live below the poverty line (14% 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 8.8% of Tompkinsville residents aged 5 and over speak a language other than English at home. The most common are Spanish (216). 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.

Tompkinsville compared with Monroe County and Kentucky

Census figure	Tompkinsville	Monroe County	Kentucky
Residents 65+ in households who live alone	50%	31%	30%
Residents 65 or older	17%	19%	17%
Residents 5+ who speak a language other than English at home	8.8%	3.1%	6.8%
Households with no vehicle	13%	5.0%	6.8%
Residents 65+ below the poverty line (approx.)	11%	14%	13%
Residents 65+ with a disability	67%	50%	39%
Median income, households headed by someone 65+	$40,446	$38,005	—

Older residents in towns around Tompkinsville

Town	Distance	Residents 65+	Live alone (65+)
Lafayette, TN	22 mi	704	43%
Glasgow, KY	25 mi	3,096	32%
Scottsville, KY	29 mi	930	29%
Livingston, TN	30 mi	670	58%
Westmoreland, TN	32 mi	463	46%
Hartsville, TN	33 mi	1,475	27%

Hospitals near Tompkinsville (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Monroe County Medical Center	Tompkinsville, KY	1.6 mi	1 of 5	(270) 487-9231
Cumberland County Hospital	Burkesville, KY	18 mi	not rated	(270) 864-2511
Macon Community Hospital	Lafayette, TN	22 mi	3 of 5	(615) 666-2147

Straight-line miles from the center of Tompkinsville. 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 Tompkinsville

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 45% of the $3,371 monthly median income of Tompkinsville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Tompkinsville: common questions

How many seniors live alone in Tompkinsville?

About 190 residents aged 65 or older, 50% of older residents in households (Census ACS 2020–2024) (31% in Monroe County).

How much does companion care cost in Tompkinsville?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 45% of the $3,371 monthly median income of Tompkinsville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 Tompkinsville?

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 Tompkinsville

More senior care near Tompkinsville

Companion Care in nearby cities

Other care in Tompkinsville

More for Tompkinsville 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 Tompkinsville, KY