In-Home Dementia Care in Middlesborough, KY

Local figures

Dementia Care in Middlesborough, KY: the local picture

335

residents 85 or older (3.7% of all residents)

1,924

residents 65 or older (21% of Middlesborough)

63%

of residents 65+ report a disability (55% in Bell County)

6+

Medicare-certified nursing homes within 25 miles

Middlesborough has about 335 residents aged 85 or older among 1,924 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

63% of residents 65 and older report a disability (55% in Bell County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

39% of older Middlesborough residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Middlesborough compared with Bell County and Kentucky

Census figure	Middlesborough	Bell County	Kentucky
Residents 85 or older	3.7%	2.1%	1.7%
Residents 65 or older	21%	19%	17%
Residents 65+ with a disability	63%	55%	39%
Residents 65+ in households who live alone	39%	33%	30%
Residents 65+ below the poverty line (approx.)	20%	19%	13%
Residents 5+ who speak a language other than English at home	0.8%	0.5%	6.8%
Median income, households headed by someone 65+	$29,163	$28,744	—

Older residents in towns around Middlesborough

Town	Distance	Residents 65+	Residents 85+
Harrogate, TN	5.0 mi	837	88
Tazewell, TN	14 mi	496	182
New Tazewell, TN	14 mi	438	96
Barbourville, KY	20 mi	688	197
Maynardville, TN	26 mi	287	37
Williamsburg, KY	26 mi	705	186

Nursing homes near Middlesborough

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Middlesboro Nursing And Rehabilitation Facility	Middlesboro, KY	1.8 mi	5 of 5	95	(606) 298-0091
Tri State Health And Rehabilitation Center	Harrogate, TN	5.1 mi	1 of 5	116	(423) 869-5376
Mountain View Rehabilitation And Healthcare Center	Pineville, KY	9.6 mi	4 of 5	115	(606) 337-7071
Buchanan Place	New Tazewell, TN	14 mi	2 of 5	134	(423) 626-8215
Claiborne Health And Rehabilitation Center	Tazewell, TN	14 mi	3 of 5	100	(423) 526-2348
Barbourville Health And Rehabilitation Center	Barbourville, KY	20 mi	1 of 5	135	(606) 546-5136

Hospices serving Middlesborough

Hospice	Office	Distance	Phone
Vna Health At Home 1	London, KY	43 mi	(606) 877-3950
Hospice Of The Bluegrass, Inc.	Hazard, KY	56 mi	(606) 439-2111

Straight-line miles from the center of Middlesborough. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care costs in Middlesborough

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 62% of the $2,430 monthly median income of Middlesborough 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Dementia Care in Middlesborough: common questions

What nursing homes are near Middlesborough?

The closest Medicare-certified nursing homes are Middlesboro Nursing And Rehabilitation Facility in Middlesboro (1.8 mi, 5 of 5 overall); Tri State Health And Rehabilitation Center in Harrogate (5.1 mi, 1 of 5 overall); Mountain View Rehabilitation And Healthcare Center in Pineville (9.6 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Middlesborough?

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 62% of the $2,430 monthly median income of Middlesborough 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).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near Middlesborough

More senior care near Middlesborough

Dementia Care in nearby cities

Other care in Middlesborough

More for Middlesborough 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.

In-Home Dementia and Alzheimer's Care in Middlesborough, KY