Home Health Aides in Smithville, TN: Hire In-Home Help

Local figures

Home Health Aides in Smithville, TN: the local picture

12

Medicare-certified home health agencies list Smithville ZIP codes in their service area

$15.45

median hourly wage of home care aides in Tennessee (BLS, May 2025)

859

residents 65 or older (16% of Smithville)

54%

of residents 65+ report a disability (42% in DeKalb County)

12 Medicare-certified home health agencies list Smithville ZIP codes in their service area; the highest-rated are below, and 4 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Tennessee earn a median $15.45 an hour (BLS, May 2025), with the middle half between $14.39 and $16.96.

Smithville has about 859 residents aged 65 or older, 54% of whom report a disability.

Smithville compared with DeKalb County and Tennessee

Census figure	Smithville	DeKalb County	Tennessee
Residents 65+ with a disability	54%	42%	36%
Residents 65 or older	16%	19%	17%
Residents 85 or older	3.1%	2.0%	1.6%
Residents 65+ in households who live alone	55%	31%	29%
Residents 65+ below the poverty line (approx.)	24%	13%	11%
Residents 5+ who speak a language other than English at home	11%	5.4%	8.6%
Median income, households headed by someone 65+	$21,463	$37,211	—

Older residents in towns around Smithville

Town	Distance	Residents 65+	65+ with a disability
Woodbury, TN	17 mi	311	48%
McMinnville, TN	19 mi	2,373	39%
Sparta, TN	20 mi	1,332	42%
Cookeville, TN	22 mi	4,960	40%
Algood, TN	27 mi	784	35%
Lebanon, TN	34 mi	7,242	32%

Medicare-certified home health agencies serving Smithville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Lebanon, TN	32 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 449-0045
Adoration Home Health Nashville South	Cookeville, TN	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 835-4445
Nhc Homecare Murfreesboro	Murfreesboro, TN	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 896-2300
Amedisys Home Health	Nashville, TN	49 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(615) 313-7400
Adoration Home Health, LLC	Madison, TN	54 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(615) 733-3600
Adoration Home Health Mcminnville	Mcminnville, TN	19 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(931) 473-9556
Cookeville Regional Home Health	Cookeville, TN	24 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(931) 528-5578
Centerwell Home Health	Murfreesboro, TN	34 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(931) 473-9561

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

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Smithville

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 75% of the $1,789 monthly median income of Smithville 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.

Before you hire

What to know before hiring a home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

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

Questions

Home Health Aides in Smithville: common questions

Which home health agencies serve Smithville?

Medicare lists 12 certified agencies whose service area includes Smithville ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (5 of 5), Adoration Home Health Nashville South (4.5 of 5), Nhc Homecare Murfreesboro (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Smithville?

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 75% of the $1,789 monthly median income of Smithville 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).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Smithville

More senior care near Smithville

Home Health Aides in nearby cities

Other care in Smithville

More for Smithville 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.

Home Health Aides in Smithville, TN