Dementia Care in Tompkinsville, KY: In-Home Alzheimer's Care

Local figures

Dementia Care in Tompkinsville, KY: the local picture

52

residents 85 or older (2.0% of all residents)

455

residents 65 or older (17% of Tompkinsville)

67%

of residents 65+ report a disability (50% in Monroe County)

6+

Medicare-certified nursing homes within 25 miles

Tompkinsville has about 52 residents aged 85 or older among 455 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.

67% of residents 65 and older report a disability (50% in Monroe County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

50% of older Tompkinsville 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.

Tompkinsville compared with Monroe County and Kentucky

Census figure	Tompkinsville	Monroe County	Kentucky
Residents 85 or older	2.0%	1.5%	1.7%
Residents 65 or older	17%	19%	17%
Residents 65+ with a disability	67%	50%	39%
Residents 65+ in households who live alone	50%	31%	30%
Residents 65+ below the poverty line (approx.)	11%	14%	13%
Residents 5+ who speak a language other than English at home	8.8%	3.1%	6.8%
Median income, households headed by someone 65+	$40,446	$38,005	—

Older residents in towns around Tompkinsville

Town	Distance	Residents 65+	Residents 85+
Lafayette, TN	22 mi	704	39
Glasgow, KY	25 mi	3,096	392
Scottsville, KY	29 mi	930	86
Livingston, TN	30 mi	670	71
Westmoreland, TN	32 mi	463	82
Hartsville, TN	33 mi	1,475	72

Nursing homes near Tompkinsville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Signature Healthcare Of Monroe County Rehab And We	Tompkinsville, KY	0.4 mi	5 of 5	104	(270) 487-6135
Red Boiling Springs TN Opco LLC	Red Boiling Springs, TN	14 mi	3 of 5	119	(615) 699-2238
Celina Health And Rehabilitation Center	Celina, TN	15 mi	4 of 5	78	(931) 243-3139
Cumberland Valley Nursing & Rehabilitation Center	Burkesville, KY	19 mi	1 of 5	84	(270) 864-4315
Metcalfe Nursing And Rehabilitation Center	Edmonton, KY	20 mi	1 of 5	71	(270) 432-2921
Knollwood Manor	Lafayette, TN	22 mi	1 of 5	49	(615) 666-3170

Hospices serving Tompkinsville

Hospice	Office	Distance	Phone
T J Samson Community Hospital Home Care Hospice	Glasgow, KY	24 mi	(270) 651-4430
Hospice Of Southern Kentucky	Bowling Green, KY	45 mi	(270) 746-9300
Hosparus, Inc	Louisville, KY	105 mi	(502) 456-6200

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 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 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 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 Tompkinsville: common questions

What nursing homes are near Tompkinsville?

The closest Medicare-certified nursing homes are Signature Healthcare Of Monroe County Rehab And We in Tompkinsville (0.4 mi, 5 of 5 overall); Red Boiling Springs TN Opco LLC in Red Boiling Springs (14 mi, 3 of 5 overall); Celina Health And Rehabilitation Center in Celina (15 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia 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).

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 Tompkinsville

More senior care near Tompkinsville

Dementia 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.

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