In-Home Dementia and Alzheimer's Care in Mountain City, TN
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Mountain City for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Mountain City, TN: the local picture
Mountain City has about 49 residents aged 85 or older among 704 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.
42% of residents 65 and older report a disability (39% in Johnson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
46% of older Mountain City 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.
Mountain City compared with Johnson County and Tennessee
| Census figure | Mountain City | Johnson County | Tennessee |
|---|---|---|---|
| Residents 85 or older | 1.9% | 2.3% | 1.6% |
| Residents 65 or older | 28% | 23% | 17% |
| Residents 65+ with a disability | 42% | 39% | 36% |
| Residents 65+ in households who live alone | 46% | 27% | 29% |
| Residents 65+ below the poverty line (approx.) | 8.0% | 12% | 11% |
| Residents 5+ who speak a language other than English at home | 11% | 4.9% | 8.6% |
| Median income, households headed by someone 65+ | $36,000 | $41,707 | — |
Older residents in towns around Mountain City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Abingdon, VA | 19 mi | 2,046 | 310 |
| Boone, NC | 19 mi | 1,405 | 243 |
| Bristol, VA | 22 mi | 3,986 | 513 |
| Bristol, TN | 24 mi | 5,391 | 594 |
| Elizabethton, TN | 26 mi | 2,950 | 428 |
| Blountville, TN | 29 mi | 702 | 50 |
Nursing homes near Mountain City
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Mountain City Care & Rehabilitation Center | Mountain City, TN | 1.3 mi | 5 of 5 | 120 | (423) 727-7800 |
| Abingdon Health & Rehab Center | Abingdon, VA | 19 mi | 5 of 5 | 120 | (276) 451-2590 |
| Deer Meadows Rehabilitation And Nursing | Abingdon, VA | 19 mi | 1 of 5 | 119 | (276) 628-2111 |
| Margate Health And Rehabilitation, LLC | Jefferson, NC | 20 mi | 3 of 5 | 210 | (336) 246-5581 |
| The Rehab Center At Bristol | Bristol, VA | 21 mi | 2 of 5 | 90 | (276) 594-0032 |
| Glenbridge Health And Rehabilitation | Boone, NC | 22 mi | 1 of 5 | 134 | (828) 264-6720 |
Hospices serving Mountain City
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Ballad Health Hospice | Abingdon, VA | 19 mi | (276) 619-4500 |
| Ballad Health Hospice | Bristol, TN | 22 mi | (423) 844-5252 |
| Amedisys Hospice, An Adventa Company | Elizabethton, TN | 24 mi | (423) 547-0852 |
| Caris Healthcare | Johnson City, TN | 34 mi | (423) 929-2044 |
Straight-line miles from the center of Mountain City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Mountain City
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 45% of the $3,000 monthly median income of Mountain City 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 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.
Dementia Care in Mountain City: common questions
What nursing homes are near Mountain City?
The closest Medicare-certified nursing homes are Mountain City Care & Rehabilitation Center in Mountain City (1.3 mi, 5 of 5 overall); Abingdon Health & Rehab Center in Abingdon (19 mi, 5 of 5 overall); Deer Meadows Rehabilitation And Nursing in Abingdon (19 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Mountain City?
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 45% of the $3,000 monthly median income of Mountain City 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).
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 senior care near Mountain City
Dementia Care in nearby cities
- Dementia Care in Abingdon, VA
- Dementia Care in Boone, NC
- Dementia Care in Bristol, VA
- Dementia Care in Bristol, TN
- Dementia Care in Elizabethton, TN
- Dementia Care in Blountville, TN
- Dementia Care in Marion, VA
- Dementia Care in Johnson City, TN
- Dementia Care in Lebanon, VA
- Dementia Care in Unicoi, TN
- Dementia Care in Oak Grove, TN
- Dementia Care in Spurgeon, TN
- Dementia Care in Colonial Heights, TN
- Dementia Care in Jonesborough, TN
- Dementia Care in Bloomingdale, TN
- Dementia Care in Erwin, TN
Other care in Mountain City
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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